A measure of neurobehavioral functioning after coma. Part I: Theory, reliability, and validity of Disorders of Consciousness Scale
This is longitudinal validation study describes the psychometric properties of the Disorders of Consciousness Scale (DOCS). This is Part I of a two-part series. Part II illustrates and describes the clinical and scientific implementation of the DOCS measure. The study was conducted at one intensive...
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| Veröffentlicht in: | Journal of rehabilitation research and development 2005-01, Vol.42 (1), p.1-17 |
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| creator | Pape, Theresa Louise-Bender Heinemann, Allen W Kelly, James P Hurder, Anita Giobbie Lundgren, Sandra |
| description | This is longitudinal validation study describes the psychometric properties of the Disorders of Consciousness Scale (DOCS). This is Part I of a two-part series. Part II illustrates and describes the clinical and scientific implementation of the DOCS measure. The study was conducted at one intensive care unit, two acute rehabilitation hospitals, and one long-term acute chronic care hospital. Participants were unconscious after severe brain injury (BI). We conducted interrater reliability analyses using ratings from interdisciplinary pairs. Results indicated a higher-than-expected level of agreement and no significant difference between any pairs ( chi-square = 8(5df), p = 0.15) (df = degrees of freedom). Examinations of ratings by discipline groups indicated that the DOCS is impacted minimally by discipline. Validity analyses demonstrate that 23 of 34 test stimuli remain stable over time with no floor or ceiling effect. DOCS measures obtained within 94 days of injury predicted recovery of consciousness up to 1 year after injury (c-indices of 0.70 and 0.86). Positive (0.71) and negative (0.68) predictive values indicate that the DOCS predicts recovery and lack of recovery. Twenty-three of the DOCS test stimuli produce a reliable, valid, and stable measure of neurobehavioral recovery after severe BI that predicts recovery and lack of recovery of consciousness 1 year after injury. |
| doi_str_mv | 10.1682/JRRD.2004.03.0032 |
| format | Article |
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Part I: Theory, reliability, and validity of Disorders of Consciousness Scale</title><source>MEDLINE</source><source>U.S. Government Documents</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>Pape, Theresa Louise-Bender ; Heinemann, Allen W ; Kelly, James P ; Hurder, Anita Giobbie ; Lundgren, Sandra</creator><creatorcontrib>Pape, Theresa Louise-Bender ; Heinemann, Allen W ; Kelly, James P ; Hurder, Anita Giobbie ; Lundgren, Sandra</creatorcontrib><description>This is longitudinal validation study describes the psychometric properties of the Disorders of Consciousness Scale (DOCS). This is Part I of a two-part series. Part II illustrates and describes the clinical and scientific implementation of the DOCS measure. The study was conducted at one intensive care unit, two acute rehabilitation hospitals, and one long-term acute chronic care hospital. Participants were unconscious after severe brain injury (BI). We conducted interrater reliability analyses using ratings from interdisciplinary pairs. Results indicated a higher-than-expected level of agreement and no significant difference between any pairs ( chi-square = 8(5df), p = 0.15) (df = degrees of freedom). Examinations of ratings by discipline groups indicated that the DOCS is impacted minimally by discipline. Validity analyses demonstrate that 23 of 34 test stimuli remain stable over time with no floor or ceiling effect. DOCS measures obtained within 94 days of injury predicted recovery of consciousness up to 1 year after injury (c-indices of 0.70 and 0.86). Positive (0.71) and negative (0.68) predictive values indicate that the DOCS predicts recovery and lack of recovery. Twenty-three of the DOCS test stimuli produce a reliable, valid, and stable measure of neurobehavioral recovery after severe BI that predicts recovery and lack of recovery of consciousness 1 year after injury.</description><identifier>ISSN: 0748-7711</identifier><identifier>EISSN: 1938-1352</identifier><identifier>DOI: 10.1682/JRRD.2004.03.0032</identifier><identifier>PMID: 15742245</identifier><identifier>CODEN: JRRDDB</identifier><language>eng</language><publisher>United States: Superintendent of Documents</publisher><subject>Adult ; Brain - physiopathology ; Brain damage ; Brain Injuries - psychology ; Brain Injuries - rehabilitation ; Clinical outcomes ; Coma ; Coma - rehabilitation ; Consciousness ; Consciousness Disorders - rehabilitation ; Female ; Hospitalization ; Humans ; Logistic Models ; Male ; Middle Aged ; Outcome Assessment (Health Care) ; Psychometrics ; Recovery of Function ; Reproducibility of Results ; ROC Curve ; Sickness Impact Profile</subject><ispartof>Journal of rehabilitation research and development, 2005-01, Vol.42 (1), p.1-17</ispartof><rights>Copyright Superintendent of Documents Jan/Feb 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c374t-ca6dbf86a5d5491a531bf8343f3beb55bd5119bce36147695207d89d310156833</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15742245$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pape, Theresa Louise-Bender</creatorcontrib><creatorcontrib>Heinemann, Allen W</creatorcontrib><creatorcontrib>Kelly, James P</creatorcontrib><creatorcontrib>Hurder, Anita Giobbie</creatorcontrib><creatorcontrib>Lundgren, Sandra</creatorcontrib><title>A measure of neurobehavioral functioning after coma. Part I: Theory, reliability, and validity of Disorders of Consciousness Scale</title><title>Journal of rehabilitation research and development</title><addtitle>J Rehabil Res Dev</addtitle><description>This is longitudinal validation study describes the psychometric