OTSLPOtherJournal of applied research in intellectual disabilities : JARID2025

Psychometric Properties of the Questionnaire Epistemic Trust in People With Mild to Moderate Intellectual Disabilities or Borderline Intellectual Functioning.

Suzanne D M Derks, Annelies de Bildt, Veerle M M Andries and 2 others

PMID 40836760

WHAT IT FOUND

The adapted Questionnaire Epistemic Trust shows promise for assessing curiosity and openness to help, but the hypervigilance subscale is unreliable and the test does not measure one single ability.

Use only the three stable subscales for now.

Key findings

01The four-factor structure was replicated, but the Hypervigilance subscale had poor internal consistency and test-retest reliability, while the other three subscales showed acceptable to good reliability.

02The questionnaire did not show the expected convergent validity with mentalising, as no strong correlations were found between the QET and the Reflective Functioning Questionnaire.

03Five items were deleted from the Hypervigilance and Openness for help subscales to improve model fit, resulting in a 20-item version with excellent fit indices.

STILL TO COME

How it was doneWhat they foundWhat it means for OTsWhat it means for SLPs

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What it does not show

The sample was relatively small and consisted mostly of Western-European participants with mild intellectual disabilities, so findings may not apply to those with moderate disabilities or different cultural backgrounds. The assessment was long and often split across multiple sessions, which may have affected participant fatigue and dropout rates. The comparison measures for mentalising and autistic traits had low internal consistency in this population, making it difficult to draw firm conclusions about the QET's validity relative to these constructs. The QET is a self-report measure, which can be prone to overestimation in people with intellectual disabilities.

Declared interests

The authors declare no material reproduced from external sources. The study was reviewed and approved by the Institutional Review Board of the Faculty of Behavioural and Movement Sciences of the Vrije Universiteit Amsterdam.

The easy way to misread this

Do not use the Hypervigilance subscale or the total QET score for clinical decision-making. The Hypervigilance items were unreliable, and the total score is misleading because the questionnaire does not measure a single ability.

Read it on PubMed →