Form Type | Variable | ID | Question | History |
|---|---|---|---|---|
Form 2 | SRSF | 771 | Supervision Rating Scale (click 'Help' for structured interview) | 1998-04-01 - Variable Added |
SRS - ARCHIVE
SRS (SUPERVISION RATING SCALE) - ARCHIVE
See subdomain notes
Definition
The Supervision Rating Scale is used to rate the amount of supervision that the person with brain injury actually receives by choosing one of the thirteen categories below. This rating is determined by the interviewer with information from the person with TBI and/or others at the time of the follow-up evaluation. “Supervision” means that someone is responsible for being with the person with brain injury. For more information, see External Links.
A copy of the SRS Structured Interview Form and Guide are available in External Links.
Definition
The Supervision Rating Scale is used to rate the amount of supervision that the person with brain injury actually receives by choosing one of the thirteen categories below. This rating is determined by the interviewer with information from the person with TBI and/or others at the time of the follow-up evaluation. “Supervision” means that someone is responsible for being with the person with brain injury. For more information, see External Links.
A copy of the SRS Structured Interview Form and Guide are available in External Links
Form
[ ] Form 1 [X] Form 2
Source
- Form 2 - Interview (participant or proxy)
Details
The SRS score should reflect the actual amount of supervision the individual receives, regardless of the reason why the supervision is required.
The SRS looks at how much supervision the participant actually receives, regardless of whether they need it or not.
A rating of “1- Lives Alone or Independently” can be given if it is clear that the other adults in the home are not providing supervision. One way to tell this is if the person’s comings and goings are clearly unsupervised by other adults (e.g. the person with BI is working early morning or late night, and leaves home or returns home without involving the other adults; Or if the person with TBI goes on outings and returns home while other adults are asleep; Or the person with BI performs major responsibilities unsupervised by other adults who may be present such as caring for sick children overnight while the spouse sleeps; Or the person routinely does activities that are potentially risky such as operating dangerous machinery, without involving the others.
If the participant lives by themselves in different building on same property, but is being checked on once a day, code 5; if it is more frequent than every eight hours, code 6 or 7.
Guidelines for using the Structured Interview for the SRS (SISRS) 1. Use the SISRS questions as worded. Do not rephrase the questions. If the respondent asks what a question means, say it again more slowly, emphasizing and pausing after each key word.
Be careful not to put respondents who are caregivers on the defensive as to whether they are providing adequate supervision, because this is likely to bias their answers. Caregiver-respondents may suspect that you are the hospital checking up on them or that you will tell the hospital about them if you believe that they are not providing sufficient care. To minimize the likelihood of putting caregiver-respondents on the defensive, start off with: “Now we have some questions about how independent PERSON is.”
Record the level of supervision that the person actually receives as indicated by the SISRS scoring criteria.
Even if a caregiver is overly protective and provides more supervision than the person needs, do not record less supervision than the SISRS indicates that the caregiver is providing.
Even if a caregiver is negligent and is providing less supervision than the person needs, do not record more supervision than the SISRS indicates that the caregiver is providing—not even if lack of supervision has had bad consequences for the participant.
- Even if you know that the SRS score generated by the SISRS is inconsistent with the amount of supervision that the person is actually receiving, record the SRS score provided by the SISRS. (But see #4, below.)
If you run into a situation in which the SISRS doesn’t seem to apply very well or produces an SRS score that does not accurately indicate the amount of supervision that you know the person is receiving:
- Record the score generated by the SISRS. But, make a note that this score may be changed in the future if the coding instructions for the SISRS are amended to fix this problem.
- Describe on the Data Listserv the situation that resulted in the SISRS producing this inaccurate score, so the problem can be discussed.
- Record the score generated by the SISRS. But, make a note that this score may be changed in the future if the coding instructions for the SISRS are amended to fix this problem.
