Inter-rater reliability of the Dysexecutive Questionnaire (DEX): comparative data from non-clinician respondents-all raters are not equal.

Abstract:

PRIMARY OBJECTIVE:The Dysexecutive Questionnaire (DEX) is used to obtain information about executive and emotional problems after neuropathology. The DEX is self-completed by the patient (DEX-S) and an independent rater such as a family member (DEX-I). This study examined the level of inter-rater agreement between either two or three non-clinician raters on the DEX-I in order to establish the reliability of DEX-I ratings. METHODS AND PROCEDURES:Family members and/or carers of 60 people with mixed neuropathology completed the DEX-I. For each patient, DEX-I ratings were obtained from either two or three raters who knew the person well prior to brain injury. MAIN OUTCOMES AND RESULTS:This study obtained two independent-ratings for 60 patients and three independent-ratings for 36 patients. Intra-class correlations revealed that there was only a modest level of agreement for items, sub-scale and total DEX scores between raters for their particular family member. Several individual DEX items had low reliability and ratings for the emotion sub-scale had the lowest level of agreement. CONCLUSIONS:Independent DEX ratings completed by two or more non-clinician raters show only moderate correlation. Suggestions are made for improving the reliability of DEX-I ratings.

journal_name

Brain Inj

journal_title

Brain injury

authors

Barker LA,Morton N,Morrison TG,McGuire BE

doi

10.3109/02699052.2011.597046

subject

Has Abstract

pub_date

2011-01-01 00:00:00

pages

997-1004

issue

10

eissn

0269-9052

issn

1362-301X

journal_volume

25

pub_type

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