Swansea University

Since 2011 SASNOS has been benefiting end-users worldwide. If you want to tell us about your experience using the SASNOS click here.


“SASNOS is routinely used in our rehabilitation centre because it is the only measure that captures the neurobehavioural legacies of brain injury which undermine social activity and participation, thus providing a unique basis for treatment planning and evaluation. It is straightforward to administer, results are easy to display visually, and it has been very helpful in conveying complex information to commissioners and families”.Dr Andrew Worthington, Clinical Director of Headwise & Park Attwood Centre for Neurorehabilitation, UK


“The SASNOS fulfils a unique need within both neurobehavioural assessment and neurorehabilitation across both clinical and forensic settings. It provides an invaluable assessment of the real-life domains of functional participation, guiding individualised programme design and dynamic evaluation of progress with clear results easily shared with the service user, their family and wider MDT”.  – Dr David Quinn, Halliday Quinn Ltd, UK


“We use it [SASNOS] to monitor our patients behaviour and progress. I am also considering using it to compare the MDT proxy with the family’s to capture the level of family insight”. – Dr Asser Hestbech, Clinical Psychologist, CAS Beahvioural Health, UK


“SASNOS is used within a battery of outcome measures in our community-based service as part of assessment, and for treatment planning and evaluation. It provides neurobehavioural information for the client and their families as well as for professionals working with them; capturing and displaying complex information in a straightforward and easy-to-administer questionnaire.” – Dr Katie Byard, Consultant Clinical Psychologist, Recolo UK Ltd


“We routinely use the SASNOS as a core measure in our community neuro-rehabilitation service. It has filled a significant gap in that it has helped us better identify the less measurable but often more disabling neurobehavioural aspects of traumatic brain injury. It provides a comprehensive structure with which to identify treatment goals in collaboration with our service users. In addition, it provides a standardised structure to record our observations of service users in our real world task based neuro-rehabilitation projects. Finally, it is a helpful tool with which to measure change as a function of our interventions with service users and in demonstrating our clinical outcomes as a service.” – Dr Zoe Fisher, Clinical Psychologist in Neuropsychology, ABMU Health Board, Traumatic Brain Injury Service, Morriston Hospital, Swansea 


“I am part of a team, based at Monash University, Melbourne, Australia investigating prevalence, causes and consequences of neurobehavioural change following stroke. We have chosen to use the St Andrew’s-Swansea Neurobehavioural Outcome Scale (SASNOS). This measure has a number of advantages over existing behavioral scales including it was developed specifically for ABI populations, has been standardised using a healthy control group, has impressive psychometric properties, and is aligned with contemporary models of neurorehabilitation (e.g. World Health Organisation International Classification of Functioning).” Dr Rene Stolwyk, Lecturer & Clinical Neuropsychologist, Monash University, Australia


“We have used the SASNOS and have found the results quite interesting, and it has supported us in displaying to junior staff where the impacts are present on service users and their acquired or traumatic brain injuries.” – Simon Trehearne-Teague, Registered Nurse and Senior Clinician, Tracscare Group, Swansea, UK 


“We have included the SASNOS as an outcome measure in our recent TBI Model System ….. To our knowledge, the SASNOS is the only measure in this domain that is specifically designed for use with brain injury. Thank you and your colleagues for your important work in this area.” – Professor James F. Malec, Professor & Research Director, Indiana University School of Medicine and Rehabilitation Hospital of Indiana, USA


“We predominantly specialise in ABI, and are currently using the SASNOS to help build clinical formulations of our service users and as an outcome measure”. – Hayley Butler, Assistant Psychologist, Reconnect Psychology, UK


“I am searching for suitable outcome measures for the individuals we admit with behavioural issues and I have had SASNOS in mind for some time. My intention is to use it as an initial assessment to track progress over the course of admission”.  – Dr Angelita Cruz, Consultant Neuropsychologist, Frenchay Brain Injury Rehabilitation Centre, UK


“We use the scale as part of battery of outcome measures, to generate a complete profile of our patients’ neurocognitive status at any one time. We then compare this profile with those we have obtained on previous ratings and this comparison enables us to evaluate positive change. We find SASNOS beneficial because it: (a) is specifically designed for survivors of acquired brain injury, whereas most other outcome measures are imported into our field from other clinical specialties; (b) has robust psychometric properties that allow valid comparisons to be made of the patients’ effectiveness between domains and across rating occasions, and (c) has a wide range of items that enables capture of the variety and diversity of the adverse consequences of acquired brain injury” – Consultant Clinical Neuropsychologist, Brain Injury Services, Partnerships in Care, Essex


“I think it’s excellent and very impressive, and apparently far better (in various ways) and more useful than vaguely comparable existing rating scales”Dr Robert Taylor, Consultant Clinical Neuropsychologist, Edinburgh, UK


“I will be using the scale [SASNOS]: (1) in medico-legal cases; (2) in direct neurobehavioural treatment cases; (3) teaching it to neuropsychologists in Bangladesh; (4) introducing it in my training to students on the Doctoral training; (5) using it with my QiCN students, and (6) using it with my clinical supervisees”. – Dr David Quinn, Halliday Quinn Ltd, UK


“A well-designed, standardized neurobehavioural assessment tool has been sorely missed in the field of brain injury rehabilitation research. The SASNOS rises to the occasion and meets this long awaited need. As a researcher, I am very enthusiastic about the development of the SASNOS. My colleagues and I have already incorporated this easy-to-use and valuable assessment into several of our studies”Dr Dawn Neumann, Indiana School of Medicine


Further testimonials can be found here.



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