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Brief Battery for Health Improvement 2
(BBHI™ 2)

 

Overview: Brief assessment of validity, physical symptoms, psychological, character, environment, and social factors that can impact response to normal course of treatment and recovery of patients being treated for pain and injury.

Age Range: Individuals 18–65 years old

Reading Level: 6th Grade

Administration: Paper-and-pencil, CD, computer or online administration

Completion Time: 7–10 minutes (63 multiple-choice items)

Norms: Census matched community sample, physical rehabilitation/pain patient sample

Scoring Options: Q-global™ Scoring & Reporting, Q™ Local Software, Mail-in Scoring Service, Fax-in Service, or PAD

Publication Date: 2002

 
 
 

Product Details

A brief diagnostic tool well-suited for initial intake and outcomes measurement of patients treated for pain and injury.

Derived from the well-researched, widely used BHI™ (Battery for Health Improvement) test, the shorter BBHI 2 instrument helps practitioners quickly evaluate for a number of psychomedical factors commonly seen in patients with injuries, such as pain, somatic, and functional complaints – as well as traditional psychological concerns such as depression, anxiety and patient defensiveness.

The information provided by the BBHI 2 test can help medical professionals obtain a quick yet comprehensive overview of the patient to help in treatment planning and in determining whether the patient may need a more in-depth evaluation by a psychologist.

BBHI 2 TutorialOnline Tutorial - quickly gain an understanding of how to use the BBHI 2 test to efficiently assess for pain, function, depression, and other biopsychosocial issues in patients with injuries. Click here

 

BBHI 2 trial package

 

How to Use This Test

The BBHI 2 test can beused by a variety of professionals in the medical setting: psychologists, physical therapists, surgeons, rehabilitation specialists, and nurses to provide reliable, objective information as part of their initial evaluation and throughout the course of treatment to track patient progress.

Key Features

doctor

Taking only 7–10 minutes to administer, the BBHI 2 test:

  • Provides a single instrument to help measure a variety of pain-related issues, including level of pain, functionality, and emotional distress.
  • Uses a nationally standardized 0–10 pain scale, which assesses multiple dimensions of the pain experience, including level of pain in 10 body areas, pain tolerance, pain range, and peak pain.
  • Efficiently assess patients to develop appropriate treatment plans and determine whether further psychological evaluation is needed.
  • Includes validity checks. The Defensiveness Scale can help detect tendencies to minimize or magnify distress, while the inclusion of a validity item helps detect random responding.
  • Helps practitioners meet assessment guidelines proposed by organizations such as the Counsel for the Accreditation of Rehabilitation Facilities (CARF) and the Joint Commission on Accreditation of Healthcare Organizations (JCAHO).

Scales

Validity Scale

  • Defensiveness

Physical Symptom Scales

  • Somatic Complaints
  • Pain Complaints
  • Functional Complaints

Affective Scales

  • Depression
  • Anxiety

Character Scales

  • Borderline
  • Symptom Dependency
  • Chronic Maladjustment
  • Substance Abuse
  • Perseverance

Psychosocial Scales

  • Family Dysfunction
  • Survivor of Violence
  • Doctor Dissatisfaction
  • Job Dissatisfaction

Psychometric Information

Normed on a community sample of 725 individuals and a sample of 527 physical rehabilitation and chronic pain patients. The report compares the patient to both norm groups and uses the average physical rehabilitation/pain patient as a benchmark for interpretations and recommendations.

To provide further context for assessing the patient's results, the BBHI 2 instrument also compares the patient, where appropriate, to 7 other reference groups in the reports:

  • Head injury/Headache
  • Neck injury
  • Upper extremity injury
  • Back injury
  • Lower extremity injury
  • Fake Good
  • Fake Bad

Scoring

Report Options

Standard Report

Provides a concise narrative statements about the patient in the following sections: profile graph, critical items, clinical summary, and pain complaints item responses.

Extended Report

Provides more in-depth information about the patient in the following sections: profile graph, critical items, clinical summary, and pain complaints item responses. Plus this report includes a diagnostic probabilities section as well.

