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Brief Battery for Health Improvement 2

(BBHI 2)

Brief Battery for Health Improvement 2 (BBHI™ 2) is a brief diagnostic tool well-suited for assessment of validity, physical symptoms, psychological, character, environment, and social factors that can impact response to normal course of treatment and recovery of patients.

Report Options:

Standard Report, Extended Report, Progress Report

Scoring Options:

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

Age range:

Individuals 18–65 years old

 

Reading Level:

6th Grade

Publication date:

2002 

Qualification level:

B

Completion time:

7–10 minutes (63 multiple-choice items)

Administration:

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

 

Norms:

Census matched community sample, physical rehabilitation/pain patient sample

Telepractice:

Tips on using this test in your telepractice

Pricing & Ordering

  • BBHI-2 Q-global Starter Kit

    63152

    Includes BBHI2 manual, 10 answer sheets with test items, and 10 Q-global administrations.

    Pricing and Qualification

    Price: $157.55

    Qualification Level B

    Ordering

    In stock

  • BBHI 2 Manual

    46100

    Required

    Pricing and Qualification

    Price: $49.00

    Qualification Level B

    Ordering

    In stock

  • BBHI-2 Q-global Standard/Extended Report

    63151

    Pricing and Qualification

    Price: $13.60

    Qualification Level B

    Tiered pricing discounts
    Quantity Price each
    1-4 $13.60
    5-49 $12.45
    50-99 $11.90
    100-249 $11.40
    250+ $10.95

    Ordering

    In stock

  • Q Local/BBHI 2 Starter Kit 3

    46107

    Includes BBHI 2 manual, 3 answer sheets with test items, and 3 Q Local administrations. (Does not include Q Local software)

    Pricing and Qualification

    Price: $75.20

    Qualification Level B

    Ordering

    In stock

  • Q Local/BBHI 2 Starter Kit 10

    46109

    Includes BBHI 2 manual, 10 answer sheets with test items and 10 Q Local administrations. (Does not include Q Local software.)

    Pricing and Qualification

    Price: $157.55

    Qualification Level B

    Ordering

    In stock

  • Q Local/BBHI 2 Starter Kit 30

    46110

    Includes BBHI 2 manual, 30 answer sheets with test items and 30 Q Local administrations. (Does not include Q Local software.)

    Pricing and Qualification

    Price: $389.85

    Qualification Level B

    Ordering

    In stock

  • BBHI 2 Manual

    46100

    Required

    Pricing and Qualification

    Price: $49.00

    Qualification Level B

    Ordering

    In stock

  • Q-Local/BBHI 2 Fax-In Answer Sheets

    46105

    Test items included. Pkg of 25

    Pricing and Qualification

    Price: $30.75

    Qualification Level B

    Tiered pricing discounts
    Quantity Price each
    1-4 $30.75
    5-49 $29.50
    50-99 $29.00
    100+ $28.50

    Ordering

    In stock

  • Q-Local/BBHI-2 Fax-In Spanish Answer Sheets

    46106

    Test items included. Pkg of 25

    Pricing and Qualification

    Price: $30.75

    Qualification Level B

    Tiered pricing discounts
    Quantity Price each
    1-4 $30.75
    5-49 $29.50
    50-99 $29.00
    100+ $28.50

    Ordering

    In stock

  • Q Local/BBHI 2 Standard/Extended Reports

    51616

    Price per administration

    Pricing and Qualification

    Price: $13.60

    Qualification Level B

    Tiered pricing discounts
    Quantity Price each
    1-4 $13.60
    5-49 $12.45
    50-99 $11.90
    100-249 $11.40
    250+ $10.95

    Ordering

    Q Local software, report, administrations can only be ordered via the Q Local software or by phone at 866-627-7271. Find out more about ordering via the software by clicking here.

  • BBHI 2 Mail-In Starter Kit

    46104

    Pricing and Qualification

    Price: $86.75

    Qualification Level B

    Ordering

    In stock

  • BBHI 2 Mail-In Standard/Extended Reports

    46102

    Price includes scoring and answer sheet with test items

    Pricing and Qualification

    Price: $18.00

    Qualification Level B

    Tiered pricing discounts
    Quantity Price each
    1-4 $18.00
    5-49 $16.75
    50-99 $16.25
    100+ $15.75

    Ordering

    In stock

  • BBHI2 Patient Assessment Device Extended Report

    21087

    Pricing and Qualification

    Price: $14.25

    Qualification Level C

    Tiered pricing discounts
    Quantity Price each
    1-4 $14.25
    5-49 $13.00
    50-99 $12.50
    100+ $12.00

    Ordering

    In stock

  • BBHI 2 Fax-In Starter Kit 30

    46113

    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.

    Pricing and Qualification

    Price: $502.25

    Qualification Level B

    Ordering

    In stock

  • BBHI 2 Fax-In Starter Kit 10

    46112

    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.

    Pricing and Qualification

    Price: $196.25

    Qualification Level B

    Ordering

    In stock

  • BBHI 2 Manual

    46100

    Required

    Pricing and Qualification

    Price: $49.00

    Qualification Level B

    Ordering

    In stock

  • Q-Local/BBHI 2 Fax-In Answer Sheets

    46105

    Test items included. Pkg of 25

    Pricing and Qualification

    Price: $30.75

    Qualification Level B

    Tiered pricing discounts
    Quantity Price each
    1-4 $30.75
    5-49 $29.50
    50-99 $29.00
    100+ $28.50

    Ordering

    In stock

  • Q-Local/BBHI-2 Fax-In Spanish Answer Sheets

    46106

    Test items included. Pkg of 25

    Pricing and Qualification

    Price: $30.75

    Qualification Level B

    Tiered pricing discounts
    Quantity Price each
    1-4 $30.75
    5-49 $29.50
    50-99 $29.00
    100+ $28.50

    Ordering

    In stock

  • BBHI2 Prepaid Fax-in Answer Sheet and Report

    46114

    Price includes fax-in scoring service and one report.

    Pricing and Qualification

    Price: $18.50

    Qualification Level B

    Tiered pricing discounts
    Quantity Price each
    1-4 $18.50
    5-49 $18.00
    50-99 $17.25
    100+ $16.75

    Ordering

    In stock

Product Details

The test 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.

Benefits

  • Useful to a variety of professionals in the medical setting: psychologists, physical therapists, surgeons, rehabilitation specialists, and nurses. 
  • Provides a single instrument to help measure a variety of pain-related issues, including level of pain, functionality, and emotional distress.
  • Uses 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.
  • Enables efficient assessment of 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 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).
     

Features 

BBHI 2 test takes only 7-10 minutes to administer and is 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.

  • 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

Scales

View list of scales

Sample Reports

Standard report provides a concise narrative statement about the patient in the following sections: profile graph, critical items, clinical summary, and pain complaints item responses.

BBHI 2 Online Tutorial

View a sample Standard Report.

 

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. This report includes a diagnostic probabilities section as well.

 

View a sample Extended Report.

 

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

 

View a sample Progress Report.

 

Resources

FAQs

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.

 

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