Applicability and clinical utility of the German rivermead post-concussion symptoms questionnaire in proxies of children after traumatic brain injury: an instrument validation study
Abstract Background The German Rivermead Post-Concussion Symptoms Questionnaire (RPQ) can be used to assess post-concussion symptoms (PCS) after traumatic brain injury (TBI) in adults, adolescents, and children. Methods In this study, we examined the psychometric properties of the German RPQ proxy v...
| Main Authors: | , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-04-01
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| Series: | BMC Neurology |
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| Online Access: | https://doi.org/10.1186/s12883-024-03587-2 |
| _version_ | 1797199338685857792 |
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| author | Fabian Bockhop Sven Greving Marina Zeldovich Ugne Krenz Katrin Cunitz Dagmar Timmermann Matthias Kieslich Nada Andelic Anna Buchheim Inga K. Koerte Maike Roediger Knut Brockmann Michaela V. Bonfert Steffen Berweck Michael Lendt Michael Staebler Nicole von Steinbuechel |
| author_facet | Fabian Bockhop Sven Greving Marina Zeldovich Ugne Krenz Katrin Cunitz Dagmar Timmermann Matthias Kieslich Nada Andelic Anna Buchheim Inga K. Koerte Maike Roediger Knut Brockmann Michaela V. Bonfert Steffen Berweck Michael Lendt Michael Staebler Nicole von Steinbuechel |
| author_sort | Fabian Bockhop |
| collection | DOAJ |
| description | Abstract Background The German Rivermead Post-Concussion Symptoms Questionnaire (RPQ) can be used to assess post-concussion symptoms (PCS) after traumatic brain injury (TBI) in adults, adolescents, and children. Methods In this study, we examined the psychometric properties of the German RPQ proxy version (N = 146) for children (8—12 years) after TBI at the item, total and scale score level. Construct validity was analyzed using rank correlations with the proxy-assessed Post-Concussion Symptoms Inventory (PCSI-P), the Patient Health Questionnaire 9 (PHQ-9), and the Generalized Anxiety Disorder Scale 7 (GAD-7). Furthermore, sensitivity testing was performed concerning subjects’ sociodemographic and injury-related characteristics. Differential item functioning (DIF) was analyzed to assess the comparability of RPQ proxy ratings for children with those for adolescents. Results Good internal consistency was demonstrated regarding Cronbach’s α (0.81—0.90) and McDonald’s ω (0.84—0.92). The factorial validity of a three-factor model was superior to the original one-factor model. Proxy ratings of the RPQ total and scale scores were strongly correlated with the PCSI-P (ϱ = 0.50—0.69), as well as moderately to strongly correlated with the PHQ-9 (ϱ = 0.49—0.65) and the GAD-7 (ϱ = 0.44—0.64). The DIF analysis revealed no relevant differences between the child and adolescent proxy versions. Conclusions The German RPQ proxy is a psychometrically reliable and valid instrument for assessing PCS in children after TBI. Therefore, RPQ self- and proxy-ratings can be used to assess PCS in childhood as well as along the lifespan of an individual after TBI. |
| first_indexed | 2024-04-24T07:14:10Z |
| format | Article |
| id | doaj.art-7818559091a54cd391ab9216cfdf0e1d |
| institution | Directory Open Access Journal |
| issn | 1471-2377 |
| language | English |
| last_indexed | 2024-04-24T07:14:10Z |
| publishDate | 2024-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Neurology |
| spelling | doaj.art-7818559091a54cd391ab9216cfdf0e1d2024-04-21T11:22:32ZengBMCBMC Neurology1471-23772024-04-0124111310.1186/s12883-024-03587-2Applicability and clinical utility of the German rivermead post-concussion symptoms questionnaire in proxies of children after traumatic brain injury: an instrument validation studyFabian Bockhop0Sven Greving1Marina Zeldovich2Ugne Krenz3Katrin Cunitz4Dagmar Timmermann5Matthias Kieslich6Nada Andelic7Anna Buchheim8Inga K. Koerte9Maike Roediger10Knut Brockmann11Michaela V. Bonfert12Steffen Berweck13Michael Lendt14Michael Staebler15Nicole von Steinbuechel16University Medical Center GöttingenUniversity Medical Center GöttingenInstitute of Psychology, University InnsbruckUniversity Medical Center GöttingenInstitute of Psychology, University InnsbruckUniversity Medical Center GöttingenDepartment of Paediatric Neurology, Goethe-University Frankfurt/MainResearch Centre for Habilitation and Rehabilitation Models and Services (CHARM), Department of Health and Society, University of OsloInstitute of Psychology, Faculty of Psychology and Sport Science, University of InnsbruckDepartment