1) Main Objective: To investigate the validity, reliability and feasibility of the Clinician*s Rating Scale for evaluating impaired self-awareness and denial of disability after brain injury (CRS-ISA-DD) for use in the Dutch clinical practice.2)…
ID
Source
Brief title
Condition
- Other condition
Synonym
Health condition
niet-aangeboren hersenletsel
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Convergent validity: correlation between the CRS-ISA-DD and tools that measure
similar constructs (Patient Competency Rating Scale, COPE Inventory and
responses to Thematic Apperception Test pictures); inter-rater reliability:
correlations between scores on the CRS-ISA-DD of two independent raters;
internal consistency: Cronbach*s alpha of the CRS-ISA scale and the CRS-DD
scale; feasibility: means and frequencies on a feasibility questionnaire.
Secondary outcome
Correlations between impaired awareness of deficits (PCRS, COPE Inventory,
Thematic Apperception Test, CRS-ISA-DD) and neurological data (MRI scan data,
fingertapping, ZOO test, verbal fluency) and psychological data (Hospital
Anxiety Depression Scale).
Background summary
Impaired awareness of deficits is common after acquired brain injury. It refers
to the inability to appraise one*s strengths and weaknesses and the
implications for daily life activities at present and in the future.
In clinical practice two different types of patients with impaired awareness of
deficits after acquired brain injury are recognized. Some patients overestimate
their competencies. This is thought to be a direct result of an underlying
neurological deficit and is called impaired self-awareness (ISA). Other
patients however deny their impairments to protect themselves from emotional
distress. This is thought to be the result of an underlying psychological
mechanism and is called defensive coping (DC). These two groups require
different rehabilitation programs. Intervention techniques helpful for patients
with impaired self-awareness who overestimate their competencies are not
effective for patients with defensive coping who deny their impairments. For
optimal treatment it is therefore important to distinguish between these types
of awareness deficits.
Up until now there is no gold standard measurement tool that is specifically
designed to make this distinction in the Dutch clinical practice. Also, the
relationship between impaired awareness of deficits and possible underlying
neurological and psychological mechanisms is unclear.
Study objective
1) Main Objective: To investigate the validity, reliability and feasibility of
the Clinician*s Rating Scale for evaluating impaired self-awareness and denial
of disability after brain injury (CRS-ISA-DD) for use in the Dutch clinical
practice.
2) Secondary objective: To explore the relationship between impaired awareness
of deficits and neurological (incidence of brain lesions, severity of brain
injury, executive functioning) and psychological (anxiety) correlates.
Study design
Cross sectional observational cohort study.
Study burden and risks
Patients are assessed once. The assessment protocol takes approximately 150
minutes. Patients will be assessed at home or at the university lab. There are
no direct benefits associated with participation. Participants will be asked to
talk about possible changes in their daily life functioning due to the brain
injury. This may be confronting (but not new) for some patients. These issues
have also been discussed during rehabilitation in the rehabilitation center.
P. Debyelaan 25
Maastricht 6229 HX
NL
P. Debyelaan 25
Maastricht 6229 HX
NL
Listed location countries
Age
Inclusion criteria
Patients will be male or female and will be 18 years or older. Patients will be eligible for inclusion in the study if they have had a traumatic brain injury; if they have moderate to severe brain injury; if they are at least 6 months post injury and maximally 5 years post injury; if they were discharged home after rehabilitation; if a significant other is willing to participate; and if informed consent is signed.
Significant others (male or female) will be eligible for participation if they are 18 years or older.
Exclusion criteria
Patients will be excluded from participation if they had a premorbid psychiatric disorder for which treatment was necessary; if no data of a post-injury MRI scan is available; if they do not want feedback of their memory and speed of processing test results; if they do not wish to be contacted in case severe abnormalities are found; if they are unable to complete the interview and assessment due to language and communication problems; and if it is indicated in the file that the patient does not want to participate in scientific research.
Significant others will be excluded if they are unable to complete the interview and assessment due to language and communication problems.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL42752.068.12 |