Institutional members access full text with Ovid®

Share this article on:

Validation of the Quality of Life After Brain Injury in Chinese Persons With Traumatic Brain Injury in Taiwan

Lin, Yen-Nung MD, MS; Chu, Shu-Fen MS; Liang, Wen-Miin PhD; Chiu, Wen-Ta MD, PhD; Lin, Mau-Roung PhD

The Journal of Head Trauma Rehabilitation: January/February 2014 - Volume 29 - Issue 1 - p E37–E47
doi: 10.1097/HTR.0b013e3182816363
Original Articles

Objective: To determine the psychometric properties of the Quality of Life After Brain Injury (QOLIBRI) in Chinese persons with traumatic brain injury (TBI) in Taiwan.

Participants: Three hundred one patients with TBI were interviewed face-to-face at baseline; of these, 132 completed a follow-up assessment 1 year later.

Settings: Neurosurgery clinics of 6 teaching hospitals in northern Taiwan.

Measure: The 37-item QOLIBRI, including 6 domains of Cognition, Self, Daily Life and Autonomy, Social Relationships, Emotions, and Physical Problems.

Results: A small percentage (<1%) of responses were missing, except the Sex Life item under the Social domain (5.9%). The QOLIBRI achieved adequate percentages for the floor value (0%-4%), ceiling value (1%-3.3%), internal consistency (0.79-0.95), and test-retest reliability (0.81-0.89). For construct validity, correlation coefficients (r s) for the QOLIBRI domains and selected clinical measures conceptually related to that domain were all 0.4 or more, except r s for QOLIBRI Cognition and Mini-Mental State Examination scores. A principal components analysis found that one item (Loneliness) of the Emotions domain did not converge with its corresponding domain of the original QOLIBRI (loading score <0.4). Effect sizes of responsiveness to changes in the Glasgow Outcome Scale—Extended over the 1-year period were clinically meaningful for all the QOLIBRI domains except the Emotions domain.

Conclusion: With modifications to the Emotions domain, the QOLIBRI would be suitable for use with Chinese people in Taiwan who have TBI.

Institute of Injury Prevention and Control (Drs Lin, Chu, Chiu, and Lin), and School of Public Health (Dr Chu), College of Public Health and Nutrition, Taipei Medical University, and Department of Physical Medicine and Rehabilitation, Wan-Fang Hospital (Dr Lin), Taipei, and Department of Biostatistics, College of Public Health, China Medical University, Taichung (Dr Liang), and Department of Neurosurgery, Shuang-Ho Hospital, New Taipei City (Dr Chiu), Taiwan, Republic of China.

Corresponding Author: Mau-Roung Lin, PhD, Institute of Injury Prevention and Control, Taipei Medical University, 250 Wu-Hsing St, Taipei, Taiwan 11031, Republic of China (

This work was supported by the National Science Council (NSC100-2314-B-038-025) and the National Health Research Institute (NHRI-EX101-9805PI), Taiwan, Republic of China.

No commercial party having a direct or indirect interest in the subject matter of this research will confer a benefit for the authors or on any organization with which the authors are associated. This material has not previously been presented in any form.

The authors declare no conflicts of interest.

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins