The Insight Interview: a new tool for measuring deficits in awareness after traumatic brain injury

Malouf, Tania, Langdon, Robyn and Taylor, Alan (2014) The Insight Interview: a new tool for measuring deficits in awareness after traumatic brain injury. Brain Injury, 28 12: 1523-1541. doi:10.3109/02699052.2014.922700

Author Malouf, Tania
Langdon, Robyn
Taylor, Alan
Title The Insight Interview: a new tool for measuring deficits in awareness after traumatic brain injury
Journal name Brain Injury   Check publisher's open access policy
ISSN 0269-9052
Publication date 2014-01
Sub-type Article (original research)
DOI 10.3109/02699052.2014.922700
Open Access Status
Volume 28
Issue 12
Start page 1523
End page 1541
Total pages 19
Place of publication London, United Kingdom
Publisher Informa Healthcare
Collection year 2015
Language eng
Formatted abstract
Objective: Awareness deficits are common after traumatic brain injury (TBI); however, relatively little is known of awareness deficits in the early stages post-injury. This study outlines the development of a new tool, ‘The Insight Interview’, designed to measure awareness across different domains (awareness of change, severity of deficits, current and future functional consequences) from 3 months post-TBI.

Methods: Forty-three patients with at least a severe TBI, their nominated family member and treating clinician were all administered different versions of the Insight Interview during the patient’s inpatient stay. Awareness was measured; (1) by calculating a discrepancy score between the patient’s and their family informant’s and/or clinician’s ratings of the patient’s
abilities and (2) using interviewer-based ratings of the patients’ responses to interview questions.

Results: Awareness differed depending upon the domain being assessed, with patients demonstrating greatest awareness in the current functional consequences domain. Evidence for a distinction between awareness of current and future functional consequences of impairments was also seen. Discrepancy scores and interviewer-based ratings showed good concordance. Adequate reliability and validity was demonstrated.

Conclusion: The Insight Interview is a useful and valid tool for measuring awareness in the acute stages following TBI and highlights that awareness depends on domain assessed.
Keyword Assessment
Psychometric assessment
Traumatic brain injury
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Non HERDC
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