OtherArchives of physical medicine and rehabilitation2019

The Development of a New Computer Adaptive Test to Evaluate Anxiety in Caregivers of Individuals With Traumatic Brain Injury: TBI-CareQOL Caregiver-Specific Anxiety.

Noelle E Carlozzi, Michael A Kallen, Angelle M Sander and 6 others

PMID 29958902

WHAT IT FOUND

A new 6-item questionnaire for caregivers of people with TBI gave consistent scores.

A score of 60 or higher means more anxiety than 84% of TBI caregivers; 70 or higher means more distress than 95.5%. It is not a diagnosis.

Key findings

01The final 27-item bank had no items flagged for age, education, or caregiver status bias.

02The computer adaptive version most often asked 4 items and produced scores similar to the full 27-item bank.

03The short form gave similar scores when repeated after 3 weeks.

STILL TO COME

How it was doneWhat they found

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What it does not show

The sample had few parent and male caregivers, so item bias for those groups could not be examined. Many service member or veteran caregivers had unknown TBI severity because military medical records were unavailable at one site. Retest data came only from University of Michigan, and 25.9% completed the retest survey. The study did not establish whether the measure changes over time or responds to treatment. The authors state the scale is not a screen for clinical anxiety by itself and that other diagnostic assessments are needed.

Declared interests

The supplied text does not include an author conflict of interest statement. The publication types list NIH extramural and U.S. government non-PHS research support.

The easy way to misread this

Do not use this measure to diagnose anxiety. The study developed and tested a questionnaire in caregivers of people with TBI. The authors state it is not a clinical anxiety screen and that other diagnostic assessments are needed.

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The study

Participants
560 caregivers (344 civilian; 216 service member or veteran)
Certainty of evidence
Low

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    Cite

    Noelle E Carlozzi, Michael A Kallen, Angelle M Sander, et al. The Development of a New Computer Adaptive Test to Evaluate Anxiety in Caregivers of Individuals With Traumatic Brain Injury: TBI-CareQOL Caregiver-Specific Anxiety. Archives of physical medicine and rehabilitation. 2019.

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