Psychometric properties of the Behavioural Outcomes of Anxiety questionnaire in stroke patients with aphasia

Eccles, A; Morris, R; Kneebone, I

Psychometric properties of the Behavioural Outcomes of Anxiety questionnaire in stroke patients with aphasia

Eccles, A Morris, R Kneebone, I

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Publication Type:: Journal Article
Citation:: Clinical Rehabilitation, 2017, 31 (3), pp. 369 - 378
Issue Date:: 2017-03-01

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Field	Value	Language
dc.contributor.author	Eccles, A	en_US
dc.contributor.author	Morris, R	en_US
dc.contributor.author	Kneebone, I https://orcid.org/0000-0003-3324-7264	en_US
dc.date.issued	2017-03-01	en_US
dc.identifier.citation	Clinical Rehabilitation, 2017, 31 (3), pp. 369 - 378	en_US
dc.identifier.issn	0269-2155	en_US
dc.identifier.uri	http://hdl.handle.net/10453/45714
dc.description.abstract	© The Author(s) 2016. Objective: To evaluate the psychometric properties of an observational, carer-completed anxiety screen for aphasic stroke patients. Design: Phase 1: A cross-sectional questionnaire design to establish psychometric properties. Phase 2: A randomized longitudinal design with treatment and control to evaluate sensitivity to change and repeatability/reliability. Subjects: Phase 1: 111 patient-carer dyads were recruited through stroke charities: patient mean age 69.7(10. 7), 6.2(5. 2) years since stroke, 76 male; carer mean age 64.7(12. 2), 27 male. Phase 2. A subsample of 50 dyads (29 completed). Measures: All patients completed the Tension Rating Circles and the Frenchay Aphasia Screening Test. Carers completed the Behavioural Outcomes of Anxiety questionnaire, observational versions of the Hospital Anxiety and Depression Scale (HADS-A) and the Generalised Anxiety Disorder-7, and a feedback questionnaire. Intervention: Phase 2: 25 dyads were offered relaxation training and 25 acted as controls. Results: The Behavioural Outcomes of Anxiety questionnaire correlated.77 with the HADS-A and Cronbach's Alpha was.82 demonstrating validity and internal consistency. Using HADS-A cut-off > 7 as criterion the area under the curve was 0.90 and at cut-off of > 16 sensitivity (0.85) and specificity (0.85) were both good. Scores declined significantly more in a group given anxiety training (n = 12) than in a control group (n = 17), demonstrating sensitivity to change and construct validity. Two-week repeatability/reliability was.92. Feedback suggested the scale was acceptable. Conclusions: The Behavioural Outcomes of Anxiety questionnaire shows promise as an anxiety screen for stroke patients with aphasia and is sensitive to change. Further analysis of dimensionality and discriminant validity is needed.	en_US
dc.relation.ispartof	Clinical Rehabilitation	en_US
dc.relation.isbasedon	10.1177/0269215516644311	en_US
dc.subject.classification	Rehabilitation	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Anxiety Disorders	en_US
dc.subject.mesh	Aphasia	en_US
dc.subject.mesh	Applied Behavior Analysis	en_US
dc.subject.mesh	Caregivers	en_US
dc.subject.mesh	Cross-Sectional Studies	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Observation	en_US
dc.subject.mesh	Psychometrics	en_US
dc.subject.mesh	ROC Curve	en_US
dc.subject.mesh	Reproducibility of Results	en_US
dc.subject.mesh	Stroke	en_US
dc.subject.mesh	Surveys and Questionnaires	en_US
dc.title	Psychometric properties of the Behavioural Outcomes of Anxiety questionnaire in stroke patients with aphasia	en_US
dc.type	Journal Article
utslib.citation.volume	3	en_US
utslib.citation.volume	31	en_US
utslib.for	1701 Psychology	en_US
utslib.for	11 Medical and Health Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Graduate School of Health
utslib.copyright.status	open_access
pubs.issue	3	en_US
pubs.publication-status	Published	en_US
pubs.volume	31	en_US

Abstract:

© The Author(s) 2016. Objective: To evaluate the psychometric properties of an observational, carer-completed anxiety screen for aphasic stroke patients. Design: Phase 1: A cross-sectional questionnaire design to establish psychometric properties. Phase 2: A randomized longitudinal design with treatment and control to evaluate sensitivity to change and repeatability/reliability. Subjects: Phase 1: 111 patient-carer dyads were recruited through stroke charities: patient mean age 69.7(10. 7), 6.2(5. 2) years since stroke, 76 male; carer mean age 64.7(12. 2), 27 male. Phase 2. A subsample of 50 dyads (29 completed). Measures: All patients completed the Tension Rating Circles and the Frenchay Aphasia Screening Test. Carers completed the Behavioural Outcomes of Anxiety questionnaire, observational versions of the Hospital Anxiety and Depression Scale (HADS-A) and the Generalised Anxiety Disorder-7, and a feedback questionnaire. Intervention: Phase 2: 25 dyads were offered relaxation training and 25 acted as controls. Results: The Behavioural Outcomes of Anxiety questionnaire correlated.77 with the HADS-A and Cronbach's Alpha was.82 demonstrating validity and internal consistency. Using HADS-A cut-off > 7 as criterion the area under the curve was 0.90 and at cut-off of > 16 sensitivity (0.85) and specificity (0.85) were both good. Scores declined significantly more in a group given anxiety training (n = 12) than in a control group (n = 17), demonstrating sensitivity to change and construct validity. Two-week repeatability/reliability was.92. Feedback suggested the scale was acceptable. Conclusions: The Behavioural Outcomes of Anxiety questionnaire shows promise as an anxiety screen for stroke patients with aphasia and is sensitive to change. Further analysis of dimensionality and discriminant validity is needed.

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http://hdl.handle.net/10453/45714