{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T11:49:51Z","timestamp":1758800991106,"version":"3.44.0"},"reference-count":11,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Inj Prev"],"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Surveillance of traumatic brain injury (TBI) in the USA has historically relied on healthcare administrative datasets, but these methods likely undercount the true burden of TBI. Self-report measures may help obtain more comprehensive estimates. A fundamental question is whether TBI prevalence estimated through self-report varies by whether and how TBI signs and symptoms are ascertained in the survey question(s).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Self-report data were collected from 4303 adults in the summer wave of Porter Novelli\u2019s 2023 ConsumerStyles survey. Respondents were randomised to receive a question about their 12-month experience of head injury and a grouped list of TBI signs\/symptoms or a question about their 12-month experience of head injury and an option to select individual TBI signs and symptoms that resulted from the head injury. All respondents who indicated they experienced a head injury received a set of follow-up questions.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A significantly higher percentage of people who received the \u2018individual signs\/symptoms\u2019 question self-reported a TBI (8.3%) than those who received the \u2018grouped signs\/symptoms\u2019 question (4.3%) \u03c7<jats:sup>2<\/jats:sup>=19.6, p&lt;0.0001. Among TBI cases identified, there were no statistical differences between question type in relation to whether the respondent reported being evaluated for or diagnosed with a TBI, nor any demographic differences.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>These results demonstrate that how TBI is ascertained in a survey can meaningfully impact reporting of TBI prevalence and provides evidence that question wording and structure affect estimates on national surveys.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/ip-2024-045282","type":"journal-article","created":{"date-parts":[[2025,3,27]],"date-time":"2025-03-27T02:49:32Z","timestamp":1743043772000},"page":"ip-2024-045282","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of question wording for self-reported traumatic brain injuries among adults: findings from the 2023 SummerStyles survey"],"prefix":"10.1136","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1708-0524","authenticated-orcid":false,"given":"Dana","family":"Waltzman","sequence":"first","affiliation":[{"name":"Centers for Disease Control and Prevention, Atlanta, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rashad","family":"Kuku","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Atlanta, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3033-0177","authenticated-orcid":false,"given":"Alexis","family":"Peterson","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Atlanta, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0833-2061","authenticated-orcid":false,"given":"Matthew","family":"Breiding","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Atlanta, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9277-0712","authenticated-orcid":false,"given":"Jill","family":"Daugherty","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Atlanta, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,3,26]]},"reference":[{"key":"2025092504243042000_ip-2024-045282v1.1","unstructured":"Centers for Disease Control and Prevention . TBI data: centers for disease control and prevention. 2024. Available: https:\/\/www.cdc.gov\/traumaticbraininjury\/data\/index.html"},{"key":"2025092504243042000_ip-2024-045282v1.2","unstructured":"Hedegaard H , Johnson RL , Warner M , et al . Proposed Framework for Presenting Injury Data Using the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) Diagnosis Codes. Natl Health Stat Report 2016;1\u201320."},{"key":"2025092504243042000_ip-2024-045282v1.3","doi-asserted-by":"publisher","DOI":"10.1097\/HTR.0000000000000900"},{"key":"2025092504243042000_ip-2024-045282v1.4","doi-asserted-by":"publisher","DOI":"10.1097\/HTR.0000000000000105"},{"key":"2025092504243042000_ip-2024-045282v1.5","doi-asserted-by":"publisher","DOI":"10.1097\/00042752-200401000-00003"},{"key":"2025092504243042000_ip-2024-045282v1.6","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0b013e318291d3b3"},{"key":"2025092504243042000_ip-2024-045282v1.7","doi-asserted-by":"publisher","DOI":"10.1007\/s11916-014-0474-8"},{"key":"2025092504243042000_ip-2024-045282v1.8","doi-asserted-by":"publisher","DOI":"10.1093\/arclin\/acp006"},{"key":"2025092504243042000_ip-2024-045282v1.9","doi-asserted-by":"publisher","DOI":"10.1097\/HTR.0000000000000975"},{"key":"2025092504243042000_ip-2024-045282v1.10","doi-asserted-by":"publisher","DOI":"10.1097\/HTR.0000000000000901"},{"key":"2025092504243042000_ip-2024-045282v1.11","doi-asserted-by":"publisher","DOI":"10.1097\/01.HTR.0000300227.67748.77"}],"container-title":["Injury Prevention"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/ip-2024-045282","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T11:24:39Z","timestamp":1758799479000},"score":1,"resource":{"primary":{"URL":"https:\/\/injuryprevention.bmj.com\/lookup\/doi\/10.1136\/ip-2024-045282"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,26]]},"references-count":11,"alternative-id":["10.1136\/ip-2024-045282"],"URL":"https:\/\/doi.org\/10.1136\/ip-2024-045282","relation":{},"ISSN":["1353-8047","1475-5785"],"issn-type":[{"type":"print","value":"1353-8047"},{"type":"electronic","value":"1475-5785"}],"subject":[],"published":{"date-parts":[[2025,3,26]]}}}