Quality of life measures in older adults after traumatic brain injury: a systematic review

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Abstract

Background

On average older adults experiencing TBI are hospitalized four times as often, have longer hospital stays, and experience slower recovery trajectories and worse functional outcomes compared to younger populations with the same injury severity. A standard measure of Qol for older adults with TBI would facilitate accurate and reliable data across the individual patient care continuum and across clinical care settings, as well as support more rigorous research studies of metadata.

Purpose

The aim of this systematic review was to investigate patient reported Qol measures in studies with older adults post TBI.

Method

A systematic review was carried out focusing on the various tools to measure Qol in older adults, ≥ 65 years of age with a diagnosis of TBI. Data bases searched included Medline, Embase, PubMed, CINAHL, and PsychInfo from date of inception to September 25, 2017.

Results

A total of 20 articles met the inclusion criteria. Nine different tools were identified.

Conclusions

Findings based on the comparison of reliability and construct validity of the Qol measures reported in this review suggest that no single instrument is superior to all others for our study population. Future research in this field should include the enrollment of larger study samples of older adults. Without these future efforts, the ability to detect an optimal Qol measure will be hindered.

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Most cited references 48

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Testing the validity of the Euroqol and comparing it with the SF-36 health survey questionnaire.

J. Brazier, N. Jones, P. Kind (1993)

There is an interest in the consequences of deriving a single index measure of health for validity and sensitivity. This paper presents the results of testing a recent example of a general health measure designed to derive a single index, the Euroqol (EQ), and presents a comparison with a new, influential profile measure, the Short Form 36 (SF-36) Health Survey Instrument. The EQ and an anglicised version of the SF-36 health survey, both designed for self-completion, were included in a postal survey of a random sample of 1980 patients from two practice lists in Sheffield, UK. The response rate for the EQ questionnaire was 83%, and the rate of completion over 95%. Evidence was found for the construct validity of the EQ dimension responses and the derived total EQ health score in terms of distinguishing between groups with expected health differences. Considerable agreement was found between EQ responses and the total EQ score, and the UK SF-36 profile scores. There was substantial evidence of EQ being less sensitive at the ceiling (i.e. low levels of perceived ill-health) and throughout the range of health states. A recent restructuring of the EQ, may help overcome some of the problems with the physical dimensions by reducing their skewness.

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The Quality of Life Scale (QOLS): Reliability, Validity, and Utilization

Carol Burckhardt, Kathryn Anderson (2003)

The Quality of Life Scale (QOLS), created originally by American psychologist John Flanagan in the 1970's, has been adapted for use in chronic illness groups. This paper reviews the development and psychometric testing of the QOLS. A descriptive review of the published literature was undertaken and findings summarized in the frequently asked questions format. Reliability, content and construct validity testing has been performed on the QOLS and a number of translations have been made. The QOLS has low to moderate correlations with physical health status and disease measures. However, content validity analysis indicates that the instrument measures domains that diverse patient groups with chronic illness define as quality of life. The QOLS is a valid instrument for measuring quality of life across patient groups and cultures and is conceptually distinct from health status or other causal indicators of quality of life.

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Incidence of long-term disability following traumatic brain injury hospitalization, United States, 2003.

Anbesaw Selassie, Eduard Zaloshnja, Jean A Langlois … (2015)

Develop and validate a predictive model of the incidence of long-term disability following traumatic brain injury (TBI) and obtain national estimates for the United States in 2003. DATA/METHODS: A logistic regression model was built, using a population-based sample of persons with TBI from the South Carolina Traumatic Brain Injury Follow-up Registry. The regression coefficients were applied to the 2003 Healthcare Cost and Utilization Project-Nationwide Inpatient Sample data to estimate the incidence of long-term disability following traumatic brain injury hospitalization. Among 288,009 (95% CI, 287,974-288,043) hospitalized TBI survivors in the United States in 2003, an estimated 124,626 (95% CI, 123,706-125,546) had developed long-term disability. TBI-related disability is a significant public health problem in the United States. The substantial incidence suggests the need for comprehensive rehabilitative care and services to maximize the potential of persons with TBI.

