title: The insight interview: a new tool for measuring deficits in awareness after traumatic brain injury.
abstract: OBJECTIVE
  Awareness deficits are common after traumatic brain injury (TBI); however, relatively little is known of awareness deficits in the early stages post-injury. This study outlines the development of a new tool, 'The Insight Interview', designed to measure awareness across different domains (awareness of change, severity of deficits, current and future functional consequences) from 3 months post-TBI.
  
  
  METHODS
  Forty-three patients with at least a severe TBI, their nominated family member and treating clinician were all administered different versions of the Insight Interview during the patient's inpatient stay. Awareness was measured; (1) by calculating a discrepancy score between the patient's and their family informant's and/or clinician's ratings of the patient's abilities and (2) using interviewer-based ratings of the patients' responses to interview questions.
  
  
  RESULTS
  Awareness differed depending upon the domain being assessed, with patients demonstrating greatest awareness in the current functional consequences domain. Evidence for a distinction between awareness of current and future functional consequences of impairments was also seen. Discrepancy scores and interviewer-based ratings showed good concordance. Adequate reliability and validity was demonstrated.
  
  
  CONCLUSIONS
  The Insight Interview is a useful and valid tool for measuring awareness in the acute stages following TBI and highlights that awareness depends on domain assessed.
authors.affiliation: Queensland Paediatric Rehabilitation Service, Royal Children's Hospital , Brisbane , Australia .
authors.forename: Tania
authors.initials: T
authors.lastname: Malouf
authors.forename: Robyn
authors.initials: R
authors.lastname: Langdon
authors.forename: Alan
authors.initials: A
authors.lastname: Taylor
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D001364:Awareness; D001930:Brain Injuries / Q000150:complications / Q000503:physiopathology* / Q000523:psychology; D003072:Cognition Disorders / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology*; D005190:Family; D005260:Female; D006801:Humans; D008297:Male; D008570:Memory, Short-Term; D009483:Neuropsychological Tests; D010552:Personality Assessment; D011340:Problem Solving; D015203:Reproducibility of Results; D012647:Self-Assessment; D011795:Surveys and Questionnaires
keywords: Assessment; psychometric assessment; self-awareness; traumatic brain injury