Test-Retest Reliability of Traumatic Brain Injury Outcome Measures: A Traumatic Brain Injury Model Systems Study
Test-Retest Reliability of Traumatic Brain Injury Outcome Measures: A Traumatic Brain Injury Model Systems Study
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DOI：
10.1097/htr.0000000000000291
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发表时间：
2017-09-01
影响因子：
2.4
通讯作者：
Corrigan, John D.
中科院分区：
文献类型：
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作者：
Bogner, Jennifer A.;Whiteneck, Gale G.;Corrigan, John D.
目的：评估创伤性脑损伤模型系统随访数据集的测试重测可靠性。参与者：共有224名在创伤性脑损伤模型系统国家数据库中登记的中重度创伤性脑损伤（TBI）患者。设计：在标准的随访访谈管理之后，14 ~ 28天后使用相同的访谈者和相同的管理模式进行第二次访谈。主要测量方法：创伤性脑损伤模型系统随访访谈，包括66个变量，包括：(a)人口统计学单项测量；就业;一般健康状况和特定健康状况；再入院治疗;烟草、酒精和其他药物的使用；交通运输;精神健康和(b)多项目工具：FIM；基于重组工具的参与性评估——目标分析残疾评定量表；格拉斯哥结局量表扩展；监理评定量表；生活满意度量表；TBI生活质量焦虑抑郁项目；以及俄亥俄州立大学TBI识别方法。结果：类内相关系数为0.65 ~ 0.99，加权kappa值为0.54 ~ 0.99，kappa值为0.43 ~ 1.00。四项kappa/加权kappa估计值低于0.60：被捕、精神病院、身体健康状况不佳的天数，以及总体情绪健康评级。结论：除了少数例外，获得了良好到优秀的重测信度估计。研究结果支持这些测量方法在先前和未来的研究中使用，并表明中重度脑外伤患者可以提供可靠的自我报告。
Objective: Evaluate the test-retest reliability of measures that comprise the Traumatic Brain Injury Model Systems follow-up data set. Participants: A total of 224 persons with a moderate-severe traumatic brain injury (TBI) enrolled in the Traumatic Brain Injury Model Systems National Database. Design: Following standard administration of the follow-up interview, a second interview was administered 14 to 28 days later using the same interviewer and the same mode of administration. Main Measures: Traumatic Brain Injury Model Systems follow-up interview that includes 66 variables comprised (a) single item measures of demographics; employment; general health as well as specific health conditions; rehospitalization; tobacco, alcohol, and other drug use; transportation; and mental health and (b) multi-item instruments: FIM; Participation Assessment With Recombined Tools-Objective; Disability Rating Scale; Glasgow Outcome Scale-Extended; Supervision Rating Scale; Satisfaction With Life Scale; TBI Quality of Life Anxiety and Depression items; and The Ohio State University TBI Identification Method. Results: Intraclass correlation coefficient values ranged from 0.65 to 0.99, weighted kappa values ranged from 0.54 to 0.99, and kappa values ranged from 0.43 to 1.00. Four kappa/weighted kappa estimates fell below 0.60: arrested, psychiatric hospitalization, number of days not in good physical health, and rating of general emotional health. Conclusions: With few exceptions, good to excellent test-retest reliability estimates were obtained. The findings support the use of these measures in prior and future studies and indicate that persons with moderate-severe TBI can provide reliable self-report.