| Titre : | Conceptual Structure of Health-Related Quality of Life for Persons With Traumatic Brain Injury: Confirmatory Factor Analysis of the TBI-QOL (2020) |
| Auteurs : | Mark Sherer ; Julia M.P. Poritz ; David Tulsky |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 101, n° 1, 2020) |
| Article en page(s) : | p. 62-71 |
| Note générale : | https://doi.org/10.1016/j.apmr.2017.04.016 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Analyse statistique factorielle ; Lésions traumatiques de l'encéphale ; Mesures des résultats rapportés par les patients (PROM) ; Qualité de vie ; Réadaptation |
| Résumé : |
Objective
To determine the factor structure of the Traumatic Brain Injury–Quality of Life (TBI-QOL) measurement system. Design Observational. Setting 3 TBI Model Systems rehabilitation centers. Participants Twenty TBI-QOL item banks were administered to a sample of community-dwelling adults with TBI (N=504) as part of a study of TBI classification. A subsample of participants (n=200) was randomly selected for exploratory factor analyses, while data from the remaining participants (n=304) were used for the confirmatory factor analysis. To examine a wide range of conceptual models, confirmatory factor analyses were conducted on a total of 16 models, ranging from 1 to 7 factors. Interventions Not applicable. Main Outcome Measures Not applicable. Results Initial exploratory factor analysis yielded support for a 5-factor model (negative emotion, cognitive impairment, functioning and participation, positive emotion, pain). Confirmatory factor analysis results, however, indicated a 7-factor model including physical function, physical symptoms, cognition, negative emotion, positive emotion, sense of self, and social participation (model 16; robust fit statistics root mean square error of approximation =.063, standardized root mean square residual =.035, comparative fit index =.955, Tucker-Lewis Index =.943, Bayes Information Criterion =40059.44). Conclusions The complex 7-factor model of the TBI-QOL provides a more nuanced framework for understanding health-related quality of life for persons with TBI than the commonly used 3-factor model including physical health, mental health, and social health. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999317303118 |
Bibliothèques HE Vinci