Progress Report

This report enables the clinician to monitor the patient's progress over time through repeat administrations.

The Critical Items section highlights red flag indicators of clinical concerns:

  • Suicide Ideation
  • Pain Fixation
  • Chemical Dependency
  • Sleep Disorder
  • Perceived Disability
  • Compensation Focus
  • Home Life Problems
  • Satisfaction with Care
  • Doctor Dissatisfaction
  • Psychosis
  • Vegetative Depression
  • Anxiety/Panic
  • PTSD/Dissociation
  • Death Anxiety
  • Random Responding

The Pain Complaint Item Responses capture your patient's 0–10 pain ratings, similar to a VAS scale and also compares the patient's reports to one of several possible reference groups.

View a sample Standard Report.

View a sample Extended Report.

View a sample Progress Report.

Scoring and/or Reporting Options

Q-global™ Web-based Administration, Scoring, and Reporting – Enables you to quickly assess and efficiently organize examinee information, generate scores, and produce accurate comprehensive reports all via the Web.

Q Local™ Scoring and Reporting Desktop Software - Enables you to score assessments, report results, and store and export data on your computer.

Mail-in Scoring Service - Specially designed answer sheets are mailed to Pearson for processing within 24–48 hours of receipt; results returned via regular mail.

Fax-in Service - Specially designed answer sheets are faxed to us for processing within 1-2 hours of receipt and returned via fax.

PAD (Patient Assessment Device) Hand-held Electronic Device - Administer the test on a portable, hand-held device. The PAD is placed on a docking station connected to a printer and a results report is printed immediately.

Resources

Training

  • Getting Started with the Q-global Training Series

    View these brief training modules about Q-global:

    BBHI™ 2 (Brief Battery for Health Improvement 2) Online Tutorials

    This pre-recorded 20-30 minute session allows you to learn at your leisure. All you need is access to the Internet and the sound enabled on your computer. Please keep in mind that the session may take a few minutes to load.

    These two tutorials will help you quickly gain an understanding of how to use the BBHI 2 test to efficiently assess for pain, function, depression, and other biopsychosocial issues that are commonly associated with pain and rehabilitation patients.

    BBHI 2 Brief Tutorial: A brief overview that discusses what the test measures, how you can easily incorporate it into your office protocol, and insurance reimbursement. (16 minutes)

    Attend a Session

    An In-Depth Look at the BBHI 2 Report: Thoroughly discusses the information available on the test's results report and how you can use that information to better understand your patient's level of pain and expectations from treatment. (10 minutes)

    Attend a session

     
 

FAQs

Questions

Frequently asked questions follow. Click on a question to see the response.

Test Content

  • What is the BBHI 2 assessment designed to do?

    The BBHI 2 assessment is designed to identify factors that may interfere with a patient's normal course of recovery from an injury or chronic pain. The purpose of the BBHI 2 assessment is to provide relevant information and treatment recommendations to professionals who treat injured patients in a variety of settings, including physical rehabilitation, chronic pain, and general medicine.

Administration

  • When is it appropriate to use the BBHI 2 assessment?

    The BBHI 2 assessment is intended to be used by a variety of clinicians and medical specialists, including anesthesiologists, neurologists, occupational therapists, physical therapists, surgeons, rehabilitation specialists, nurses, psychologists, psychiatrists, family physicians, multidisciplinary teams, and other healthcare providers involved in the treatment and care of injured patients. It is appropriate to use the BBHI 2 assessment with patients from 18 to 65 (inclusive) who are currently being treated for an injury or chronic pain. The test should not be used with patients who have serious cognitive impairment. The BBHI 2 assessment is also appropriate as a research instrument.

  • What are the benefits of having a test normed on rehabilitation/pain patients?

    The benefit of having a test normed on rehabilitation/pain patients (rather than on community subjects) is that it reduces the chances of overpathologizing patients. The symptoms of the average patient, which are often labeled "extreme" or "highly problematic" on other tests, are appropriately labeled "average" on the BBHI 2 inventory. By comparing rehabilitation/pain patients to other rehabilitation/pain patients, the clinician or healthcare provider is able to assess which scale scores are elevated above what is normal or expected for the average rehabilitation/pain patient.

