A Scoping Review of Self-Awareness Instruments for Acquired Brain Injury

摘要

Background: Self-awareness and insight are critical functions required to maintain safe and optimal participation in all daily life activities in a variety of environmental contexts. In the past two decades, occupational therapists have developed several psychometrically sound assessments designed to identify self-awareness and insight deficits in patients with neurological disorders. This scoping review identifies and evaluates key properties of such assessments to inform clinical practice. Method: Multiple electronic databases were searched using the key search terms of “self-awareness” and “self-awareness assessment,” and “insight” and “insight assessment.” Included studies were original primary sources from the peer-reviewed journals. Results: Nine assessments met the inclusion criteria: Assessment of Awareness of Disability, Awareness Interview, Awareness Questionnaire, Insight Interview, Patient Competency Rating Scale, Patient Competency Rating Scale for Neuro-Rehabilitation, Patient Distress Scale, Self-Awareness of Deficits Interview, and Self-Regulation Skills Interview. Each assessment is reviewed in detail regarding its purpose, administration time, format, type of awareness assessed, psychometric properties, and advantages and disadvantages. Conclusions: Although all nine assessments are psychometrically sound, some may hold more usefulness for occupational therapists depending on a variety of factors, including patient cognitive level and activity tolerance and clinical setting and time constraints.