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Informant Report of Financial Capacity for Individuals With Chronic Acquired Brain Injury: An Assessment of Informant Accuracy
Journal article   Open access   Peer reviewed

Informant Report of Financial Capacity for Individuals With Chronic Acquired Brain Injury: An Assessment of Informant Accuracy

Preeti Sunderaraman, Stephanie Cosentino, Karen Lindgren, Angela James and Maria Schultheis
The journal of head trauma rehabilitation, v 33(6), pp E85-E94
Nov 2018
PMID: 29601341
url
https://europepmc.org/articles/pmc6163092View
Accepted (AM)Open Access (License Unspecified) Open
url
https://doi.org/10.1097/HTR.0000000000000382View
Published, Version of Record (VoR) Open

Abstract

Adult Brain Injury, Chronic - complications Cognition Disorders - diagnosis Cross-Sectional Studies Female Financial Management Humans Interview, Psychological Male Mental Competency Middle Aged Neuropsychological Tests
Primarily, to investigate the association between informant report and objective performance on specific financial capacity (FC) tasks by adults with chronic, moderate to severe acquired brain injury, and to examine the nature of misestimates by the informants. Cross-sectional design. A postacute, community-based rehabilitation center. Data were obtained from 22 chronic acquired brain injury (CABI) adults, mean age of 46.6 years (SD = 8.67), mean years of education of 13.45 years (SD = 2.15), with moderate to severe acquired brain injury (86% had traumatic brain injury), with a mean postinjury period of 17.14 years (SD = 9.5). Whereas the CABI adults completed the Financial Competence Assessment Inventory interview-a combination of self-report and performance-based assessment, 22 informants completed a specifically designed parallel version of the interview. Pearson correlations and 1-sample t tests based on the discrepancy scores between informant report and CABI group's performance were used. The CABI group's performance was not associated with its informant's perceptions. One-sample t tests revealed that informants both underestimated and overestimated CABI group's performance. Results indicate lack of correspondence between self- and informant ratings. Further investigation revealed that misestimations by informants occurred in contrary directions with CABI adults' performance being inaccurately rated. These findings raise critical issues related to assuming that the informant report can be used as a "gold standard" for collecting functional data related to financial management, and the idea that obtaining objective data on financial tasks may represent a more valid method of assessing financial competency in adults with brain injury.

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Collaboration types
Domestic collaboration
Web of Science research areas
Clinical Neurology
Rehabilitation
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