Psychometric properties of the awareness questionnaire, patient competency rating scale and Dysexecutive Questionnaire in patients with acquired brain injury

Hellebrekers, Danique M. J.; Winkens, Ieke; Kruiper, Suzanne; Heugten, Caroline van

doi:10.1080/02699052.2017.1377350

Cited by 24 publications

(13 citation statements)

References 25 publications

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“…Larger discrepancy scores indicate greater impairment of self‐awareness. Construct validity has been established for the three domains of the AQ through factor analysis (Hellebrekers et al, ; Sherer et al, ), and good concordance with the Self‐Awareness of Deficits Interview (Fleming et al, ) has been established (Ownsworth, Fleming, Doig, Shum, & Swan, ). The AQ also has moderate test‐retest reliability ( r s = 0.80) and good internal consistency (Cronbach's alpha = 0.88) for participant forms (Hellebrekers et al, ).…”

Section: Methodsmentioning

confidence: 99%

“…Awareness Questionnaire (AQ) (Sherer et al, 1998). The AQ is one of the most commonly used measures of self-awareness after TBI (Hellebrekers et al, 2017). It is a 17-item questionnaire that assesses intellectual awareness post-TBI.…”

Section: Methodsmentioning

confidence: 99%

“…Self-awareness in TBI is often operationalised as an individual's ability to rate their behavioural competency in line with an objective standard. A comparison of self-ratings and significant others' ratings yields a discrepancy score, which is commonly used to indicate level of intellectual awareness (Hellebrekers, Winkens, Kruiper, & Van Heugten, 2017). Online awareness is usually measured via observation of error behaviours during occupational performance (Doig, Fleming, & Lin, 2017).…”

Section: Introductionmentioning

confidence: 99%

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An exploratory study of verbal feedback on occupational performance for improving self‐awareness in people with traumatic brain injury

Fleming

Goh

Lannin

et al. 2019

Aus Occup Therapy J

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Introduction Impaired self‐awareness negatively impacts on how well persons with traumatic brain injury (TBI) learn and use strategies needed in daily life. Verbal feedback is a component of metacognitive strategy training recommended for addressing impaired self‐awareness in TBI rehabilitation. Yet, it remains unknown how effectively verbal feedback on occupational performance improves self‐awareness for the specific occupation involved. This study investigated the effect of verbal feedback on task‐specific self‐awareness for individuals with TBI. Methods A secondary analysis was conducted on selected data extracted from a randomised, assessor‐blinded controlled trial in which 36 participants with impaired self‐awareness post‐TBI were allocated into two feedback intervention groups, verbal feedback and a control condition of experiential feedback only. All participants engaged in four sessions of meal preparation with an occupational therapist using a metacognitive strategy training approach. Participants in the verbal feedback group received feedback on their performance in a discussion with the occupational therapist following each session. Task‐specific self‐awareness was measured using discrepancy scores (therapist ratings minus self‐ratings) on a Meal Independence Rating Scale (MIRS). Data were analysed using a mixed 2 × 2 analysis of variance. Results Positive MIRS discrepancy scores at pre‐intervention reflected the propensity of participants to over‐estimate their abilities There was a significant main effect of time, indicating overall gains in task‐specific self‐awareness at post‐intervention (p = .01), but no significant group‐by‐time interaction. Changes in participants’ self‐ratings post‐intervention were minimal. Instead, reduced MIRS discrepancy scores resulted largely from changes in therapists’ ratings, indicating improvement in occupational performance. Conclusion Participants in both groups demonstrated improvements in occupational performance, but this did not correspond with changes in task‐specific self‐awareness. In this small sample, there was no statistically significant improvement in self‐awareness associated with the provision of verbal feedback after occupational performance over and above the benefits of experiential feedback.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

An exploratory study of verbal feedback on occupational performance for improving self‐awareness in people with traumatic brain injury

Fleming

Goh

Lannin

et al. 2019

Aus Occup Therapy J

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“…Second, the administration of long questionnaires, particularly the BDEFS, might be inconvenient in clinical and research contexts where time is limited and participants become exhausted (Shultz & Whitney, 2005). Third, most studies were conducted in clinical populations using small, nonrepresentative samples (Hellebrekers, Winkens, Kruiper, & Van Heugten, 2017). Fourth, the factorial structures are ambiguous and few studies report CFA, reliability and validity.…”

mentioning

confidence: 99%

Multidomain self-report assessment of fronto-executive complaints in Spanish-speaking adults.

