How do people with acquired brain injury interpret the Valued Living Questionnaire? A cognitive interviewing study

Co-developing ‘The CyberABIlity Scale’ to assess vulnerability to cyberscams for people with acquired brain injury: Delphi and cognitive interviews with clinicians and people with acquired brain injury

“…The feedback provided in the current study was consistent with a recent cognitive interview study by Miller et al (2022) regarding valued living, in which participants with ABI also had difficulty orientating to the timeframe specified in the scale instructions and rating items deemed personally irrelevant. Potentially, some people with ABI may require additional support in completing scales even if it has been designed and adapted to accommodate cognitive impairments (Miller et al 2022).…”

“…Throughout this paper, we reported on the detailed process of developing a new measure through a combination of deductive and inductive approaches. Importantly, ensuring scale instructions, items and Likert-scale response options are clear for clinicians and people with ABI assists in the minimisation of measurement error that can occur due to misinterpreted items, leading questions or vague response choices (Carpenter 2018), particularly in the context of cognitive impairment that may impact scale completion for people with ABI (Whiting et al 2015;Miller et al 2022). Pretesting The CyberABIlity Scale with a small sample of participants proved to be highly beneficial in ensuring items were meaningful and well-understood prior to larger-scale administration.…”

“…Early qualitative input into scale development (e.g. through cognitive interviews) allows in-depth evaluation of the thought process of individuals completing the scale (Carpenter 2018), and this is particularly important for individuals with ABI who may have additional cognitive barriers to scale completion (Whiting et al 2015;Miller et al 2022). Unfortunately, a combined qualitative and quantitative approach to measure development is not commonly used or reported on, and a lack of in-depth qualitative pre-testing risks neglecting items that may stem from user and expert feedback as well as lived experiences (Carpenter 2018).…”

Acceptance and commitment therapy for individuals with depressive and anxiety symptoms following acquired brain injury: A non-concurrent multiple baseline design across four cases

“…On the other hand, in other studies, the VLQ has shown improvements following ACT interventions (Reilly et al, 2019 ). Currently, an adapted version for patients with ABI of the VLQ is being developed specifically to tackle these problems (Miller et al, 2021 ). It would be interesting to know if this adapted scale would be able to measure change regarding valued behaviour.…”

Acceptance and commitment therapy for psychosis: Current status, lingering questions and future directions

“…To this end, it may be instructive to be informed by the empirical developments in ACT for people with acquired brain injuries (Whiting et al, 2019), where adaptations for memory and executive functioning have been made, including combining ACT with cognitive remediation interventions (Sathananthan et al, 2021). In a similar vein, more nuance understandings of how valuing as a repertoire (creating and identifying with personal values, constructing chosen valued directions; linking values with actions in daily life) can be learned and supported for those with executive and memory difficulties (e.g., Miller et al, 2022) will be useful for ACTp development.…”