Links
SRS Guide
Frequently Asked Questions for SRS (COMBI)
SRS Syllabus (COMBI)
SRS Rating Form (COMBI)
Properties of SRS (COMBI)
References for SRS (COMBI)
Introduction to SRS (COMBI)
SRS Structured Interview
Reference
Boake, C. Supervision Rating Scale: A measure of functional outcome from brain injury. Archives of Physical Medicine and Rehabilitation. 1996;77(8):765-772. For an abstract, see External Links
Characteristics
Errors on the Form II data collection form starting 7/1/00 were corrected on 7/1/01 as follows:
- Heading: “Overnight supervision” replaces “Independent at night”.
- Label for 03: “Supervised only at night” replaces “Usually supervised during day”.
- Label for 04: “Supervised at night and selected day times” replaces “Supervision always at night and at selected day times”.
- Label for 05: “Supervised at night and part-time during day; not supervised during working hours (full time)” replaces “Supervised at night, and most day times, except during work”.
- Heading for Level 4: “Full time indirect supervision” replaces “Full time supervision”.
- Label for 08: “Full time indirect supervision; does not check more than once every 30 minutes” replaces “Full time direct supervision, at least every 30 minutes”.
- Label for 09: “Same as 08, and requires overnight safety precautions (lock, etc.” replaces “Same as 08, and requires special safety precautions (lock, etc.)”.
- Label for 10: “Full time direct supervision; checked more than once every thirty minutes” replaces “Full time supervision, more than once every thirty minutes”.
- Label for 11: “Full time direct supervision in confined, controlled setting” replaces “Full time supervision in confined, controlled setting”.
Data collected using the incorrect codes were deleted from V297, trichotomized to eliminate the effect of the label errors, and are stored in a separate database. Current data are also saved as a trichotomized variable (“SRScalc”) and can be merged with the deleted data, upon request. The trichotomization is: 01=independent (01); 02=part-time supervision (02-07); 03=full-time supervision (08-13).
In October 2004 it was determined that certain Model Systems had been coding independent persons as “2” if living with one or more adults (e.g., spouse). Most but not all such cases can be corrected by the Model Systems. Starting with database 9.8 the TBINDC will:
(1) archive the current, flawed variable,
(2) make available a new variable in which codes 1 and 2 are collapsed into a single category (thereby making all SRS data consistent across all centers), and
(3) fix the current variable by deleting incorrectly coded cases that cannot be corrected. (It is expected that about 130 cases will be deleted.) Data will continue to be entered into the current variable.[/u]
Two different version of calculated SRS are available.
SRS was removed from TBIMS data collection on 1/15/2019
Variables
Codes and Values
ID 771
For Form: [Form 2]
For Variables: [SRSF]
Code | Description |
|---|---|
1 | Lives Alone or Independently ( Other persons can live with the person with brain injury, but they cannot take responsibility for supervision (for example, a child or elderly person). *If person is independent and living with one or more other adults, code "1". ) |
2 | Unsupervised at Night, Sometimes During the Day ( The person with brain injury lives with one or more persons who could be responsible for supervision (for example, a spouse or roommate), but they are all sometimes absent overnight. ) |
3 | Supervised Only at Night ( One or more supervising persons are always present overnight but they are all sometimes absent for the rest of the day. ) |
4 | Supervised at Night and Selected Day Times ( But is allowed on independent outings. ) |
5 | Supervised at Night and Part Time During the Day ( Not during full time working hours ) |
6 | Supervised at Night and Most of Day Except for Few Unsupervised Hours ( Supervising persons are all sometimes absent for periods longer than one hour, but less than the time needed to hold a full-time job away from home. ) |
7 | Only Unsupervised for Periods Less Than One Hour at a Time ( Persons are all sometimes absent for periods shorter than one hour. ) |
