Article (Scientific journals)
Questionnaires vs Interviews for the Assessment of Global Functional Outcomes After Traumatic Brain Injury.
Horton, Lindsay; Rhodes, Jonathan; Menon, David K et al.
2021In JAMA Network Open, 4 (11), p. 2134121
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Keywords :
Adult; Aged; Brain Injuries, Traumatic/rehabilitation; Cohort Studies; Female; Follow-Up Studies; Glasgow Outcome Scale; Humans; Interviews as Topic/statistics & numerical data; Male; Middle Aged; Outcome Assessment, Health Care/methods; Quality of Life; Reproducibility of Results; Surveys and Questionnaires/statistics & numerical data
Abstract :
[en] IMPORTANCE: An interview is considered the gold standard method of assessing global functional outcomes in clinical trials among patients with acute traumatic brain injury (TBI). However, several multicenter clinical trials have used questionnaires completed by a patient or caregiver to assess the primary end point. OBJECTIVE: To examine agreement between interview and questionnaire formats for assessing TBI outcomes and to consider whether an interview has advantages. DESIGN, SETTING, AND PARTICIPANTS: This cohort study used data from patients enrolled in the Collaborative European NeuroTrauma Effectiveness Research in TBI (CENTER-TBI) project from December 2014 to December 2017. Data were analyzed from December 2020 to April 2021. Included patients were aged 16 years or older with TBI and a clinical indication for computed tomography imaging. Outcome assessments were completed using both an interview and a questionnaire at follow-up 3 and 6 months after injury. EXPOSURES: Traumatic brain injury of all severities. MAIN OUTCOMES AND MEASURES: Ratings on the Glasgow Outcome Scale-Extended (GOSE) administered as a structured interview rated by an investigator and as a questionnaire completed by patients or caregivers and scored centrally were compared, and the strength of agreement was evaluated using weighted κ statistics. Secondary outcomes included comparison of different sections of the GOSE assessments and the association of GOSE ratings with baseline factors and patient-reported mental health, health-related quality of life, and TBI symptoms. RESULTS: Among the 3691 eligible individuals in the CENTER-TBI study, both GOSE assessment formats (interview and questionnaire) were completed by 994 individuals (26.9%) at 3 months after TBI (654 [65.8%] male; median age, 53 years [IQR, 33-66 years]) and 628 (17.0%) at 6 months (409 [65.1%] male; median age, 51 years [IQR, 31-64 years]). Outcomes of the 2 assessment methods agreed well at both 3 months (weighted κ, 0.77; 95% CI, 0.73-0.80) and 6 months (weighted κ, 0.82; 95% CI, 0.78-0.86). Furthermore, item-level agreement between the 2 methods was good for sections regarding independence in everyday activities (κ, 0.70-0.79 across both time points) and moderate for sections regarding subjective aspects of functioning such as relationships and symptoms (κ, 0.41-0.51 across both time points). Compared with questionnaires, interviews recorded more problems with work (294 [30.5%] vs 233 [24.2%] at 3 months and 161 [26.8%] vs 136 [22.7%] at 6 months), fewer limitations in social and leisure activities (330 [33.8%] vs 431 [44.1%] at 3 months and 179 [29.7%] vs 219 [36.4%] at 6 months), and more symptoms (524 [53.6%] vs 324 [33.1%] at 3 months and 291 [48.4%] vs 179 [29.8%] at 6 months). Interviewers sometimes assigned an overall rating based on judgment rather than interview scoring rules, particularly for patients with potentially unfavorable TBI outcomes. However, for both formats, correlations with baseline factors (ρ, -0.13 to 0.42) and patient-reported outcomes (ρ, 0.29 to 0.65) were similar in strength. CONCLUSIONS AND RELEVANCE: In this cohort study, GOSE ratings obtained by questionnaire and interview methods were in good agreement. The similarity of associations of the ratings obtained by both GOSE methods with baseline factors and other TBI outcome measures suggests that despite some apparent differences, the core information collected by both interviews and questionnaires was similar. The findings support the use of questionnaires in studies in which this form of contact may offer substantial practical advantages compared with interviews.
