The Structure of the Rivermead Post-Concussion Symptoms Questionnaire in Australian Adults with Traumatic Brain Injury

Thomas, Matthew; Skilbeck, Clive; Cannan, Phillipa; Slatyer, Mark

doi:10.1017/brimp.2017.26

Cited by 18 publications

(40 citation statements)

References 55 publications

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“…This could have resulted in differences in driving simulation performance prior to a brain injury. Additionally, although our parameterization of the RPQ is similar to previous research [43], other research indicates the RPQ can be quantified using a four factor model, clustered as vision, vertigo, mood/ somatic and cognitive domains [57]. It is unclear how our parameterization of the RPQ scores may have influenced the findings.…”

Section: Discussionmentioning

confidence: 57%

Impact of Biofeedback Interventions on Driving Performance in Individuals with Persistent Post-Concussive Symptoms

Bonn¹,

Alvarez²,

Thompson³

et al. 2021

Therapy Approaches in Neurological Disorders

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Low resolution electromagnetic tomography (LoRETA) neurofeedback and heart rate variability (HRV) biofeedback may improve driving ability by enhancing attention, impulse control, and peripheral vision, and reducing stress. However, it is unclear whether combined LoRETA neurofeedback and HRV biofeedback can improve driving performance for individuals experiencing persistent post-concussive symptoms (PPCS). In this study, seven individuals with PPCS completed an eight-week LoRETA neurofeedback and HRV biofeedback intervention. Changes in participants’ simulated driving performance and self-reported symptoms were measured and compared to two control groups: individuals with PPCS (n = 9), and healthy control participants (n = 8). Individuals in the intervention and PPCS control groups reported reduced PPCS severity (p < .05) compared to healthy control participants. Interestingly, individuals in the intervention group responded variably. These results indicate that more research is necessary to identify the subgroup of individuals that respond to LoRETA neurofeedback and HRV biofeedback and confirm these preliminary results.

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Section: Discussionmentioning

confidence: 57%

Impact of Biofeedback Interventions on Driving Performance in Individuals with Persistent Post-Concussive Symptoms

Bonn¹,

Alvarez²,

Thompson³

et al. 2021

Therapy Approaches in Neurological Disorders

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“…Our results are in contrast with other studies using both Rasch and factor analysis that have so far lent support to multi-dimensionality, comprising various factor solutions. 11,12,[29][30][31] A previous Rasch study by Eyres and colleagues 11 found evidence of a twodimensional model consisting of a mixture of somatic and psychosomatic symptoms for patients with TBI assessed between 3 and 6 months post-injury. Lannsjö and colleagues 12 in their Rasch analysis employed a combination of item rescoring and the super-item approach, but were not able to resolve underlying issues around significant item-trait interaction noted in the scale.…”

Section: Discussionmentioning

confidence: 99%

Is the Rivermead Post-Concussion Symptoms Questionnaire a Reliable and Valid Measure to Assess Long-Term Symptoms in Traumatic Brain Injury and Orthopedic Injury Patients? A Novel Investigation Using Rasch Analysis

Balalla

Krägeloh

Medvedev

et al. 2020

Neurotrauma Reports

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Persistent post-concussion syndrome (PCS) symptoms are known to last years after traumatic brain injury (TBI), and similar symptoms are increasingly being documented among those who have not experienced a TBI. There remains however, a dearth of empirical evidence on the structural composition of symptoms beyond the postacute symptom phase after TBI, and little is known about the potential use of PCS symptom scales to measure PCS-like symptoms in non-TBI individuals. Our objective was therefore to examine the psychometric performance and dimensionality of the Rivermead Post-Concussion Symptoms Questionnaire (RPQ) as a measure of long-term PCS symptoms among a TBI and non-TBI sample. A case-control sample of 223 patients with injury, consisting of age-and sex-matched TBI participants (n = 109) and orthopedic participants (n = 114) were recruited from a regional trauma registry in New Zealand (NZ), and assessed at mean 2.5 years post-injury. Results from the Rasch analysis showed that the RPQ achieved fit to the Rasch model, demonstrating very good reliability (Person Separation Index [PSI] = 0.87), thereby indicating that the measure can be used reliably for individual and group assessment of symptoms among both TBI and orthopedic patients. In this study we demonstrated evidence of a unidimensional construct of PCS symptoms in both groups, which helps alleviate previous uncertainty about factor structure, and permits the calculation of a total RPQ score. Conversion of ordinal to interval total scores presented within are recommended for clinicians and researchers, to improve instrument precision, and to facilitate the interpretation of change scores and use of parametric methods in data analysis.