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Author and article information

Contributors

Cindy Hunt:

ORCID: http://orcid.org/0000-0002-1980-8427

416-864-6060 , Cindy.Hunt@unityhealth.to

Shatabdy Zahid: shatabdy.zahid@mail.utoronto.ca

Naomi Ennis: ennisnaomi@gmail.com

Alicja Michalak: Alicja.Michalaka@unityhealth.to

Cheryl Masanic: 416-864-6060 , Cheryl.Masanic@uhn.ca

Chantal Vaidyanath: 416-864-6060 , Chantal.Vaidyanath@uhn.ca

Shree Bhalerao: 416-864-6060 , Shree.Bhalerao@unityhealth.to

Michael D. Cusimano: 416-864-6048 , Michael.Cusimano@unityhealth.to

Andrew Baker: 416-864-5559 , Andrew.Baker@unityhealth.to

Journal

Journal ID (nlm-ta): Qual Life Res

Journal ID (iso-abbrev): Qual Life Res

Title: Quality of Life Research

Publisher: Springer International Publishing (Cham )

ISSN (Print): 0962-9343

ISSN (Electronic): 1573-2649

Publication date (Electronic): 14 September 2019

Publication date PMC-release: 14 September 2019

Publication date (Print): 2019

Volume: 28

Issue: 12

Pages: 3137-3151

Affiliations

[1 ]GRID grid.17063.33, ISNI 0000 0001 2157 2938, Head Injury Clinic, Trauma and Neurosurgery Program, St. Michael’s Hospital, Dalla Lana School of Public Health, , University of Toronto, ; Toronto, ON Canada

[2 ]GRID grid.17063.33, ISNI 0000 0001 2157 2938, University of Toronto, ; Toronto, ON Canada

[3 ]GRID grid.68312.3e, ISNI 0000 0004 1936 9422, Department of Psychology, , Ryerson University, ; Toronto, ON Canada

[4 ]GRID grid.231844.8, ISNI 0000 0004 0474 0428, St. Michael’s Head Injury Clinic and UHN Toronto Rehabilitation Clinic Toronto, ; Toronto, ON Canada

[5 ]GRID grid.17063.33, ISNI 0000 0001 2157 2938, Department of Surgery, Division of Neurosurgery, Injury Prevention Research Office, Keenan Research Centre, St. Michael’s Hospital, , University of Toronto, ; Toronto, ON Canada

[6 ]GRID grid.17063.33, ISNI 0000 0001 2157 2938, Departments of Anesthesia and Critical Care, Keenan Research Centre for Biomedical Science, St. Michael’s Hospital Toronto, , University of Toronto, ; Toronto, ON Canada

[7 ]St. Michael’s Head Injury Clinic, Toronto, ON Canada

Author information

Cindy Hunt http://orcid.org/0000-0002-1980-8427

Article

Publisher ID: 2297

DOI: 10.1007/s11136-019-02297-4

PMC ID: 6864113

PubMed ID: 31522371

SO-VID: e99cf53b-de77-430c-a437-af7fcaba750a

License:

Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

History

Date accepted : 7 September 2019

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ScienceOpen disciplines: Public health

Keywords: traumatic brain injury,quality of life,literature review,older adult

Data availability:

ScienceOpen disciplines: Public health

Keywords: traumatic brain injury, quality of life, literature review, older adult

Quality of life measures in older adults after traumatic brain injury: a systematic review

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Abstract

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Purpose

Method

Results

Conclusions

Related collections

Asian Journal of Quality of Life (AjQoL)

Most cited references 48

Testing the validity of the Euroqol and comparing it with the SF-36 health survey questionnaire.

The Quality of Life Scale (QOLS): Reliability, Validity, and Utilization

Incidence of long-term disability following traumatic brain injury hospitalization, United States, 2003.

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