Evidence map›Paper›PMID 30195987›Full record

ArticleArchives of physical medicine and rehabilitation2019

The TBI-CareQOL Measurement System: Development and Preliminary Validation of Health-Related Quality of Life Measures for Caregivers of Civilians and Service Members/Veterans With Traumatic Brain Injury.

Noelle E Carlozzi, Michael A Kallen, Robin Hanks, Elizabeth A Hahn, Tracey A Brickell, Rael T Lange, Louis M French, Anna L Kratz, David S Tulsky, David Cella and 3 more

Abstract readValidation Study
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed.

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  16. Caregiver sleep impairment and service member and veteran adjustment following traumatic brain injury is related to caregiver health-related quality of life.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
    Article
  17. Pain interference and health-related quality of life in caregivers of service members and veterans with traumatic brain injury and mental health comorbidity.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Noelle E CarlozziDepartment of Physical Medicine and Rehabilitation, University of Michigan; Ann Arbor, MI. Electronic address: carlozzi@med.umich.edu.
Michael A KallenDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL.
Robin HanksRehabilitation Institute of Michigan, Department of Psychology and Neuropsychology, Detroit, MI; Department of Physical Medicine and Rehabilitation, Wayne State University, Detroit, MI.
Elizabeth A HahnDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL.
Tracey A BrickellDefense and Veterans Brain Injury Center, Walter Reed National Military Medical Center, Bethesda, MD; National Intrepid Center of Excellence, Walter Reed National Military Medical Center, Bethesda, MD; Uniformed Services University of the Health Sciences, Bethesda, MD.
Rael T LangeDefense and Veterans Brain Injury Center, Walter Reed National Military Medical Center, Bethesda, MD; National Intrepid Center of Excellence, Walter Reed National Military Medical Center, Bethesda, MD; University of British Columbia, Vancouver, British Columbia, Canada.
Louis M FrenchDefense and Veterans Brain Injury Center, Walter Reed National Military Medical Center, Bethesda, MD; National Intrepid Center of Excellence, Walter Reed National Military Medical Center, Bethesda, MD; Uniformed Services University of the Health Sciences, Bethesda, MD.
Anna L KratzDepartment of Physical Medicine and Rehabilitation, University of Michigan; Ann Arbor, MI.
David S TulskyCenter for Assessment research and Translation, Department of Psychological and Brain Sciences, University of Delaware, Newark, DE.
David CellaDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL.
Jennifer A MinerDepartment of Physical Medicine and Rehabilitation, University of Michigan; Ann Arbor, MI.
Phillip A IanniDepartment of Physical Medicine and Rehabilitation, University of Michigan; Ann Arbor, MI.
Angelle M SanderH. Ben Taub Department of Physical Medicine and Rehabilitation, Baylor College of Medicine and Harris Health System, Houston, TX; Brain Injury Research Center, TIRR Memorial Hermann, Houston, TX.

Funding

Michigan Institute for Clinical and Health Research (MICHR)UL1TR002240 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LUMENG, JULIE C, MASHOUR, GEORGE ALEXANDER · 2017 to 2022
$54.9M
Michigan Institute for Clinical and Health Research (MCHR)UL1TR000433 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MASHOUR, GEORGE ALEXANDER · 2012 to 2016
$49.9M
Quality of Life in Caregivers of Traumatic Brain Injury: The TBI-CareQOLR01NR013658 · NINR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CARLOZZI, NOELLE E. · 2012 to 2024
$6.0M
NCATS NIH HHS UL1 TR000433NCATS NIH HHS UL1 TR002240NINR NIH HHS R01 NR013658
6 · The paper itself

Abstract

objectiveTo develop a new measurement system, the Traumatic Brain Injury Caregiver Quality of Life (TBI-CareQOL), that can evaluate both general and caregiving-specific aspects of health-related quality of life (HRQOL) in caregivers of persons with traumatic brain injury (TBI).

designNew item pools were developed and refined using literature reviews, qualitative data from focus groups, and cognitive debriefing with caregivers of civilians and service members/veterans with TBI, as well as expert review, reading level assessment, and translatability review; existing item banks and new item pools were assessed using an online data capture system. Exploratory and confirmatory factor analysis, item response theory, and differential item functioning analyses were utilized to develop new caregiver-specific item banks. Known-groups validity was examined using a series of independent samples t tests comparing caregivers of low-functioning vs high-functioning persons with TBI for each of the new measures, as well as for 10 existing Patient-Reported Outcomes Measurement Information System (PROMIS) measures.

settingThree TBI Model Systems rehabilitation hospitals, an academic medical center, and a military medical treatment facility.

participantsCaregivers (N=560) of civilians (n=344) or service members/veterans with TBI (n=216).

interventionsNot applicable.

main outcome measuresThe TBI-CareQOL measurement system (including 5 new measures and 10 existing PROMIS measures).

resultsExploratory and confirmatory factor analysis, item response theory, and differential item functioning analyses supported the development of 5 new item banks for Feelings of Loss-Self, Feelings of Loss-Person with TBI, Caregiver-Specific Anxiety, Feeling Trapped, and Caregiver Strain. In support of validity, individuals who were caring for low-functioning persons with TBI had significantly worse HRQOL than caregivers that were caring for high-functioning persons with TBI for both the new caregiver-specific HRQOL measures, and for the 10 existing PROMIS measures.

conclusionsThe TBI-CareQOL includes both validated PROMIS measures and newly developed caregiver-specific measures. Together, these generic and specific measures provide a comprehensive assessment of HRQOL for caregivers of civilians and service members/veterans with TBI.

Indexed as

AdultBrain Injuries, TraumaticCaregiversFactor Analysis, StatisticalFemaleFocus GroupsHumansMaleMiddle AgedMilitary PersonnelPsychological TestsPsychometricsQuality of LifeReproducibility of ResultsSurveys and QuestionnairesVeteransCaregiversHealth careMilitary personnelQuality of lifeRehabilitationTraumatic brain injuriesVeterans

Identifiers

PMID30195987
PMCPMC6456033

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.