The Health and Behaviour Inventory (HBI) is a standardized 20-item symptom rating scale used to assess physical, cognitive, emotional, and sleep-related symptoms in youth aged 8-15 after a concussion. The HBI has parent and child versions and measures symptoms using a 4-point scale (never to often). Higher scores indicate more frequent or severe symptoms. The HBI is available for downloading in the following formats:
- Parent (current version) – View and download
- Parent (retrospective version) – View and download
- Child (self reporting version) – View and download
Original Source: Ary, Yeates, Taylor et al 2009
Scoring:
- To score the HBI, calculate a total score by summing all items, and generate two composite scores for each follow-up visit: the Cognitive Score (sum of items 1–11) and the Somatic Score (sum of items 12–20).
References:
- Ayr, L. K., Yeates, K. O., Taylor, H. G., & Brown, M. (2009). Dimensions of post-concussive symptoms in children with mild traumatic brain injuries. Journal of the International Neuropsychological Society, 15, 19-30.
- O’Brien, H., Minich, N. M., Langevin, L. M., Taylor, H. G., Bigler, E. D., Cohen, D. M., Beauchamp, M. H., Craig, W., Doan, Q., Zemek, R., Bacevice, A., Mihalov, L. K., & Yeates, K. O. (2021). Normative and psychometric characteristics of the Health and Behavior Inventory among children with mild orthopedic injury presenting to the emergency department: Implications for assessing post-concussive symptoms using the Child Sport Concussion Assessment Tool 5th edition (Child SCAT5). Clinical Journal of Sport Medicine, 31, e221-e228.
- Zhang, C., Tang, K., Zemek, R., Beauchamp, M. H., Craig, W., Doan, Q., & Yeates, K. O., on behalf of the Pediatric Emergency Research Canada A-CAP study team. Factor structure and measurement invariance of post-concussion symptom ratings on the Health and Behaviour Inventory across time, raters, and groups: An A-CAP study. (2023). Journal of the International Neuropsychological Society, 29, 346-359.