Spanish, French, and British cross-cultural validation of the European brain injury questionnaire

Alfonso Caracuel, Andrew Bateman, Thomas W Teasdale, Antonio Javier Verdejo-Garcia, Miguel Perez-Garcia

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OBJECTIVE: To explore the factor structure of the European Brain Injury Questionnaire and to assess the cross-cultural and construct validity of this questionnaire by using Rasch analysis. PARTICIPANTS: A total of 366 individuals with traumatic brain injury or stroke were recruited from 3 different countries: Spain (116 participants), the United Kingdom (110 participants), and France (140 participants). ANALYSES: We first performed a factor analysis and then applied Rasch analysis to the resulting factors to examine construct and cross-cultural validity. RESULTS: Three subscales labeled Depressive Mood, Cognitive Dysfunction, and Poor Social and Emotional Self-regulation were extracted using the factor analysis. In the Rasch analyses, 8 items were removed because of misfit and 7 items showed differential item functioning by country. CONCLUSION: Rasch analyses showed good fit to the model, unidimensionality, construct validity, and good reliability of the 3 European Brain Injury Questionnaire subscales. However, only the Depressive and Cognitive subscales showed cross-cultural validity.

Original languageEnglish
Pages (from-to)478 - 488
Number of pages11
JournalThe Journal of Head Trauma Rehabilitation
Issue number6
Publication statusPublished - 2011
Externally publishedYes

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