  • Can I administer just one of the BBHI 2 scales?

    Yes. In fact, the BBHI 2 instrument is a modular assessment. It consists of four parts that can be administered individually if desired. Thus, if some of the BBHI 2 scales are not of interest to a caregiver, if time constraints prevent the administration of the entire BBHI 2, or if caregivers prefer to rely upon other instruments to assess certain factors, parts of the BBHI 2 assessment can be left blank. Unlike most psychological tests, the BBHI 2 assessment invalidates one scale at a time, rather than the whole test. As a result, even when entire scales are left blank, the BBHI 2 assessment still provides interpretable information.
    Part I scores the Pain Complaints scale
    Part II scores the Somatic Complaints scale
    Part III scores the Defensiveness and Functional Complaints scales
    Part IV scores the Depression and Anxiety scales

Scoring

  • What are the BBHI 2 defaults?

    If a Pain Diagnostic Category is not selected, it will default to a pain comparison for community norms. If none of the print option boxes are selected, a Standard Report will print. By default, you will NOT receive Item Responses or the Patient Summary.

  • If I score a Standard Report, can I print an Extended Report at no extra charge?

    Yes. This is also the case if you print an Extended Report and would like to print a Standard Report.

  • How are the ratings and percentiles of each scale determined on the profile report?

    The ratings are based on approximate percentile ranks. An extremely high or extremely low score suggests that the patient is in the highest or lowest 1% of the patient group.

    A very high or very low score suggests that the patient is in the highest or lowest 5% of the patient group.

    A high or low score suggests that the patient is in the highest or lowest 16% of the patient group, which means that he or she is more than one standard deviation away from the mean of the patient group.

    A moderately high or moderately low score suggests that the patient is reporting a level of difficulties that is within normal limits for a patient but is more than one standard deviation away from the mean of "normal" nonpatients in the community.

  • What is the benefit of using the BBHI 2 Pain Scale?

    The BBHI 2 Pain Complaints Scale is a double-normed scale, standardized on two national samples. One was a patient sample, and the other a community sample, and both of these samples were stratified to meet U.S. census data for gender, ethnicity, age, and level of education. The patient data was further subdivided into a chronic pain group, which comprised almost half of the sample, with the remainder being acute pain patients. The patients were also subdivided into diagnostic groups by their treating professionals. The pain diagnostic groups are divided into five groups: head injury/headache patients, neck injury patients, back injury patients, upper extremity injury patients, and lower extremity injury patients. These groups allow clinicians to make specific comparisons of their patients with a reference group of similarly diagnosed patients.

Pricing & Ordering

Order Complete Kit

Order Components

 
Q-global® Web-based Scoring and Reporting
toggle
 
  • Kits

    Price

    Qty

     
  • BBHI-2 Q-global Interpretive Report Starter Kit
    63152
    $143.50
     
    Includes BBHI2 manual, 10 answer sheets with test items, and 10 Q-global administrations.
  • Manuals

    Price

    Qty

     
  • BBHI 2 Manual
    46100
    $42.00
     
    Required
  • Reports (Usages)

    Price

    Qty

     
  • BBHI-2 Q-global Standard/Extended Report
    63151
    $12.15
     
    QuantityPrice Each
    1 - 4 $12.15
    5 - 49 $11.05
    50 - 99 $10.60
    100 - 249 $10.20
    250 - 499 $9.80
    500 - 999 $9.40
    1000 - 2499 $9.00
    2500+ $8.50
 
 
Q LocalTM Software-based Scoring and Reporting
toggle
 
  • Kits

    Price

    Qty

     
  • Q Local/BBHI 2 Starter Kit 10
    46109
    $143.50
     
    Includes BBHI 2 manual, 10 answer sheets with test items and 10 Q Local administrations. (Does not include Q Local software.)
  • Q Local/BBHI 2 Starter Kit 30
    46110
    $355.00
     
