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  4. Linking scores on the 4- and 5-item versions of the Satisfaction with Life Scale in people with traumatic brain, spinal cord, or burn injury: a National Institute on Disability, Independent Living, and Rehabilitation Research Model System study

Linking scores on the 4- and 5-item versions of the Satisfaction with Life Scale in people with traumatic brain, spinal cord, or burn injury: a National Institute on Disability, Independent Living, and Rehabilitation Research Model System study

Journal of Patient-Reported Outcomes, 2021 · DOI: https://doi.org/10.1186/s41687-021-00335-9 · Published: June 29, 2021

Mental HealthTraumaRehabilitation

Simple Explanation

This study addresses how to compare scores on the Satisfaction With Life Scale (SWLS) when using a shorter, four-item version instead of the standard five-item version, particularly for people with traumatic injuries. The researchers used a method called "proration" to estimate what a person's score would be on the five-item scale if they only answered the four-item scale. This proration method involves adding the average of the four items' scores to the total of those four items, effectively imputing the missing fifth item.

Study Duration
1989-2015
Participants
17,897 (SCI n = 8566, TBI n = 7941, and Burn n = 1390) participants
Evidence Level
Not specified

Key Findings

  • 1
    The study found that proration is a reliable way to link scores between the four-item and five-item versions of the SWLS in people with spinal cord injury (SCI), traumatic brain injury (TBI), and burn injury.
  • 2
    The correlation between the prorated scores and the directly derived scores was very high (r = 0.97), and the intraclass correlation coefficient (ICC) indicated excellent reliability (ICC = 0.97).
  • 3
    Most participants (93%) had score differences of less than 4 points between the prorated and directly derived scores, indicating good agreement between the two scoring methods.

Research Summary

This study provides a method for researchers and clinicians to use a four-item version of the Satisfaction With Life Scale (SWLS) in traumatic injury populations while still being able to compare scores with data collected using the standard five-item version. The researchers found that a simple proration approach, which involves imputing the missing fifth item by averaging the scores of the four items, is a reliable way to estimate the full SWLS score. The study demonstrates that this proration method can be easily implemented and provides clear guidance for traumatic injury researchers or clinicians on how to apply the proration scoring approach.

Practical Implications

Maintaining Continuity

Allows comparison with previous SWLS data.

Improved Scale Functioning

Addresses concerns about the appropriateness of the fifth item.

Practical Implementation

Proration can be easily implemented by clinicians and researchers.

Study Limitations

  • 1
    The study only included individuals with moderate to severe traumatic injuries treated in Model System centers.
  • 2
    Individual differences of four points or less could be due to random error or attributed to linking.
  • 3
    Future studies should also examine the acceptability and reliability of the fifth item in other non-trauma populations

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