properties of the Disorders of Consciousness Scale (DOCS). This is Part I of a two-part series. Part II illustrates and describes the clinical and scientific implementation of the DOCS measure. The study was conducted at one intensive care unit, two acute rehabilitation hospitals, and one long-term acute chronic care hospital. Participants were unconscious after severe brain injury (BI). We conducted interrater reliability analyses using ratings from interdisciplinary pairs. Results indicated a higher-than-expected level of agreement and no significant difference between any pairs ( chi-square = 8(5df), p = 0.15) (df = degrees of freedom). Examinations of ratings by discipline groups indicated that the DOCS is impacted minimally by discipline. Validity analyses demonstrate that 23 of 34 test stimuli remain stable over time with no floor or ceiling effect. DOCS measures obtained within 94 days of injury predicted recovery of consciousness up to 1 year after injury (c-indices of 0.70 and 0.86). Positive (0.71) and negative (0.68) predictive values indicate that the DOCS predicts recovery and lack of recovery. Twenty-three of the DOCS test stimuli produce a reliable, valid, and stable measure of neurobehavioral recovery after severe BI that predicts recovery and lack of recovery of consciousness 1 year after injury.</description><subject>Adult</subject><subject>Brain - physiopathology</subject><subject>Brain damage</subject><subject>Brain Injuries - psychology</subject><subject>Brain Injuries - rehabilitation</subject><subject>Clinical outcomes</subject><subject>Coma</subject><subject>Coma - rehabilitation</subject><subject>Consciousness</subject><subject>Consciousness Disorders - rehabilitation</subject><subject>Female</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Outcome Assessment (Health Care)</subject><subject>Psychometrics</subject><subject>Recovery of Function</subject><subject>Reproducibility of Results</subject><subject>ROC Curve</subject><subject>Sickness Impact Profile</subject><issn>0748-7711</issn><issn>1938-1352</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpdkc1rFTEUxYMo9vn0D3AjwYUrZ8zNx2TGXXn1o1JQal2HTHLHpswkbTJT6Na_3Bn6QHB1OXDO4XB_hLwGVkPT8g_fLi_Pas6YrJmoGRP8CdlBJ9oKhOJPyY5p2VZaA5yQF6XcMMa44PCcnIDSknOpduTPKZ3QliUjTQONuOTU47W9DynbkQ5LdHNIMcTf1A4zZurSZGv6w-aZnn-kV9eY8sN7mnEMtg9jmFdho6f3dgx-VVvpWSgpe8xlE4cUiwtpKRFLoT-dHfEleTbYseCr492TX58_XR2-Vhffv5wfTi8qJ7ScK2cb3w9tY5VXsgOrBKxSSDGIHnuleq8Aut6haEDqplOcad92XgAD1bRC7Mm7x97bnO4WLLOZQnE4jjbiOsg0WupOrP_bk7f_GW_SkuO6zXBQvG0VsNUEjyaXUykZB3Obw2TzgwFmNjpmo2M2OoYJs9FZM2-OxUs_of-XOOIQfwEvN4rg</recordid><startdate>200501</startdate><enddate>200501</enddate><creator>Pape, Theresa Louise-Bender</creator><creator>Heinemann, Allen W</creator><creator>Kelly, James P</creator><creator>Hurder, Anita Giobbie</creator><creator>Lundgren, Sandra</creator><general>Superintendent of Documents</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>7QO</scope><scope>7RV</scope><scope>7TK</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>200501</creationdate><title>A measure of neurobehavioral functioning after coma. 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Part I: Theory, reliability, and validity of Disorders of Consciousness Scale</atitle><jtitle>Journal of rehabilitation research and development</jtitle><addtitle>J Rehabil Res Dev</addtitle><date>2005-01</date><risdate>2005</risdate><volume>42</volume><issue>1</issue><spage>1</spage><epage>17</epage><pages>1-17</pages><issn>0748-7711</issn><eissn>1938-1352</eissn><coden>JRRDDB</coden><abstract>This is longitudinal validation study describes the psychometric properties of the Disorders of Consciousness Scale (DOCS). This is Part I of a two-part series. Part II illustrates and describes the clinical and scientific implementation of the DOCS measure. The study was conducted at one intensive care unit, two acute rehabilitation hospitals, and one long-term acute chronic care hospital. Participants were unconscious after severe brain injury (BI). We conducted interrater reliability analyses using ratings from interdisciplinary pairs. Results indicated a higher-than-expected level of agreement and no significant difference between any pairs ( chi-square = 8(5df), p = 0.15) (df = degrees of freedom). Examinations of ratings by discipline groups indicated that the DOCS is impacted minimally by discipline. Validity analyses demonstrate that 23 of 34 test stimuli remain stable over time with no floor or ceiling effect. DOCS measures obtained within 94 days of injury predicted recovery of consciousness up to 1 year after injury (c-indices of 0.70 and 0.86). Positive (0.71) and negative (0.68) predictive values indicate that the DOCS predicts recovery and lack of recovery. Twenty-three of the DOCS test stimuli produce a reliable, valid, and stable measure of neurobehavioral recovery after severe BI that predicts recovery and lack of recovery of consciousness 1 year after injury.</abstract><cop>United States</cop><pub>Superintendent of Documents</pub><pmid>15742245</pmid><doi>10.1682/JRRD.2004.03.0032</doi><tpages>17</tpages></addata></record> |
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| source | MEDLINE; U.S. Government Documents; EZB-FREE-00999 freely available EZB journals |
| subjects | Adult Brain - physiopathology Brain damage Brain Injuries - psychology Brain Injuries - rehabilitation Clinical outcomes Coma Coma - rehabilitation Consciousness Consciousness Disorders - rehabilitation Female Hospitalization Humans Logistic Models Male Middle Aged Outcome Assessment (Health Care) Psychometrics Recovery of Function Reproducibility of Results ROC Curve Sickness Impact Profile |
| title | A measure of neurobehavioral functioning after coma. Part I: Theory, reliability, and validity of Disorders of Consciousness Scale |
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