Can Sport Concussion Assessment Tool (SCAT) Symptom Scores Be Converted to Rivermead Post-concussion Symptoms Questionnaire (RPQ) Scores and Vice Versa? Findings From the Toronto Concussion Study

Frontiers in Sports and Active Living

Elizabeth L. Inness¹  Mark T. Bayley²  Seyed Mohammad Alavinia²  David W. Lawrence³  Lesley Ruttan⁴  Laura Kathleen Langer⁵  Paul Comper⁶  Evan Foster⁷  Alice Kam⁷  Tharshini Chandra⁷  Alan Tam⁸  Cristina Saverino⁸ 

[1] Department of Physical Therapy, University of Toronto, Toronto, ON, Canada;Division of Physical Medicine and Rehab, Faculty of Medicine, University of Toronto, Toronto, ON, Canada;Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, ON, Canada;Graduate Department of Psychological Clinical Science, University of Toronto Scarborough, Toronto, ON, Canada;KITE Toronto Rehabilitation Institute, University Health Network Toronto, Toronto, ON, Canada;Rehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada;Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada;Toronto Western Hospital, University Health Network, Toronto, ON, Canada;

关键词: concussion;    Sport Concussion Assessment Tool (SCAT5);    Rivermead Post-concussion Questionnaire;    conversion equation;    mild traumatic brain injuries;    sports related concussion;   

DOI  :  10.3389/fspor.2021.737402

来源: DOAJ

【 摘 要 】

Background: The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) and the Sports Concussion Assessment Tool (SCAT) are widely used self-report tools assessing the type, number, and severity of concussion symptoms. There are overlapping symptoms and domains, though they are scored differently. The SCAT consists of 22 questions with a 7-point Likert scale for a total possible score 132. The RPQ has 16 questions and a 5-point Likert scale for a total of 64 possible points. Being able to convert between the two scores would facilitate comparison of results in the concussion literature.Objectives: To develop equations to convert scores on the SCAT to the RPQ and vice versa.Methods: Adults (17–85 years) diagnosed with a concussion at a referring emergency department were seen in the Hull-Ellis Concussion and Research Clinic, a rapid access concussion clinic at Toronto Rehab–University Health Network (UHN) Toronto Canada, within 7 days of injury. The RPQ and SCAT symptom checklists as well as demographic questionnaires were administered to all participants at Weeks 1, 2, 3, 4, 5, 6, 7, 8, 12, 16.Results: 215 participants had 1,168 matched RPQ and SCAT assessments. Total scores of the RPQ and the SCAT had a rho = 0.91 (p < 0.001); correlations were lower for sub-scores of specific symptom domains (range 0.74–0.87, p < 0.001 for all domain comparisons). An equation was derived to calculate SCAT scores using the number and severity of symptoms on the RPQ. Estimated scores were within 3 points of the observed total score on the SCAT. A second equation was derived to calculate the RPQ from the proportion weighted total score of the SCAT. This equation estimated corresponding scores within 3 points of the observed score on the RPQ.Conclusions: The RPQ and SCAT symptom checklists total scores are highly correlated and can be used to estimate the total score on the corresponding assessment. The symptom subdomains are also strongly correlated between the 2 scales however not as strongly correlated as the total score. The equations will enable researchers and clinicians to quickly convert between the scales and to directly compare concussion research findings.

【 授权许可】

Unknown