A Rasch Analysis of the QOLIBRI Six-Item Overall Scale

Assessment. 2016 Feb;23(1):124-30. doi: 10.1177/1073191115569844. Epub 2015 Feb 11.

Abstract

Objective: The Quality Of Life after BRain Injury (QOLIBRI) consortium has developed a short six-item scale (QOLIBRI-OS) to screen health-related quality of life after traumatic brain injury. The goal of the current study is to examine further psychometric qualities of the Quality Of Life after BRain Injury-Overall Scale (QOLIBRI-OS) at the item level using Rasch analysis with particular emphasis on the operating characteristics of the items.

Method: A total of 921 participants with traumatic brain injury were recruited. The analysis sample was restricted to 795 participants with Glasgow Coma Score and Glasgow Outcome Score-Extended available in order to ensure a well-characterized sample.

Results: Overall fit statistics indicate sufficient reliability of the QOLIBRI-OS. The assumption of unidimensionality could be confirmed with reservation. The range of item locations is small, whereas item thresholds cover a wide range of the latent trait. The majority of parameter estimations for all class intervals of the respective test are in accordance with the model assumptions.

Conclusion: The results show that, despite marginal misfits to the model, the six items representing the QOLIBRI-OS could establish a Rasch scale.

Keywords: Rasch analysis; condition-specific quality of life; health-related quality of life; outcome instrument; traumatic brain injury.

MeSH terms

  • Brain Injuries / physiopathology*
  • Glasgow Coma Scale
  • Humans
  • Psychometrics*
  • Quality of Life*