Measuring Pain in TBI: Development of the TBI-QOL Pain Interference Item Bank and Short Form

Noelle E. Carlozzi; Pamela A. Kisala; Aaron J. Boulton; Elliot Roth; Anna L. Kratz; Mark Sherer; Angelle M. Sander; Allen W. Heinemann; Nancy D. Chiaravalloti; Tamara Bushnik; David S. Tulsky

doi:10.1016/j.apmr.2019.07.019

Measuring Pain in TBI: Development of the TBI-QOL Pain Interference Item Bank and Short Form

Noelle E. Carlozzi, Pamela A. Kisala, Aaron J. Boulton, Elliot Roth, Anna L. Kratz, Mark Sherer, Angelle M. Sander, Allen W. Heinemann, Nancy D. Chiaravalloti, Tamara Bushnik, David S. Tulsky^*

^*Corresponding author for this work

Physical Medicine and Rehabilitation

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

7 Scopus citations

Abstract

Objective: To develop a pain interference item bank, computer adaptive test (CAT), and short form for use by individuals with traumatic brain injury (TBI). Design: Cross-sectional survey study. Setting: Five TBI Model Systems rehabilitation hospitals. Participants: Individuals with TBI (N=590). Interventions: Not applicable. Outcome Measures: Traumatic Brain Injury–Quality of Life (TBI-QOL) Pain Interference item bank. Results: Confirmatory factor analysis provided evidence of a single underlying trait (χ² [740]=3254.030; P<.001; Comparative Fix Index=0.988; Tucker-Lewis Index=0.980; Root Mean Square Error of Approximation=0.076) and a graded response model (GRM) supported item fit of 40 Pain Interference items. Items did not exhibit differential item functioning or local item dependence. GRM calibration data were used to inform the selection of a 10-item static short form and to program a TBI-QOL Pain Interference CAT. Comparative analyses indicated excellent comparability and reliability across test administration formats. Conclusion: The 40-item TBI-QOL Pain Interference item bank demonstrated strong psychometric properties. End users can administer this measure as either a 10-item short form or CAT.

Original language	English (US)
Pages (from-to)	11-19
Number of pages	9
Journal	Archives of physical medicine and rehabilitation
Volume	101
Issue number	1
DOIs	https://doi.org/10.1016/j.apmr.2019.07.019
State	Published - Jan 2020

Funding

Supported by the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) (grant nos. H133G070138, H133A070037, H133A070043, H133A080045, H133A080044, and H133A70038) and the National Institutes of Health (U01AR057929). Additional support for the preparation of this manuscript was provided by NIDILRR (grant no. H133A120100).

Keywords

Brain injuries
Outcome assessment (health care)
Pain
Quality of life
Rehabilitation
Surveys and questionnaires
traumatic

ASJC Scopus subject areas

Rehabilitation
Physical Therapy, Sports Therapy and Rehabilitation

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10.1016/j.apmr.2019.07.019

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Carlozzi, N. E., Kisala, P. A., Boulton, A. J., Roth, E., Kratz, A. L., Sherer, M., Sander, A. M., Heinemann, A. W., Chiaravalloti, N. D., Bushnik, T., & Tulsky, D. S. (2020). Measuring Pain in TBI: Development of the TBI-QOL Pain Interference Item Bank and Short Form. Archives of physical medicine and rehabilitation, 101(1), 11-19. https://doi.org/10.1016/j.apmr.2019.07.019

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abstract = "Objective: To develop a pain interference item bank, computer adaptive test (CAT), and short form for use by individuals with traumatic brain injury (TBI). Design: Cross-sectional survey study. Setting: Five TBI Model Systems rehabilitation hospitals. Participants: Individuals with TBI (N=590). Interventions: Not applicable. Outcome Measures: Traumatic Brain Injury–Quality of Life (TBI-QOL) Pain Interference item bank. Results: Confirmatory factor analysis provided evidence of a single underlying trait (χ2 [740]=3254.030; P<.001; Comparative Fix Index=0.988; Tucker-Lewis Index=0.980; Root Mean Square Error of Approximation=0.076) and a graded response model (GRM) supported item fit of 40 Pain Interference items. Items did not exhibit differential item functioning or local item dependence. GRM calibration data were used to inform the selection of a 10-item static short form and to program a TBI-QOL Pain Interference CAT. Comparative analyses indicated excellent comparability and reliability across test administration formats. Conclusion: The 40-item TBI-QOL Pain Interference item bank demonstrated strong psychometric properties. End users can administer this measure as either a 10-item short form or CAT.",

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author = "Carlozzi, {Noelle E.} and Kisala, {Pamela A.} and Boulton, {Aaron J.} and Elliot Roth and Kratz, {Anna L.} and Mark Sherer and Sander, {Angelle M.} and Heinemann, {Allen W.} and Chiaravalloti, {Nancy D.} and Tamara Bushnik and Tulsky, {David S.}",

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doi = "10.1016/j.apmr.2019.07.019",

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AU - Kisala, Pamela A.

AU - Boulton, Aaron J.

AU - Roth, Elliot

AU - Kratz, Anna L.

AU - Sherer, Mark

AU - Sander, Angelle M.

AU - Heinemann, Allen W.

AU - Chiaravalloti, Nancy D.

AU - Bushnik, Tamara

AU - Tulsky, David S.

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N2 - Objective: To develop a pain interference item bank, computer adaptive test (CAT), and short form for use by individuals with traumatic brain injury (TBI). Design: Cross-sectional survey study. Setting: Five TBI Model Systems rehabilitation hospitals. Participants: Individuals with TBI (N=590). Interventions: Not applicable. Outcome Measures: Traumatic Brain Injury–Quality of Life (TBI-QOL) Pain Interference item bank. Results: Confirmatory factor analysis provided evidence of a single underlying trait (χ2 [740]=3254.030; P<.001; Comparative Fix Index=0.988; Tucker-Lewis Index=0.980; Root Mean Square Error of Approximation=0.076) and a graded response model (GRM) supported item fit of 40 Pain Interference items. Items did not exhibit differential item functioning or local item dependence. GRM calibration data were used to inform the selection of a 10-item static short form and to program a TBI-QOL Pain Interference CAT. Comparative analyses indicated excellent comparability and reliability across test administration formats. Conclusion: The 40-item TBI-QOL Pain Interference item bank demonstrated strong psychometric properties. End users can administer this measure as either a 10-item short form or CAT.

AB - Objective: To develop a pain interference item bank, computer adaptive test (CAT), and short form for use by individuals with traumatic brain injury (TBI). Design: Cross-sectional survey study. Setting: Five TBI Model Systems rehabilitation hospitals. Participants: Individuals with TBI (N=590). Interventions: Not applicable. Outcome Measures: Traumatic Brain Injury–Quality of Life (TBI-QOL) Pain Interference item bank. Results: Confirmatory factor analysis provided evidence of a single underlying trait (χ2 [740]=3254.030; P<.001; Comparative Fix Index=0.988; Tucker-Lewis Index=0.980; Root Mean Square Error of Approximation=0.076) and a graded response model (GRM) supported item fit of 40 Pain Interference items. Items did not exhibit differential item functioning or local item dependence. GRM calibration data were used to inform the selection of a 10-item static short form and to program a TBI-QOL Pain Interference CAT. Comparative analyses indicated excellent comparability and reliability across test administration formats. Conclusion: The 40-item TBI-QOL Pain Interference item bank demonstrated strong psychometric properties. End users can administer this measure as either a 10-item short form or CAT.

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Measuring Pain in TBI: Development of the TBI-QOL Pain Interference Item Bank and Short Form

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