OBJECTIVE Caregivers of individuals with traumatic brain injury (TBI) frequently experience anxiety related to the caregiver role. Often this is due to a caregiver's perceived need to avoid people and situations that might upset or "trigger" the care recipient. There are currently no self-report measures that capture these feelings; thus, this article describes the development and preliminary validation efforts for the TBI-Caregiver Quality of Life (CareQOL) Caregiver Vigilance item bank. DESIGN A sample of 532 caregivers of civilians (n = 218) or service members/veterans (SMVs; n = 314) with TBI completed 32 caregiver vigilance items, other measures of health-related quality of life (RAND-12, Patient-Reported Outcomes Measurement Information System [PROMIS] Depression, PROMIS Social Isolation, Caregiver Appraisal Scale), and the Mayo-Portland Adaptability Inventory-4. RESULTS The final item bank contains 18 items, as supported by exploratory and confirmatory factor analysis, item response theory graded response modeling (GRM), and differential item functioning investigations. Expert review and GRM calibration data informed the selection of a 6-item short form and programming of a computer adaptive test. Internal consistency reliability for the different administration formats were excellent (reliability coefficients ≥ .90). Three-week test-retest stability was supported (i.e., r ≥ .78). Correlations between vigilance and other self-report measures supported convergent and discriminant validity (0.01 ≤ r ≤ .69). Known-groups validity was also supported. CONCLUSIONS The new TBI-CareQOL Caregiver Vigilance computer adaptive test and corresponding 6-item short form were developed using established rigorous measurement development standards, providing the first self-report measure to evaluate caregiver vigilance. This development work indicates that this measure exhibits strong psychometric properties. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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评估创伤性脑损伤后护理人员的警惕性：TBI-CareQOL 护理人员警惕性。

目的 创伤性脑损伤 (TBI) 患者的护理人员经常会经历与护理人员角色相关的焦虑。这通常是由于护理人员认为需要避免可能让护理接受者感到不安或“触发”的人和情况。目前还没有自我报告措施可以捕捉这些感受；因此，本文介绍了 TBI-护理人员生活质量 (CareQOL) 护理人员警惕项目库的开发和初步验证工作。设计 532 名患有 TBI 的平民 (n = 218) 或军人/退伍军人 (SMV; n = 314) 的护理人员样本完成了 32 项护理人员警戒项目以及与健康相关的生活质量的其他衡量标准（RAND-12，患者报告）结果测量信息系统 [PROMIS] 抑郁症、PROMIS 社会隔离、护理人员评估量表）和梅奥-波特兰适应性量表 4。结果 最终项目库包含 18 个项目，并得到探索性和验证性因素分析、项目反应理论分级反应模型 (GRM) 和差异项目功能调查的支持。专家评审和 GRM 校准数据为 6 项简短表格的选择和计算机自适应测试的编程提供了信息。不同管理方式的内部一致性可靠性非常好（可靠性系数≥ .90）。支持三周重测稳定性（即 r ≥ .78）。警惕性和其他自我报告测量之间的相关性支持收敛效度和判别效度（0.01 ≤ r ≤ .69）。已知群体的有效性也得到了支持。结论 新的 TBI-CareQOL 看护者警惕性计算机自适应测试和相应的 6 项简表是使用既定的严格测量开发标准开发的，提供了第一个评估看护者警惕性的自我报告测量。这项开发工作表明该措施表现出很强的心理测量特性。（PsycINFO 数据库记录 (c) 2020 APA，保留所有权利）。