Health and Behaviour Inventory (HBI)

Parent-current version Download PDF

CHILD:___________________________ ID: _________  DATE: ____ /_____  /_____

INFORMANT: MOM=1; DAD=2; GRANDMA =3; OTHER=4; SPECIFY:______________________

Directions:  Below is a list of problems that your child may or may not have.

For each problem, please rate your child based on the last week using the scale below.

(i.e., 0 = Never, 1 = Rarely, 2 = Sometimes, 3 = Often)

1. has trouble sustaining attention 0 1 2 3
2. is easily distracted 0 1 2 3
3. has difficulty concentrating 0 1 2 3
4. has problems remembering what he/she is told 0 1 2 3
5. has difficulty following directions 0 1 2 3
           
6. tends to daydream 0 1 2 3
7. gets confused 0 1 2 3
8. is forgetful 0 1 2 3
9. has difficulty completing tasks 0 1 2 3
10. has poor problem-solving skills 0 1 2 3
           
11.  has problems learning 0 1 2 3
12. has headaches 0 1 2 3
13. feels dizzy 0 1 2 3
14. has a feeling that the room is spinning 0 1 2 3
15. feels faint 0 1 2 3
           
16. has blurred vision 0 1 2 3
17. has double vision 0 1 2 3
18. experiences nausea 0 1 2 3
19. gets tired a lot 0 1 2 3
20. gets tired easily 0 1 2 3

Original Source: Ary, Yeates, Taylor et al 2009

 

Scoring the HBI:

  • 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:

  1. 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.
  2. 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.
  3. 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.

Versions:

  • Health and Behaviour Inventory – Parent (current version) – Click to view and download
  • Health and Behaviour Inventory – Parent (retrospective version) – Click to view and download
  • Health and Behaviour Inventory – Child (self reporting version) – Click to view and download