Miranda¹,

Rivadero²,

Serra³

et al. 2020

Psychology & Neuroscience

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The assessment of subjective cognitive complaints (e.g., lack of initiative, difficulty for planning, attentional and memory impairment, disinhibition, etc.) that impair daily life functioning and psychopathological risk, requires integrative psychometrics. The creation of culturally relevant instruments is one of the challenges of Hispanic neuropsychology because tools developed in Latin America are scarce. Thus, the objective was to investigate the Executive Complaints Questionnaire (ECQ) psychometric properties, which is proposed herein as an appropriate multidomain instrument to assess executive functions in Spanish speakers (N ϭ 672) from Argentina (i.e., one of the most populated Hispanic countries). They were randomly divided into 2 groups (N ϭ 336) to evaluate construct validity through exploratory and confirmatory factor analyses. The total variance depended on 3 factors: Executive Attention (23%), Behavioral Flexibility (20%), and Inhibitory Control (13%). This structure was further verified through confirmatory factor analysis and provided an adequate model. Reliability processes (i.e., Cronbach's alpha, composite reliability, and interitem correlations) indicated that the ECQ was reliable. Divergent validity was achieved and no effects of age, gender, and educational level were found. In conclusion, the ECQ is a reliable and structurally valid instrument. This is the first study that employed a self-reporting questionnaire of executive complaints that was originated in the Spanish-speaking population by integrating different fronto-executive domains. This kind of study provides the methodological approach to promote new questionnaire development and standardization of the already-existing ones to be precisely dedicated for non-English-speaking populations, who do not possess valid instruments in their native languages.

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“…Each item was rated on a 5-point Likert scale with higher scores indicating better competences. We used the PCRS total score that was found to have adequate psychometric properties when used in individuals with cognitive impairment and brain dysfunction [ 31 ].…”

Section: Methodsmentioning

confidence: 99%

Behavioral, Emotional and Social Apathy in Alcohol-Related Cognitive Disorders

Meg.

YCM

Kessels

2021

JCM

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Apathy is a fundamental neuropsychiatric symptom of Korsakoff’s syndrome (KS) and has also been reported in patients with alcohol use disorder with no (AUD) or less severe cognitive impairments (ARCI). However, research on the nature of apathy is limited in these groups. Aim of this study was to examine the multidimensional nature of apathy in patients with KS, ARCI and AUD. Moreover, we examined differences between apathy ratings by patients and their professional caregivers, and related apathy to everyday functioning and overall cognition. Twenty-five patients with KS, 25 patients with ARCI and 23 patients with AUD participated in this study. Apathy was measured using the apathy motivation index (AMI), which distinguishes behavioral, emotional and social apathy. Both patients and professional caregivers reported social apathy as the most prominent symptom, compared to behavioral and emotional apathy. Apathy ratings did not differ across the three patient groups. Discrepancies between patient and caregiver ratings were observed in patients with KS and ARCI, with more severe apathy reported by caregivers. Caregiver-reported behavioral and social, but not emotional, apathy was related to everyday functioning. These results show that apathy is present in a substantial proportion of patients with alcohol addiction with or without cognitive impairments.

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Psychometric properties of the awareness questionnaire, patient competency rating scale and Dysexecutive Questionnaire in patients with acquired brain injury

Cited by 24 publications

References 25 publications

An exploratory study of verbal feedback on occupational performance for improving self‐awareness in people with traumatic brain injury

An exploratory study of verbal feedback on occupational performance for improving self‐awareness in people with traumatic brain injury

Multidomain self-report assessment of fronto-executive complaints in Spanish-speaking adults.

Behavioral, Emotional and Social Apathy in Alcohol-Related Cognitive Disorders

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