8 | Full Time Indirect Supervision ( At least one supervising person is always present, but the supervising person does not check on the person with brain injury more than once every 30 minutes ) |
9 | Same as # 8 but Requires Overnight Safety Precautious ( A deadbolt on outside door ) |
10 | Full Time Direct Supervision ( At least one supervising person is always present and the supervising person checks on the person with brain injury more than once every thirty minutes ) |
11 | Full Time Direct Supervision in Confined, Controlled Setting ( A locked ward ) |
12 | Same as #11 but with Constant Visual Watch ( An escape watch or suicide watch ) |
13 | Person is in Physical Restraints |
666 | Variable Did not Exist |
999 | Unknown |
History
Date | Description |
|---|---|
1998-09-01 | Deleted CODE : "77=not due", added code |
1998-09-01 | Added CODE : "00=variable did not exist". |
2001-07-01 | Added CHARACTERISTICS : corrected errors that were implemented on 7/1/00 in the Form II, as follows: the heading "Overnight supervision" replaces "Independent at night"; for code 03 the label "Supervised only at night" replaces "Usually supervised during day"; for code |
2004-04-01 | Added LINLK : to PubMed. |
2004-04-01 | Added LINK : to COMBI. |
2004-07-01 | Changed NOTE : removed reference to "annual" evaluation. |
2005-01-01 | Changed CODE : added instruction to code "1" if person is independent and living with other person(s). |
2005-01-01 | Added CHARACTERISTICS : an explanation of how the database will handle cases that were coded "2" rather than "1" and cannot be corrected. |
2007-04-01 | Added LINK : SRS Structured Interview Form and Guide. |
2008-08-28 | Added NOTE : regarding needing supervision for reasons other than TBI. |
SRS - CALCULATED
Variables
Form Type | Variable | ID | Question | History |
|---|---|---|---|---|
Form 2 | SRScalF | 772 | Supervision Rating Scale 1 | 1998-04-01 - Variable Added |
Form 2 | SRScal2F | 773 | Supervision Rating Scale 2 | 1998-04-01 - Variable Added |
Codes and Values
ID 772
For Form: [Form 2]
For Variables: [SRScalF]
Code | Description |
|---|---|
1 | Independent |
2 | Overnight or Part Time Supervision |
3 | Full Time Indirect or Direct Supervision |
66 | Variable Did Not Exist |
99 | Unknown ( Minimum wage or greater, legal or illegal employment, *includes on leave with pay - not related to index injury. ) |
ID 773
For Form: [Form 2]
For Variables: [SRScal2F]
Code | Description |
|---|---|
2 | Independent |
3 | The Person with Brain Injury is Only Supervised Overnight ( One or more supervising persons are always present overnight but they are all sometimes absent for the rest of the day. ) |
4 | The Person with Brain Injury is Supervised Overnight and Selected Day Times ( But is allowed on independent outings. ) |
5 | The Person with Brain Injury is Supervised Overnight and Part Time During Day Times ( But unsupervised during working hours ) |
6 | The Person with Brain Injury is Supervised Overnight and During Most Waking Hours ( Supervising persons are all sometimes absent for periods longer than one hour, but less than the time needed to hold a full-time job away from home. ) |
7 | The Person with Brain Injury is Supervised Overnight and During Almost All Waking Hours ( Persons are all sometimes absent for periods shorter than one hour. ) |
8 | The Person with Brain Injury is Under Full Time Indirect Supervision ( At least one supervising person is always present, but the supervising person does not check on the person with brain injury more than once every 30 minutes ) |
9 | Same as #8 but Requires Overnight Safety Precautions ( A deadbolt on outside door ) |
10 | The Person with Brain Injury is Under Full Time Direct Supervision ( At least one supervising person is always present and the supervising person checks on the person with brain injury more than once every thirty minutes ) |
11 | The Person Lives in Home where the Exits are Physically Controlled ( A locked ward ) |
12 | Same as #11 but a Supervising Person is Designated to Provide Full Time Line-of-Sight Supervision ( An escape watch or suicide watch ) |
13 | The Person with Brain Injury is in Physical Restraints |
66 | Variable Did Not Exist |
99 | Unknown |
History
No history found for the Domain.