of Child and Adolescent Psychiatry, Psychosomatics, and Psychotherapy, Ludwig‑Maximilians‑Universität MünchenDepartment of Pediatric Intensive Care Medicine and Neonatology, University Hospital MünsterDepartment of Pediatrics and Adolescent Medicine, University Medical Center GöttingenDepartment of Pediatric Neurology and Developmental Medicine, LMU Center for Development and Children With Medical Complexity, Ludwig‑Maximilians‑Universität MünchenSpecialist Center for Paediatric Neurology, Neurorehabilitation and Epileptology, Schoen KlinikNeuropediatrics, St. Mauritius Therapeutic ClinicNeurological Rehabilitation Center for Children, Adolescents and Young Adults, Hegau-Jugendwerk GmbHInstitute of Psychology, University InnsbruckAbstract Background The German Rivermead Post-Concussion Symptoms Questionnaire (RPQ) can be used to assess post-concussion symptoms (PCS) after traumatic brain injury (TBI) in adults, adolescents, and children. Methods In this study, we examined the psychometric properties of the German RPQ proxy version (N = 146) for children (8—12 years) after TBI at the item, total and scale score level. Construct validity was analyzed using rank correlations with the proxy-assessed Post-Concussion Symptoms Inventory (PCSI-P), the Patient Health Questionnaire 9 (PHQ-9), and the Generalized Anxiety Disorder Scale 7 (GAD-7). Furthermore, sensitivity testing was performed concerning subjects’ sociodemographic and injury-related characteristics. Differential item functioning (DIF) was analyzed to assess the comparability of RPQ proxy ratings for children with those for adolescents. Results Good internal consistency was demonstrated regarding Cronbach’s α (0.81—0.90) and McDonald’s ω (0.84—0.92). The factorial validity of a three-factor model was superior to the original one-factor model. Proxy ratings of the RPQ total and scale scores were strongly correlated with the PCSI-P (ϱ = 0.50—0.69), as well as moderately to strongly correlated with the PHQ-9 (ϱ = 0.49—0.65) and the GAD-7 (ϱ = 0.44—0.64). The DIF analysis revealed no relevant differences between the child and adolescent proxy versions. Conclusions The German RPQ proxy is a psychometrically reliable and valid instrument for assessing PCS in children after TBI. Therefore, RPQ self- and proxy-ratings can be used to assess PCS in childhood as well as along the lifespan of an individual after TBI.https://doi.org/10.1186/s12883-024-03587-2Rivermead post-concussion symptoms QuestionnaireChildrenTraumatic brain injuryProxy ratingPsychometric properties |
| spellingShingle | Fabian Bockhop Sven Greving Marina Zeldovich Ugne Krenz Katrin Cunitz Dagmar Timmermann Matthias Kieslich Nada Andelic Anna Buchheim Inga K. Koerte Maike Roediger Knut Brockmann Michaela V. Bonfert Steffen Berweck Michael Lendt Michael Staebler Nicole von Steinbuechel Applicability and clinical utility of the German rivermead post-concussion symptoms questionnaire in proxies of children after traumatic brain injury: an instrument validation study BMC Neurology Rivermead post-concussion symptoms Questionnaire Children Traumatic brain injury Proxy rating Psychometric properties |
| title | Applicability and clinical utility of the German rivermead post-concussion symptoms questionnaire in proxies of children after traumatic brain injury: an instrument validation study |
| title_full | Applicability and clinical utility of the German rivermead post-concussion symptoms questionnaire in proxies of children after traumatic brain injury: an instrument validation study |
| title_fullStr | Applicability and clinical utility of the German rivermead post-concussion symptoms questionnaire in proxies of children after traumatic brain injury: an instrument validation study |
| title_full_unstemmed | Applicability and clinical utility of the German rivermead post-concussion symptoms questionnaire in proxies of children after traumatic brain injury: an instrument validation study |
| title_short | Applicability and clinical utility of the German rivermead post-concussion symptoms questionnaire in proxies of children after traumatic brain injury: an instrument validation study |
| title_sort | applicability and clinical utility of the german rivermead post concussion symptoms questionnaire in proxies of children after traumatic brain injury an instrument validation study |
| topic | Rivermead post-concussion symptoms Questionnaire Children Traumatic brain injury Proxy rating Psychometric properties |
| url | https://doi.org/10.1186/s12883-024-03587-2 |
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