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“…The Rivermead Post-Concussion Symptom Scale 19 was used to assess the current experience of post-concussion symptoms (broadly categorised as cognitive, affective and physiological), and has demonstrated reliability and validity for enduring symptoms. 20,21 Participants were asked to rate the degree to which they experience 16 symptom items on a scale of 0 to 4, with higher scores indicating a higher symptom burden. The Negative Affect Repair Questionnaire 22 was used to assess how often people use of a range of 24 different coping strategies on a scale from 0 (never) to (4) always.…”

Section: Methodsmentioning

confidence: 99%

An intervention to improve coping strategies in adult male prisoners with a history of traumatic brain injury: A pilot randomised clinical trial

Mitchell¹,

Preez

Theadom

2021

Clin Rehabil

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Objective: To determine whether a psychological intervention improves coping, post-concussion symptoms and decreases in-prison infractions in adult males with a history of traumatic brain injury. Design: A single centre, randomised, wait-list, pilot study. Setting: A high security prison in New Zealand. Subjects: Fifty-five adult male participants who had experienced at least one traumatic brain injury in their lifetime (mean age 37.29 +/−9.81 years). Intervention: A manualised ten session, in-person, group based combined Cognitive Behavioural Therapy /Mindfulness Based Stress Reduction intervention versus wait list control. Main measures: The Negative Affect Repair Questionnaire and Rivermead Post-concussion Symptom Questionnaire were completed at baseline, post-intervention (five weeks) and at 12 week follow up. In-prison misconduct charges and negative file notes were reviewed for the previous five weeks at each assessment time point. Results: There was an improvement in the use of calming and distraction strategies in the intervention group from baseline ( x̄ = 17.38, SD = 3.57) to post-intervention ( x̄ = 18.67, SD = 3.84) and 12-week follow up ( x̄ = 18.13, SD = 2.63). Participants in the intervention group had significantly higher negative affect repair on the calming and distractive strategies subscale following completion of the intervention, compared to wait-list controls ( F = 4.69, P = 0.04) with a moderate effect size (ηp2 = 0.11). Improvements in use of calming and distractive strategies was not sustained at the twelve-week follow-up ( F = 0.87, P = 0.36). There was no-significant improvement on other negative affect subscales or for post-concussion symptoms or decrease in-prison infractions. Conclusion: A manualised psychological intervention may have the potential to facilitate the development of positive coping strategies in prisoners with a history of traumatic brain injury.

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The Structure of the Rivermead Post-Concussion Symptoms Questionnaire in Australian Adults with Traumatic Brain Injury

Cited by 18 publications

References 55 publications

Impact of Biofeedback Interventions on Driving Performance in Individuals with Persistent Post-Concussive Symptoms

Impact of Biofeedback Interventions on Driving Performance in Individuals with Persistent Post-Concussive Symptoms

Is the Rivermead Post-Concussion Symptoms Questionnaire a Reliable and Valid Measure to Assess Long-Term Symptoms in Traumatic Brain Injury and Orthopedic Injury Patients? A Novel Investigation Using Rasch Analysis

An intervention to improve coping strategies in adult male prisoners with a history of traumatic brain injury: A pilot randomised clinical trial

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