Quality of life after traumatic brain injury: Finnish experience of the QOLIBRI in residential rehabilitation


Siponkoski S, Wilson JTL, Von Steinbuchel N, Sarajuuri J & Koskinen S (2013) Quality of life after traumatic brain injury: Finnish experience of the QOLIBRI in residential rehabilitation. Journal of Rehabilitation Medicine, 45 (8), pp. 835-842.

Objective: To evaluate health-related quality of life of traumatic brain injury patients who have received intensive multidisciplinary residential rehabilitation. To examine the psychometric characteristics of the Finnish Quality of Life after Brain Injury (QOLIBRI) questionnaire. Subjects: A total of 157 adults with TBI, up to 15 years post-injury, who had been treated in the Käpylä Rehabilitation Centre, Helsinki, Finland. Methods: Functional status was assessed using the Extended Glasgow Outcome Scale. Emotional state was evaluated using the Hospital Anxiety and Depression Scale. Health-related quality of life was measured using a generic measure (Short Form-36) and the QOLIBRI. Results: Quality of life was related to depression, amount of help needed, anxiety, education level and age at injury. Quality of life was not associated with time since injury, but a paradoxical relationship was found with injury severity. Internal consistency (alpha = 0.79-0.95) and test-retest reliability (rtt = 0.75-0.87) of the Finnish QOLIBRI met standard psychometric criteria. Conclusion: Quality of life remained relatively stable in the long term. Milder injuries were associated with lower life satisfaction, and careful follow-up is recommended to target patients in special need. This study confirms the reliability and validity of the Finnish QOLIBRI.

Health-Related Quality of Life; Outcome Assessment; Psychometrics; Rehabilitation; Traumatic Brain Injury

Journal of Rehabilitation Medicine: Volume 45, Issue 8

Publication date30/09/2013
PublisherMedical Journals Limited