Psychometric evaluation of the Self-Awareness in Daily Life-3 Scale (SADL-3) for the assessment of self-awareness after acquired brain injury

Ieke Winkens; Arno Prinsen; Annemieke Meijerink; Caroline Van Heugten; Rudolf Ponds

doi:10.1080/02699052.2019.1566969

Psychometric evaluation of the Self-Awareness in Daily Life-3 Scale (SADL-3) for the assessment of self-awareness after acquired brain injury

Ieke Winkens^*, Arno Prinsen, Annemieke Meijerink, Caroline Van Heugten, Rudolf Ponds

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

OBJECTIVE: The Self-Awareness in Daily Life-3 Scale (SADL-3) was designed to assess self-awareness in the chronic phase after acquired brain injury (ABI). The main objective was to evaluate its feasibility and usability for clinical practice, reliability and validity.

METHODS: Participants were 89 patients with ABI. SADL-3 core distributions, floor and ceiling effects and percentage of missing items were used. Ratings made by two staff members and ratings at two time points were compared. SADL-3 ratings were compared with Awareness Questionnaire (AQ) ratings, Patient Competency Rating Scale (PCRS) ratings, and ratings made on the Clinician's Rating Scale for evaluating Impaired Self-Awareness and Denial of Disability (CRS-ISA-DD). Staff members completed a questionnaire concerning the usability of the SADL-3.

RESULTS: No floor or ceiling effects were present. Results show sufficient inter-rater reliability (ICC > .40), acceptable test-retest reliability (ρs > .75) and sufficient convergent validity (ρs > .30). The median administration time was 15 minutes (SD = 21.2). Most staff members rated the SADL-3 as fairly easy to very easy to complete.

CONCLUSIONS: The SADL-3 is a brief scale with sufficient psychometric properties. Teams can use it in clinical practice to identify patients' self-awareness in the chronic phase after ABI.

Original language	English
Pages (from-to)	598-609
Number of pages	12
Journal	Brain Injury
Volume	33
Issue number	5
Early online date	19 Jan 2019
DOIs	https://doi.org/10.1080/02699052.2019.1566969
Publication status	Published - 16 Apr 2019

Keywords

Acquired brain injury
self-awareness
scale
psychometric evaluation
RATING-SCALE
DEFICITS
REHABILITATION
MODERATE

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@article{e122df3667a843dab332c961477672fe,

title = "Psychometric evaluation of the Self-Awareness in Daily Life-3 Scale (SADL-3) for the assessment of self-awareness after acquired brain injury",

abstract = "OBJECTIVE: The Self-Awareness in Daily Life-3 Scale (SADL-3) was designed to assess self-awareness in the chronic phase after acquired brain injury (ABI). The main objective was to evaluate its feasibility and usability for clinical practice, reliability and validity.METHODS: Participants were 89 patients with ABI. SADL-3 core distributions, floor and ceiling effects and percentage of missing items were used. Ratings made by two staff members and ratings at two time points were compared. SADL-3 ratings were compared with Awareness Questionnaire (AQ) ratings, Patient Competency Rating Scale (PCRS) ratings, and ratings made on the Clinician's Rating Scale for evaluating Impaired Self-Awareness and Denial of Disability (CRS-ISA-DD). Staff members completed a questionnaire concerning the usability of the SADL-3.RESULTS: No floor or ceiling effects were present. Results show sufficient inter-rater reliability (ICC > .40), acceptable test-retest reliability (ρs > .75) and sufficient convergent validity (ρs > .30). The median administration time was 15 minutes (SD = 21.2). Most staff members rated the SADL-3 as fairly easy to very easy to complete.CONCLUSIONS: The SADL-3 is a brief scale with sufficient psychometric properties. Teams can use it in clinical practice to identify patients' self-awareness in the chronic phase after ABI.",

keywords = "Acquired brain injury, self-awareness, scale, psychometric evaluation, RATING-SCALE, DEFICITS, REHABILITATION, MODERATE",

author = "Ieke Winkens and Arno Prinsen and Annemieke Meijerink and {Van Heugten}, Caroline and Rudolf Ponds",

note = "Funding Information: We thank all patients and staff members of Interaktcontour, Stichting Gehandicaptenzorg Limburg and Reinaerde for their participation in this study. We thank Kelly Bax (Interaktcontour) and Jan Kampen (Reinaerde) for their active participation in the development of the SADL-3, in the inclusion of patients and for data collection. We thank the team of Marie-Paul Max of the Association nationale des Victimes de la Route Luxembourg and Wouter Lambrecht and Camille de Schaepmeester of the Centrum voor Neuropsychologie Gent Belgium and the Hersenletselpraktijk Gent Belgium for their help in translating the SADL-3 into French. Publisher Copyright: {\textcopyright} 2019, {\textcopyright} 2019 The Author(s). Published with license by Taylor & Francis Group, LLC.",

year = "2019",

month = apr,

day = "16",

doi = "10.1080/02699052.2019.1566969",

language = "English",

volume = "33",

pages = "598--609",

journal = "Brain Injury",

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number = "5",

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TY - JOUR

T1 - Psychometric evaluation of the Self-Awareness in Daily Life-3 Scale (SADL-3) for the assessment of self-awareness after acquired brain injury

