CONCORDANCE BETWEEN THE AWARENESS QUESTIONNAIRE AND SELF-AWARENESS OF DEFICITS INTERVIEW FOR IDENTIFYING IMPAIRED SELF-AWARENESS IN INDIVIDUALS WITH TRAUMATIC BRAIN INJURY IN THE COMMUNITY

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Ownsworth, Tamara
Fleming, Jennifer
Doig, Emmah
Shum, David HK
Swan, Sarah
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2019
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Abstract

Objective: To investigate concordance between the Awareness Questionnaire (AQ) and Self-Awareness of Deficits Interview (SADI) for identifying impaired self-awareness in the community after traumatic brain injury. Design: A retrospective file audit was conducted to retrieve data on the AQ and SADI for participants with traumatic brain injury involved in previous studies on community-based outcomes. Concordance between the AQ and SADI was examined using receiver operating characteristic curves for different scores on each measure. Participants: A total of 80 individuals with moderate-to-severe traumatic brain injury (81% male, mean age 2.25 years, standard deviation (SD) 11.5 years) living in the community. Methods: Participants were administered the AQ and SADI and their significant other completed the AQ and SADI checklist. Results: Consistency of classification of impaired self-awareness between the AQ and SADI was high (i.e. 80–84%) based on scores reflecting good sensitivity and specificity. Corresponding scores on the 2 measures and rates of impaired self-awareness were as follows: SADI > 3~AQ discrepancy > 4 (45–48% with impaired self-awareness); SADI > 4~AQ discrepancy > 9 (26–34% with impaired self-awareness); SADI > 5~AQ discrepancy >12 (13–26% with impaired self-awareness). Conclusion: The AQ and SADI yielded consistent information regarding the presence of impaired self-awareness in community-based individuals with traumatic brain injury. The choice of measure may depend on how the tool is being used to guide rehabilitation planning.

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JOURNAL OF REHABILITATION MEDICINE

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51

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5

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© 2019 Foundation of Rehabilitation Information. This is an open access article under the CC BY-NC license. www.medicaljournals.se/jrm Journal Compilation

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Rehabilitation

Biological psychology

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