Psychometric Properties and Feasibility of Instruments Used to Assess Awareness of Deficits After Acquired Brain Injury: A Systematic Review
Journal of Head Trauma Rehabilitation
Smeets, S. M., Ponds, R. W., et al. (2012).
Journal of Head Trauma Rehabilitation, 27(6), 433-442.
This systematic review investigates the psychometric properties of assessments used to measure awareness deficits in adults, 18 years and older, after acquired brain injury.
Not stated
Up to January 2010 to identify instruments; up to April 2010 to examine psychometric properties for instruments
Empirical studies, excluding case reports and review articles
142
<p>Although 39 instruments were found, most needed further research to support psychometric quality. Three instruments had the most extensive psychometric information:</p>
<ul>
<li>The Self-Awareness of Deficits Interview (SADI) had acceptable reliability, with little information regarding validity.</li>
<li>The Patient Competency Rating Scale (PCRS) had acceptable reliability, validity, and responsiveness, but reliability was not found for all forms (assessment includes a patient's form, significant other's form, and clinician's form).</li>
<li>The Awareness Questionnaire (AQ) had acceptable internal consistency and validity, but interrater and test-retest reliability was not found .</li>
</ul>
<p>Each instrument was accessible and feasible, but clinicians may choose between them based on their varying characteristics in time to administer, administration method, or conceptualization. </p>
