Psychometric validation and cultural adaptation of the Persian Galveston orientation and amnesia test and orientation-log for assessing traumatic brain injury

Abstract Post-traumatic amnesia (PTA) is a common symptom of acute traumatic brain injury (TBI). The Galveston Amnesia and Orientation Test (GOAT) and Orientation-Log (O-Log) are commonly used assessment tools to evaluate PTA following TBI. In this study, we aimed to validate the Persian versions of...

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Main Authors: Mohammad Eghbali, Mahgol Sadat Hassan Zadeh Tabatabaei, Mitra Movahed, Vali Baigi, Mohammad Rahimkhani, Amirhossein Masoumipour, Mahdi Sharif-Alhoseini
Format: Article
Language:English
Published: Nature Portfolio 2025-02-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-85923-1
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author Mohammad Eghbali
Mahgol Sadat Hassan Zadeh Tabatabaei
Mitra Movahed
Vali Baigi
Mohammad Rahimkhani
Amirhossein Masoumipour
Mahdi Sharif-Alhoseini
author_facet Mohammad Eghbali
Mahgol Sadat Hassan Zadeh Tabatabaei
Mitra Movahed
Vali Baigi
Mohammad Rahimkhani
Amirhossein Masoumipour
Mahdi Sharif-Alhoseini
author_sort Mohammad Eghbali
collection DOAJ
description Abstract Post-traumatic amnesia (PTA) is a common symptom of acute traumatic brain injury (TBI). The Galveston Amnesia and Orientation Test (GOAT) and Orientation-Log (O-Log) are commonly used assessment tools to evaluate PTA following TBI. In this study, we aimed to validate the Persian versions of both scales. The forward-backward translation method was used, and a panel of experts, including three neuroscientists, one epidemiologist, and four lay experts with TBI experience, evaluated the scales. A total of 140 mild TBI patients aged 12 years and older were subsequently assessed with scales. Reliability was assessed using two approaches including Cronbach’s Alpha and Intraclass Correlation Coefficient (ICC). The total ICCs were 0.870 (95% CI: 0.818–0.907) and 0.687 (95% CI: 0.564–0.776) for the GOAT and O-Log, respectively. The Cronbach’s alpha values for the GOAT and O-Log were 0.64 and 0.75, respectively. A significant correlation was also found between the GOAT score and the O-Log (r = 0.729, p < 0.001). The Persian GOAT and O-Log were validated as reliable tools for monitoring TBI patients’ orientation. The interviews revealed significant cultural considerations that must be considered when the scales are translated and validated to ensure their validity and reliability in diverse cultural contexts and prevent bias.
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spelling doaj-art-5186ceac820d4c78b685351b376ff2aa2025-02-09T12:31:36ZengNature PortfolioScientific Reports2045-23222025-02-011511710.1038/s41598-025-85923-1Psychometric validation and cultural adaptation of the Persian Galveston orientation and amnesia test and orientation-log for assessing traumatic brain injuryMohammad Eghbali0Mahgol Sadat Hassan Zadeh Tabatabaei1Mitra Movahed2Vali Baigi3Mohammad Rahimkhani4Amirhossein Masoumipour5Mahdi Sharif-Alhoseini6Department of Nursing, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical SciencesSina Trauma and Surgery Research Center, Sina Hospital, Tehran University of Medical SciencesDepartment of Psychology, Jeffery Cheah School of Medicine & Health Sciences, Monash UniversitySina Trauma and Surgery Research Center, Sina Hospital, Tehran University of Medical SciencesDepartment of Medical Surgical Nursing, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical SciencesStudent Research Committee, Torbat Heydariyeh University of Medical SciencesSina Trauma and Surgery Research Center, Sina Hospital, Tehran University of Medical SciencesAbstract Post-traumatic amnesia (PTA) is a common symptom of acute traumatic brain injury (TBI). The Galveston Amnesia and Orientation Test (GOAT) and Orientation-Log (O-Log) are commonly used assessment tools to evaluate PTA following TBI. In this study, we aimed to validate the Persian versions of both scales. The forward-backward translation method was used, and a panel of experts, including three neuroscientists, one epidemiologist, and four lay experts with TBI experience, evaluated the scales. A total of 140 mild TBI patients aged 12 years and older were subsequently assessed with scales. Reliability was assessed using two approaches including Cronbach’s Alpha and Intraclass Correlation Coefficient (ICC). The total ICCs were 0.870 (95% CI: 0.818–0.907) and 0.687 (95% CI: 0.564–0.776) for the GOAT and O-Log, respectively. The Cronbach’s alpha values for the GOAT and O-Log were 0.64 and 0.75, respectively. A significant correlation was also found between the GOAT score and the O-Log (r = 0.729, p < 0.001). The Persian GOAT and O-Log were validated as reliable tools for monitoring TBI patients’ orientation. The interviews revealed significant cultural considerations that must be considered when the scales are translated and validated to ensure their validity and reliability in diverse cultural contexts and prevent bias.https://doi.org/10.1038/s41598-025-85923-1Traumatic brain injuryPost-traumatic amnesiaGalveston amnesia and orientation testOrientation-log testValidityReliability
spellingShingle Mohammad Eghbali
Mahgol Sadat Hassan Zadeh Tabatabaei
Mitra Movahed
Vali Baigi
Mohammad Rahimkhani
Amirhossein Masoumipour
Mahdi Sharif-Alhoseini
Psychometric validation and cultural adaptation of the Persian Galveston orientation and amnesia test and orientation-log for assessing traumatic brain injury
Scientific Reports
Traumatic brain injury
Post-traumatic amnesia
Galveston amnesia and orientation test
Orientation-log test
Validity
Reliability
title Psychometric validation and cultural adaptation of the Persian Galveston orientation and amnesia test and orientation-log for assessing traumatic brain injury
title_full Psychometric validation and cultural adaptation of the Persian Galveston orientation and amnesia test and orientation-log for assessing traumatic brain injury
title_fullStr Psychometric validation and cultural adaptation of the Persian Galveston orientation and amnesia test and orientation-log for assessing traumatic brain injury
title_full_unstemmed Psychometric validation and cultural adaptation of the Persian Galveston orientation and amnesia test and orientation-log for assessing traumatic brain injury
title_short Psychometric validation and cultural adaptation of the Persian Galveston orientation and amnesia test and orientation-log for assessing traumatic brain injury
title_sort psychometric validation and cultural adaptation of the persian galveston orientation and amnesia test and orientation log for assessing traumatic brain injury
topic Traumatic brain injury
Post-traumatic amnesia
Galveston amnesia and orientation test
Orientation-log test
Validity
Reliability
url https://doi.org/10.1038/s41598-025-85923-1
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