Quality of Life after Brain Injury (QOLIBRI): Scale Validity and Correlates of Quality of Life

Nicole von Steinbüchel*, Lindsay Wilson, Henning Gibbons, Graeme Hawthorne, Stefan Hoefer, Silke Schmidt, Monika Bullinger, Andrew Maas, Edmund Neugebauer, Jane Powell, Klaus von Wild, George Zitnay, Wilbert Bakx, Anne-Lise Christensen, Sanna Koskinen, Rita Formisano, Jana Saarajuri, Nadine Sasse, Jean-Luc Truelle

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


The QOLIBRI (Quality of Life after Brain Injury) is a novel health-related quality-of-life (HRQoL) instrument specifically developed for traumatic brain injury (TBI). It provides a profile of HRQoL in six domains together with an overall score. Scale validity and factors associated with HRQoL were investigated in a multi-center international study. A total of 795 adults with brain injury were studied from 3 months to 15 years post-injury. The majority of participants (58%) had severe injuries as assessed by 24-h worst Glasgow Coma Scale (GCS) score. Systematic relationships were observed between the QOLIBRI and the Glasgow Outcome Scale-Extended (GOSE), Hospital Anxiety and Depression Scale (HADS), and SF-36. Within each scale patients with disability reported having low HRQoL in two to three times as many areas as those who had made a good recovery. The main correlates of the total QOLIBRI score were emotional state (HADS depression and anxiety), functional status (amount of help needed and outcome on the GOSE), and comorbid health conditions. Together these five variables accounted for 58% of the variance in total QOLIBRI scores. The QOLIBRI is the first tool developed to assess disease-specific HRQoL in brain injury, and it contains novel information not given by other currently available assessments.
Original languageEnglish
Pages (from-to)1157-1165
JournalJournal of Neurotrauma
Issue number7
Publication statusPublished - Jul 2010


  • health-related quality of life
  • multi-national study
  • outcome instrument
  • traumatic brain injury

Cite this