Brain Neurorehabil.  2019 Sep;12(2):e18. 10.12786/bn.2019.12.e18.

Validation of the Japanese Version of the Quality of Life after Brain Injury (QOLIBRI) Scale

  • 1Department of Rehabilitation Sciences, Graduate School of Health Sciences, Fujita Health University, Aichi, Japan.
  • 2Department of Oral Epidemiology, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
  • 3Department of Community-Based Rehabilitation with Robotic Technology, School of Medicine, Fujita Health University, Aichi, Japan.
  • 4KvW Neuroscience Consulting, Münster, Germany.
  • 5Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University, Aichi, Japan.
  • 6Department of Rehabilitation Medicine, National Center for Geriatrics and Gerontology, Aichi, Japan.


The goal of the present study was to test the reliability and validity of the Japanese version of the Quality of Life after Brain Injury (QOLIBRI) scale. Correlations between the QOLIBRI and Glasgow Coma Scale scores, anxiety, depression, general quality of life (QOL), and demographic characteristics were examined to assess scale validity. The structure of the QOLIBRI was investigated with exploratory and confirmatory factor analyses, as well as the Partial Credit Model. Test-retest reliability was assessed over a 2-week interval. Participants were 129 patients with traumatic brain injury (TBI) recruited from rehabilitation centers in Japan. The QOLIBRI showed good-to-excellent internal consistency (Cronbach's α: 0.82-0.96), test-retest reliability, and validity (r = 0.77-0.90). Factor analyses revealed a 6-factor structure. Compared to an international sample (IS), Japanese patients had lower QOLIBRI scores and lower satisfaction in several domains. There were positive correlations between the QOLIBRI scales and the Short Form 36 Health Survey (r = 0.22-0.41). The Japanese version of the QOLIBRI showed good-to-excellent psychometric properties. Differences between JS and IS may reflect sampling bias and cultural norms regarding self-evaluation. The QOLIBRI could be a useful tool for assessing health-related QOL in individuals with TBI.


Quality of life; Japanese, Traumatic brain injury, Cognitive dysfunction

MeSH Terms

Asian Continental Ancestry Group*
Brain Injuries*
Diagnostic Self Evaluation
Glasgow Coma Scale
Health Surveys
Quality of Life*
Rehabilitation Centers
Reproducibility of Results
Selection Bias
Weights and Measures
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