PRiSM (Performance in Real-Life Scenarios for mTBI): Cognitive Assessment for Mild Traumatic Brain Injury

Mild traumatic brain injury (mTBI) often causes subtle cognitive-communication difficulties that are not detected by traditional assessments. PRiSM utilizes realistic, everyday task simulations to better capture the dynamic and complex functional challenges faced by individuals recovering from mTBI. This scalable and brief tool aims to provide clinicians with sensitive measures of cognitive functions such as planning, multitasking, organization, sequencing, and memory, facilitating improved evaluation of readiness to return to academic or work settings. 

https://asuonline.wistia.com/s/cvxw1ki2w1g1w6t

Key Advantages:

• Captures subtle cognitive difficulties missed by traditional, decontextualized assessments 

• Utilizes ecologically valid, real-life scenario simulations 

• Brief and scalable for clinical practice use 

• Designed specifically for young adults with mTBI 

• Captures functional cognition relevant to everyday academic, workplace, and life demands 

• Supports rehabilitation planning and return-to-work/return-to-school decision-making 

Problems Solved:

• Detects cognitive-communication difficulties overlooked by standard screening tools 

• Addresses the lack of sensitive, real-world functional cognitive assessments for mTBI 

• Improves clinical evaluation of readiness to return to work or academic environments 

• Overcomes limitations of outdated functional measures for young adult populations 

Market Applications:

• Clinical neuropsychological measurement for mTBI patients 

• Rehabilitation planning and monitoring 

• Workforce re-entry and academic readiness evaluation 

• Research studies on mTBI and cognitive recovery

Market Validation:

Preliminary clinician feedback has been highly positive. In a June 2026 clinician survey, respondents consistently highlighted PRiSM's real-world relevance, hands-on functional tasks, and ability to assess planning, organization, sequencing, memory, and other cognitive skills in meaningful contexts. Clinicians described PRiSM as more functional than many traditional cognitive assessments and valued its focus on activities that mirror real academic and everyday demands faced by young adults. Survey participants specifically identified the scheduling, planning, and financial management components as particularly valuable, while others praised PRiSM's integration of the most useful elements from multiple cognitive assessments into a single cohesive protocol. Overall, clinician feedback supports the assessment's clinical value, practical relevance, and potential for broader adoption in cognitive rehabilitation and neuropsychological practice. 

Market Opportunity:

• Growing demand for sensitive functional cognitive assessments that support return-to-work, return-to-school, and rehabilitation decision-making 

• Increasing emphasis on ecologically valid outcome measures by rehabilitation providers, neuropsychologists, researchers, and healthcare systems 

• Opportunity for adoption across outpatient rehabilitation, concussion programs, university health systems, and neuropsychological practices 

• Potential expansion beyond mTBI into concussion management, neurological rehabilitation, and other populations experiencing functional cognitive impairment 

Course Title: Utilizing PRiSM as a Clinical Tool for TBI

This PRiSM course is FREE for any clinician or researcher who purchases this clinical tool. This course will introduce you to the PRiSM Clinical Tool for mTBI and provides rationales regarding use of this clinical tool across different settings. This course will teach clinicians and researchers how to administer and score this assessment when working with young adults with a diagnosis of mTBI.

Course Learning Outcomes, Disclosures, and Satisfactory Completion Requirements can be found in the PDF Document at the bottom of the website.

This course is offered for 0.05 ASHA CEUs
(Intermediate level, Professional Area)