Disciplines :
Human health sciences: Multidisciplinary, general & others
Author, co-author :
Horton, Lindsay;  Division of Psychology, University of Stirling, Stirling, United Kingdom.
Rhodes, Jonathan;  Department of Anaesthesia, University of Edinburgh, Western General, Edinburgh,
Menon, David K;  Division of Anaesthesia, University of Cambridge, Addenbrooke's Hospital, Cambridge,
Maas, Andrew I R;  Department of Neurosurgery, Antwerp University Hospital and University of Antwerp,
Wilson, Lindsay;  Division of Psychology, University of Stirling, Stirling, United Kingdom.
Collaborative European NeuroTrauma Effectiveness Research in TBI (CENTER-TBI)
Other collaborator :
Gruen, Russell L
Cameron, Peter
Donoghue, Emma
Gantner, Dashiell
Trapani, Tony
Vallance, Shirley
Murray, Lynnette
Brooker, Joanne
Bragge, Peter
Rosenfeld, Jeffrey
Cooper, Jamie D
Helbok, Raimund
Beer, Ronny
Schoechl, Herbert
Rusnák, Martin
Schwendenwein, Elisabeth
Antoni, Anna
De Keyser, Véronique ;  Université de Liège - ULiège > Département de Psychologie
Menovsky, Tomas
Van Praag, Dominique
Maas, Andrew I R
Van der Steen, Gregory
Parizel, Paul M
Vande Vyvere, Thijs
Depreitere, Bart
Van Hecke, Wim
Verheyden, Jan
Misset, Benoît  ;  Centre Hospitalier Universitaire de Liège - CHU > > Service des soins intensifs
LEDOUX, Didier  ;  Centre Hospitalier Universitaire de Liège - CHU > > Service des soins intensifs
LAUREYS, Steven  ;  Centre Hospitalier Universitaire de Liège - CHU > > Centre du Cerveau²
GHUYSEN, Alexandre ;  Centre Hospitalier Universitaire de Liège - CHU > > Service des urgences
Maréchal, Hugues
Dulière, Guy-Loup
Gao, Guoyi
Jiang, Ji-Yao
Kondziella, Daniel
Fabricius, Martin
Schou, Rico Frederik
Blaabjerg, Morten
Rosenlund, Christina
Piippo-Karjalainen, Anna
Raj, Rahul
Pirinen, Matti
Ripatti, Samuli
Palotie, Aarno
Ylén, Peter
Posti, Jussi P
Tenovuo, Olli
Takala, Riikka
Payen, Jean-François
Vega, Emmanuel
Lejeune, Aurelie
Audibert, Gérard
Degos, Vincent
Benali, Habib
Galanaud, Damien
Perlbarg, Vincent
Puybasset, Louis
Azouvi, Philippe
Legrand, Valerie
Dahyot-Fizelier, Claire
Rossaint, Rolf
Coburn, Mark Steven
Kowark, Ana
Clusmann, Hans
Dreier, Jens
Wolf, Stefan
Vajkoczy, Peter
Maegele, Marc
Gratz, Johannes
Schäfer, Nadine
Lefering, Rolf
Čović, Amra
von Steinbüchel, Nicole
Schmidt, Silke
Bullinger, Monika
Younsi, Alexander
Unterberg, Andreas
Mattern, Julia
Sakowitz, Oliver
Sanchez-Porras, Renan
Perera, Natascha
Beauvais, Romuald
Sandor, Janos
Czeiter, Endre
Buki, Andras
Ezer, Erzsébet
Vámos, Zoltán
Melegh, Béla
Tamás, Viktória
Sorinola, Abayomi
Kovács, Noémi
Nyirádi, József
Amrein, Krisztina
Barzó, Pál
Gupta, Deepak
Levi, Leon
Rosenthal, Guy
Furmanov, Alex
Martino, Costanza
Beretta, Luigi
Calvi, Maria Rosa
Azzolini, Maria Luisa
Stocchetti, Nino
Calappi, Emiliana
Zoerle, Tommaso
