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Journal of Head Trauma Rehabilitation:
doi: 10.1097/HTR.0b013e3181fc042c
Original Articles

Spanish, French, and British Cross-Cultural Validation of the European Brain Injury Questionnaire

Caracuel, Alfonso PhD; Bateman, Andrew PhD; Teasdale, Thomas W. PhD; Verdejo-García, Antonio PhD; Pérez-García, Miguel PhD

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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.

© 2011 Lippincott Williams & Wilkins, Inc.


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