Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/80964
Title: 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
Authors: Ownsworth, T
Fleming, J
Doig, E
Shum, DHK 
Swan, S
Keywords: Traumatic brain injury
Impaired self-awareness
Assessment
Concordance
Sensitivity
Specificity
Issue Date: 2019
Publisher: Foundation for Rehabilitation Information
Source: Journal of rehabilitation medicine, 2019, v. 51, no. 5, p. 376-379 How to cite?
Journal: Journal of rehabilitation medicine 
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.
URI: http://hdl.handle.net/10397/80964
ISSN: 1650-1977
EISSN: 1651-2081
DOI: 10.2340/16501977-2537
Rights: This is an open access article under the CC BY-NC license. www.medicaljournals.se/jrm
Journal Compilation © 2019 Foundation of Rehabilitation Information.
The following publication Ownsworth, T., Fleming, J., Doig, E., Shum, D. H. K., & Swan, S. S. (2019). 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. Journal of Rehabilitation Medicine, 51(5), 376-379 is available at https://dx.doi.org/10.2340/16501977-2537
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