Ortolano, Fabrizio
Carbonara, Marco
Caccioppola, Alessio
Citerio, Giuseppe
Vargiolu, Alessia
Chieregato, Arturo
Chevallard, Giorgio
Della Corte, Francesco
Grossi, Francesca
Rossi, Sandra
Persona, Paolo
Berardino, Maurizio
Cavallo, Simona
Rambadagalla, Malinka
Ziverte, Agate
Giga, Lelde
Valeinis, Egils
Vilcinis, Rimantas
Tamosuitis, Tomas
Rocka, Saulius
Ragauskas, Arminas
van der Naalt, Joukje
Jacobs, Bram
Steyerberg, Ewout W
Bartels, Ronald
den Boogert, Hugo
Kompanje, Erwin
Timmers, Marjolijn
Foks, Kelly
Haitsma, Iain
Volovici, Victor
van der Jagt, Mathieu
Haagsma, Juanita A
Mikolic, Ana
Lingsma, Hester
Velt, Kimberley
Huijben, Jilske
Voormolen, Daphne
Nieboer, Daan
Wiegers, Eveline
van Veen, Ernest
Pisica, Dana
Retel Helmrich, Isabel
Sewalt, Charlie
Gravesteijn, Benjamin
Polinder, Suzanne
Tibboel, Dick
van Wijk, Roel
van Dijck, Jeroen T J M
van Essen, Thomas A
Peul, Wilco
Schoonman, Guus
Jones, Kelly
Feigin, Valery L
Te Ao, Braden
Theadom, Alice
Helseth, Eirik
Roe, Cecilie
Roise, Olav
Andelic, Nada
Frisvold, Shirin
Andreassen, Lasse
Anke, Audny
Vik, Anne
Skandsen, Toril
Ples, Horia
Tudora, Cristina Maria
Negru, Ancuta
Vulekovic, Peter
Đilvesi, Đula
Karan, Mladen
Golubović, Jagoš
Rehorčíková, Veronika
Taylor, Mark Steven
Brazinova, Alexandra
Majdan, Marek
Sahuquillo, Juan
Rădoi, Andreea
Carbayo Lozano, Guillermo
Pomposo, Inigo
Lagares, Alfonso
Gomez, Pedro A
Castaño-León, Ana M
Gagliardo, Pablo
Oresic, Matej
Bellander, Bo-Michael
Lanyon, Linda
George, Pradeep
Muraleedharan, Visakh
Nelson, David
Ackerlund, Cecilia
Koskinen, Lars-Owe
Sundström, Nina
Brorsson, Camilla
Belli, Antonio
Manara, Alex
Thomas, Matt
Czosnyka, Marek
Smielewski, Peter
Cabeleira, Manuel
Coles, Jonathan
Richardson, Sylvia
Zeiler, Frederick A
Stamatakis, Emmanuel
Williams, Guy
Menon, David
Ercole, Ari
Dixit, Abhishek
Newcombe, Virginia
Richter, Sophie
McFadyen, Charles
Hutchinson, Peter J
Kolias, Angelos G
Adams, Hadie
Correia, Marta
Rhodes, Jonathan
Stewart, William
McMahon, Catherine
Rueckert, Daniel
Glocker, Ben
Tolias, Christos
Dawes, Helen
Esser, Patrick
van Heugten, Caroline
Curry, Nicola
Stanworth, Simon
Lecky, Fiona
Otesile, Olubukola
Johnson, Faye
Dark, Paul
Jankowski, Stefan
Lightfoot, Roger
Wilson, Lindsay
Horton, Lindsay
Stevens, Robert
Rosand, Jonathan
Manley, Geoffrey
Jarrett, Mike
Brinck, Vibeke
Wang, Kevin K W
Yang, Zhihui
Vespa, Paul M
More authors (238 more) Less
Language :
English
Title :
Questionnaires vs Interviews for the Assessment of Global Functional Outcomes After Traumatic Brain Injury.
Publication date :
01 November 2021
Journal title :
JAMA Network Open
eISSN :
2574-3805
Publisher :
JAMA Network, Us
Volume :
4
Issue :
11
Pages :
e2134121
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 27 March 2022

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