Psychiatric Bulletin (2005) 29: 53-55. doi: 10.1192/pb.29.2.53
© 2005 The Royal College of Psychiatrists
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Psychiatric Bulletin (2005) 29: 53-55
© 2005 The Royal College of Psychiatrists

HoNOS—ABI: a reliable outcome measure of neuropsychiatric sequelae to brain injury?

S. Fleminger, Consultant Neuropsychiatrist

Lishman Brain Injury Unit, Maudsley Hospital, Denmark Hill, London, SE5 8AZ (e-mail: s.fleminger{at}lop.kcl.ac.uk)

E. Leigh, Research Assistant

Lishman Brain Injury Unit, Maudsley Hospital, London

P. Eames, Consultant Neuropsychiatrist

Grafton Manor, Towcester

L. Langrell, Associate Specialist in Psychiatry

Robert Ferguson Unit, Royal Edinburgh Hospital, Edinburgh

R. Nagraj, Consultant Neuropsychiatrist

Kemsley Division, St Andrew’s Hospital, Northampton

S. Logsdail, Consultant Psychiatrist

Campbell Unit, Hospital Campus, Milton Keynes

Declaration of interest

None.

AIMS AND METHOD

The Health of the Nation Outcome Scale for Acquired Brain Injury (HoNOS—ABI) is a relatively new outcome measure designed to assess the neuropsychiatric sequelae of brain damage. This study investigated the interrater reliability of this scale. Fifty patients with traumatic brain injury receiving rehabilitation were each rated twice on the HoNOS—ABI, by two different raters. There were 24 raters in total.

RESULTS

Weighted kappa values ranged from 0.43 to 0.84 and intraclass correlation coefficients from 0.58 to 0.97 for the ten items assessed.This indicated that agreement was moderate to substantial for all items.

CLINICAL IMPLICATIONS

The scales consistently measured the items of interest across different raters. This indicates that HoNOS—ABI is a reliable outcome measure when applied by different raters in routine clinical practice.