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. 2025 Jan 21;14(1):18.
doi: 10.1186/s13643-024-02722-x.

Measurement properties of the Traumatic Brain Injury Quality of Life (TBI-QoL) and Spinal Cord Injury Quality of Life (SCI-QoL) measurement systems: a systematic review

Rebecca Ataman  1   2   3 , Rehab Alhasani  4 , Line Auneau-Enjalbert  1   2 , Adria Quigley  5   6 , Henry Ukachukwu Michael  7   8 , Sara Ahmed  9   10   11
Affiliations

Measurement properties of the Traumatic Brain Injury Quality of Life (TBI-QoL) and Spinal Cord Injury Quality of Life (SCI-QoL) measurement systems: a systematic review

Rebecca Ataman et al. Syst Rev. .

Abstract

Purpose: Traumatic brain injury and spinal cord injury impact all areas of individuals' quality of life. A synthesis of available evidence for the Traumatic Brain Injury Quality of Life (TBI-QoL) and Spinal Cord Injury Quality of Life (SCI-QoL) measurement systems could inform evidence-based clinical practice and research. Thus, we aimed to systematically review the literature of existing evidence on the measurement properties of SCI-QoL and TBI-QoL among rehabilitation populations.

Methods: We used the COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN) framework for evaluating measures to guide this systematic review. We searched nine electronic databases and registries, and hand-searched reference lists of included articles. Two independent reviewers screened selected articles and extracted the data. We used COSMIN's thresholds to synthesize measurement properties evidence (insufficient, sufficient), and the modified GRADE approach to synthesize evidence quality (very-low, low, moderate, high).

Results: We included 16 studies for SCI-QoL and 14 studies for TBI-QoL. Both measurement systems have sufficient content validity, structural validity, internal consistency and construct validity across nearly all domains (GRADE: high). Most SCI-QoL domains and some TBI-QoL domains have sufficient evidence of cross-cultural validity and test-retest reliability (GRADE: moderate-high). Besides the cognition domains of TBI-QoL, which have indeterminate evidence for measurement error and sufficient evidence for responsiveness (GRADE: high), there is no additional evidence available for these measurement properties.

Conclusion: Rehabilitation researchers and clinicians can use SCI-QoL and TBI-QoL to describe and evaluate patients. Further evidence of measurement error, responsiveness, and predictive validity would advance the use and interpretation of SCI-QoL and TBI-QoL in rehabilitation.

Keywords: COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN); Patient-reported outcome measures; Psychometrics; Spinal cord injury; Systematic review; Traumatic brain injury.

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Conflict of interest statement

Declarations. Competing interests: The authors declare that they have no competing interests.

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References

    1. Abrams D, Davidson M, Harrick J, Harcourt P, Zylinski M, Clancy J. Monitoring the change: current trends in outcome measure usage in physiotherapy. Man Ther. 2006;11:46–53. - PubMed
    1. Law M, Baum C, Dunn W. Measuring occupational performance: Supporting best practice in occupational therapy. Thorofare, NJ: Slack Incorporated ;2005.
    1. Reeve BB, Wyrwich KW, Wu AW, Velikova G, Terwee CB, Snyder CF, Lyons JC. ISOQOL recommends minimum standards for patient-reported outcome measures used in patient-centered outcomes and comparative effectiveness research. Quality of life research. 2013;22(8):1889–905. 10.1007/s11136-012-0344-y. - PubMed
    1. Cella D, Riley W, Stone A, Rothrock N, Reeve B, Yount S, Cook K. The Patient-Reported Outcomes Measurement Information System (PROMIS) developed and tested its first wave of adult self-reported health outcome item banks: 2005–2008. J Clin Epidemiol. 2010;63(11):1179–94. 10.1016/j.jclinepi.2010.04.011. - PMC - PubMed
    1. Gershon RC, Lai JS, Bode R, Choi S, Moy C, Bleck T, Cella D. Neuro-QOL: Quality of life item banks for adults with neurological disorders: Item development and calibrations based upon clinical and general population testing. Qual Life Res. 2012;21(3):475–86. 10.1007/s11136-011-9958-8. - PMC - PubMed

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