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The psychometric validation of the Dutch version of the Rivermead Post-Concussion Symptoms Questionnaire (RPQ) after traumatic brain injury (TBI)

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  • Anne Marie Plass
  • Dominique Van Praag
  • Amra Covic
  • Anastasia Gorbunova
  • Ruben Real
  • Nicole von Steinbuechel
  • Dutch and Flemish CENTER TBI investigators

Abstract

Background: Traumatic brain injury (TBI) is one of the most common neurological conditions. It can have wide-ranging physical, cognitive and psychosocial effects. Most people recover within weeks to months after the injury, but a substantial proportion are at risk of developing lasting post-concussion symptoms. The Rivermead Post-Concussion Syndrome Questionnaire (RPQ) is a short validated 16-items self-report instrument to evaluate post-concussive symptoms. The aim of this study was to test psychometrics characteristics of the current Dutch translation of the RPQ. Methods: To determine the psychometric characteristics of the Dutch RPQ, 472 consecutive patients six months after they presented with a traumatic brain injury in seven medical centers in the Netherlands (N = 397), and in two in Belgium (Flanders) (N = 75) took part in the study which is part of the large prospective longitudinal observational CENTER-TBI-EU-study. Psychometric properties at six months post TBI, were assessed using exploratory and confirmatory factor analyses. Sensitivity was analyzed by comparing RPQ scores and self-reported recovery status of patients with mild vs. moderate and severe TBI. Findings: The Dutch version of RPQ proved good, showing excellent psychometric characteristics: high internal consistency (Cronbach’s α .93), and good construct validity, being sensitive to self-reported recovery status at six months post TBI. Moreover, data showed a good fit to the three dimensional structure of separate cognitive, emotional and somatic factors (Chi2 = 119; df = 117; p = .4; CFI = .99; RMSEA = .006), reported earlier in the literature. Discussion: Psychometric characteristics of the Dutch version of RPQ proved excellent to good, and can the instrument therefore be applied for research purposes and in daily clinical practice.

Suggested Citation

  • Anne Marie Plass & Dominique Van Praag & Amra Covic & Anastasia Gorbunova & Ruben Real & Nicole von Steinbuechel & Dutch and Flemish CENTER TBI investigators, 2019. "The psychometric validation of the Dutch version of the Rivermead Post-Concussion Symptoms Questionnaire (RPQ) after traumatic brain injury (TBI)," PLOS ONE, Public Library of Science, vol. 14(10), pages 1-15, October.
    • Handle: RePEc:plo:pone00:0210138
    DOI: 10.1371/journal.pone.0210138
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    1. Rosseel, Yves, 2012. "lavaan: An R Package for Structural Equation Modeling," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 48(i02).
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