    Includes BBHI 2 manual, 30 answer sheets with test items and 30 Q Local administrations. (Does not include Q Local software.)
  • Q Local/BBHI 2 Starter Kit 3
    46107
    $68.50
     
    Includes BBHI 2 manual, 3 answer sheets with test items, and 3 Q Local administrations. (Does not include Q Local software)
  • Manuals

    Price

    Qty

     
  • BBHI 2 Manual
    46100
    $42.00
     
    Required
  • Administration Materials

    Price

    Qty

     
  • Q-Local/BBHI 2 Fax-In Answer Sheets
    46105
    $28.70
     
    Test items included. Pkg of 25
    QuantityPrice Each
    1 - 4 $28.70
    5 - 24 $27.80
    25 - 74 $27.15
    75+ $26.60
  • Q-Local/BBHI-2 Fax-In Spanish Answer Sheets
    46106
    $28.05
     
    Test items included. Pkg of 25
    QuantityPrice Each
    1 - 4 $28.05
    5 - 24 $27.15
    25 - 74 $26.50
    75+ $26.00
  • Reports (Usages)

    Price

    Qty

     
  • Q Local/BBHI 2 Standard/Extended Reports
    51616
    $12.15
     
    Price per administration
    QuantityPrice Each
    1 - 4 $12.15
    5 - 49 $11.05
    50 - 99 $10.60
    100 - 249 $10.20
    250 - 499 $9.80
    500 - 999 $9.40
    1000 - 2499 $9.00
    2500+ $8.50
  • Additional Materials

    Price

    Qty

     
  • BBHI 2 Compact Disc
    05680
    $56.00
     
 
 
Mail-In Scoring and Reporting
toggle
 
  • Kits

    Price

    Qty

     
  • BBHI 2 Mail-In Starter Kit
    46104
    $76.00
     
  • Administration Materials

    Price

    Qty

     
  • BBHI 2 Mail-In Standard/Extended Reports
    46102
    $15.30
     
    Price includes scoring and answer sheet with test items
    QuantityPrice Each
    1 - 4 $15.30
    5 - 49 $14.25
    50 - 99 $13.75
    100 - 249 $13.35
    250 - 499 $12.95
    500 - 999 $12.55
    1000 - 2499 $12.15
    2500+ $11.70
  • Additional Materials

    Price

    Qty

     
  • BBHI 2 Compact Disc
    05680
    $56.00
     
 
 
Fax-In Scoring and Reporting
toggle
 
  • Kits

    Price

    Qty

     
  • BBHI 2 Fax-In Starter Kit 10
    46112
    $173.50
     
    Includes BBHI 2 manual and pre-paid fax-in answer sheets with test items, scoring and reports: all materials necessary to conduct 10 BBHI 2 assessments.
  • BBHI 2 Fax-In Starter Kit 30
    46113
    $444.00
     
    Includes BBHI 2 manual and pre-paid fax-in answer sheets with test items, scoring and reports: all materials necessary to conduct 30 BBHI 2 assessments.
  • Manuals

    Price

    Qty

     
  • BBHI 2 Manual
    46100
    $42.00
     
    Required
  • Administration Materials

    Price

    Qty

     
  • BBHI 2 Compact Disc
    05680
    $56.00
     
  • Q-Local/BBHI 2 Fax-In Answer Sheets
    46105
    $28.70
     
    Test items included. Pkg of 25
    QuantityPrice Each
    1 - 4 $28.70
    5 - 24 $27.80
    25 - 74 $27.15
    75+ $26.60
  • BBHI2 Prepaid Fax-in Answer Sheet and Report
    46114
    $15.70
     
    Price includes fax-in scoring service and one report.
    QuantityPrice Each
    1 - 4 $15.70
    5 - 49 $15.20
    50 - 99 $14.70
    100+ $14.15
  • Q-Local/BBHI-2 Fax-In Spanish Answer Sheets
    46106
    $28.05
     
    Test items included. Pkg of 25
    QuantityPrice Each
    1 - 4 $28.05
    5 - 24 $27.15
    25 - 74 $26.50
    75+ $26.00
 
 
 
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