Harmonization of social and physical health measures across prospective clinical studies of combat exposed service members and veterans: the total brain diagnostics program - Scorecard - MDSpire

Harmonization of social and physical health measures across prospective clinical studies of combat exposed service members and veterans: the total brain diagnostics program

  • By

  • Shannon M. Nugent

  • Kate Clauss

  • Sara Vlajic

  • Maya E. O’Neil

  • Samuel R. Walton

  • Kelly M. Reavis

  • Christine Clermont

  • Alyssa Currao

  • Cree Foeller

  • Catherine B. Fortier

  • Sreekanth Kamineni

  • Arielle R. Knight

  • Aubrey A. Knoff

  • Landon B. Lempke

  • Helal Mobasher

  • William C. Walker

  • William P. Milberg

  • David X. Cifu

  • July 8, 2026

  • 0 min

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Clinical Scorecard: Standardization of Social and Physical Health Metrics in Clinical Research Involving Combat-Exposed Veterans and Service Members: Insights from the Total Brain Diagnostics Initiative

At a Glance

CategoryDetail
ConditionTraumatic Brain Injury (TBI)
Key MechanismsHarmonization of psychosocial and physical health metrics
Target PopulationVeterans and active-duty service members
Care SettingClinical research involving longitudinal cohort studies

Key Highlights

  • Utilized data from LIMBIC and TRACTS studies to address research gaps in TBI outcomes.
  • Harmonized 73 variables related to psychosocial function and clinical health factors.
  • Conducted Principal Component Analysis to assess data suitability for pooled analysis.
  • Focused on baseline data harmonization to enhance future longitudinal studies.
  • Identified the need for comprehensive data to inform targeted treatments for TBI.

Guideline-Based Recommendations

Diagnosis

  • Utilize comprehensive symptom scales and objective assessments for TBI.

Management

  • Implement precision medicine approaches based on harmonized data.

Monitoring & Follow-up

  • Regularly assess psychosocial and physical health outcomes in veterans and service members.

Risks

  • Consider the impact of TBI on long-term psychosocial and functional changes.

Patient & Prescribing Data

Combat-exposed veterans and service members with a history of TBI.

Harmonized data can lead to more personalized treatment strategies.

Clinical Best Practices

  • Employ multidisciplinary teams for data harmonization.
  • Utilize both direct and indirect harmonization methods for clinical measures.
  • Focus on longitudinal data collection to enhance understanding of TBI outcomes.

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