Psychometric Properties of the Satisfaction With Life Scale in People With Traumatic Brain, Spinal Cord, or Burn Injury: A National Institute on Disability, Independent Living, and Rehabilitation Research Model System Study

Assessment. 2019 Jun;26(4):695-705. doi: 10.1177/1073191117693921. Epub 2017 Feb 1.

Abstract

This study evaluated the measurement properties of the Satisfaction With Life Scale (SWLS) in a sample of 17,897 people with spinal cord injury (48%, n = 8,566), traumatic brain injury (44%, n = 7,941), and burn injury (8%, n = 1,390), 1 year following injury. We examined measurement invariance across the groups, unidimensionality, local independence, reliability from a classical test and item response theory (IRT) framework, and fit to a unidimensional IRT model. The results support unidimensionality and local independence of the SWLS. Reliability was adequate from a classical test and IRT perspective. IRT analysis found that the SWLS could be improved by using only five response categories rather than seven and by removing the fifth item, "If I could live my life over, I would change almost nothing." This item functions poorly and reduces instrument reliability. With these revisions, the SWLS is a useful instrument to monitor an important outcome of trauma rehabilitation.

Keywords: Satisfaction With Life Scale; burn injury; item response theory; measurement invariance; spinal cord injury; traumatic brain injury.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adult
  • Brain
  • Brain Injuries
  • Burns
  • Disabled Persons / psychology*
  • Disabled Persons / rehabilitation
  • Female
  • Humans
  • Independent Living
  • Male
  • Middle Aged
  • Personal Satisfaction*
  • Psychometrics
  • Quality of Life*
  • Rehabilitation Research / methods*
  • Reproducibility of Results
  • Spinal Cord
  • Spinal Cord Injuries
  • Surveys and Questionnaires / standards
  • Wounds and Injuries / psychology*
  • Wounds and Injuries / rehabilitation