Impaired self awareness after traumatic brain injury: inter-rater reliability and factor structure of the dysexecutive questionnairre (DEX) in patients, significant others and clinicians

Autor: Lynne Ann Barker, Nicholas Morton, Brian E. McGuire, Todd G. Morrison, Sheena B. Caldwell, Simone Carton, Mark Delargy, Colin F. Wilson, Judith McBrinn, John P McCann, Jane C. Walsh
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Frontiers in Behavioral Neuroscience
Frontiers in Behavioral Neuroscience, Vol 8 (2014)
ISSN: 1662-5153
Popis: Aims: This study sought to address two questions: (1) what is the inter-rater reliability\ud of the Dysexecutive Questionnaire (DEX) when completed by patients, their significant\ud others, and clinicians; and (2) does the factor structure of the DEX vary for these three\ud groups?\ud Methods: We obtained DEX ratings for 113 patients with an acquired brain injury from\ud two brain injury services in the UK and two services in Ireland. We gathered data from\ud two groups of raters—”significant others” (DEX-SO) such as partners and close family\ud members and “clinicians” (DEX-C), who were psychologists or rehabilitation physicians\ud working closely with the patient and who were able to provide an opinion about the\ud patient’s level of everyday executive functioning. Intra-class correlation coefficients and\ud their 95% confidence intervals were calculated between each of the three groups (self,\ud significant other, clinician). Principal axis factor (PAF) analyses were also conducted for\ud each of the three groups.\ud Results: The factor analysis revealed a consistent one-factor model for each of the\ud three groups of raters. However, the inter-rater reliability analyses showed a low level of\ud agreement between the self-ratings and the ratings of the two groups of independent\ud raters. We also found low agreement between the significant others and the clinicians.\ud Conclusion: Although there was a consistent finding of a single factor solution for each\ud of the three groups, the low level of agreement between significant others and clinicians\ud raises a question about the reliability of the DEX.
Databáze: OpenAIRE