AU - Winkens, Ieke

AU - Prinsen, Arno

AU - Meijerink, Annemieke

AU - Van Heugten, Caroline

AU - Ponds, Rudolf

N1 - Funding Information: We thank all patients and staff members of Interaktcontour, Stichting Gehandicaptenzorg Limburg and Reinaerde for their participation in this study. We thank Kelly Bax (Interaktcontour) and Jan Kampen (Reinaerde) for their active participation in the development of the SADL-3, in the inclusion of patients and for data collection. We thank the team of Marie-Paul Max of the Association nationale des Victimes de la Route Luxembourg and Wouter Lambrecht and Camille de Schaepmeester of the Centrum voor Neuropsychologie Gent Belgium and the Hersenletselpraktijk Gent Belgium for their help in translating the SADL-3 into French. Publisher Copyright: © 2019, © 2019 The Author(s). Published with license by Taylor & Francis Group, LLC.

PY - 2019/4/16

Y1 - 2019/4/16

N2 - OBJECTIVE: The Self-Awareness in Daily Life-3 Scale (SADL-3) was designed to assess self-awareness in the chronic phase after acquired brain injury (ABI). The main objective was to evaluate its feasibility and usability for clinical practice, reliability and validity.METHODS: Participants were 89 patients with ABI. SADL-3 core distributions, floor and ceiling effects and percentage of missing items were used. Ratings made by two staff members and ratings at two time points were compared. SADL-3 ratings were compared with Awareness Questionnaire (AQ) ratings, Patient Competency Rating Scale (PCRS) ratings, and ratings made on the Clinician's Rating Scale for evaluating Impaired Self-Awareness and Denial of Disability (CRS-ISA-DD). Staff members completed a questionnaire concerning the usability of the SADL-3.RESULTS: No floor or ceiling effects were present. Results show sufficient inter-rater reliability (ICC > .40), acceptable test-retest reliability (ρs > .75) and sufficient convergent validity (ρs > .30). The median administration time was 15 minutes (SD = 21.2). Most staff members rated the SADL-3 as fairly easy to very easy to complete.CONCLUSIONS: The SADL-3 is a brief scale with sufficient psychometric properties. Teams can use it in clinical practice to identify patients' self-awareness in the chronic phase after ABI.

AB - OBJECTIVE: The Self-Awareness in Daily Life-3 Scale (SADL-3) was designed to assess self-awareness in the chronic phase after acquired brain injury (ABI). The main objective was to evaluate its feasibility and usability for clinical practice, reliability and validity.METHODS: Participants were 89 patients with ABI. SADL-3 core distributions, floor and ceiling effects and percentage of missing items were used. Ratings made by two staff members and ratings at two time points were compared. SADL-3 ratings were compared with Awareness Questionnaire (AQ) ratings, Patient Competency Rating Scale (PCRS) ratings, and ratings made on the Clinician's Rating Scale for evaluating Impaired Self-Awareness and Denial of Disability (CRS-ISA-DD). Staff members completed a questionnaire concerning the usability of the SADL-3.RESULTS: No floor or ceiling effects were present. Results show sufficient inter-rater reliability (ICC > .40), acceptable test-retest reliability (ρs > .75) and sufficient convergent validity (ρs > .30). The median administration time was 15 minutes (SD = 21.2). Most staff members rated the SADL-3 as fairly easy to very easy to complete.CONCLUSIONS: The SADL-3 is a brief scale with sufficient psychometric properties. Teams can use it in clinical practice to identify patients' self-awareness in the chronic phase after ABI.

KW - Acquired brain injury

KW - self-awareness

KW - scale

KW - psychometric evaluation

KW - RATING-SCALE

KW - DEFICITS

KW - REHABILITATION

KW - MODERATE

U2 - 10.1080/02699052.2019.1566969

DO - 10.1080/02699052.2019.1566969

M3 - Article

C2 - 30663423

SN - 0269-9052

VL - 33

SP - 598

EP - 609

JO - Brain Injury

JF - Brain Injury

IS - 5

ER -

Psychometric evaluation of the Self-Awareness in Daily Life-3 Scale (SADL-3) for the assessment of self-awareness after acquired brain injury

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Keywords

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