{"id":"https://openalex.org/W7225401209","doi":"https://doi.org/10.1044/2026_ajslp-26-00133","title":"Measuring Meaning and Purpose in Rehabilitation: Validating the Presence of Meaning Subscale in Adults With Mild Traumatic Brain Injury","display_name":"Measuring Meaning and Purpose in Rehabilitation: Validating the Presence of Meaning Subscale in Adults With Mild Traumatic Brain Injury","publication_year":2026,"publication_date":"2026-11-06","ids":{"openalex":"https://openalex.org/W7225401209","doi":"https://doi.org/10.1044/2026_ajslp-26-00133","pmid":"https://pubmed.ncbi.nlm.nih.gov/42992990"},"language":"en","primary_location":{"id":"doi:10.1044/2026_ajslp-26-00133","doi":"https://doi.org/10.1044/2026_ajslp-26-00133","is_oa":false,"landing_page_url":"https://doi.org/10.1044/2026_ajslp-26-00133","pdf_url":null,"source":{"id":"https://openalex.org/S50443188","display_name":"American Journal of Speech-Language Pathology","issn_l":"1058-0360","issn":["1058-0360","1558-9110"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-c","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320281","host_organization_name":"American Speech\u2013Language\u2013Hearing Association","host_organization_lineage":["https://openalex.org/P4310320281"],"host_organization_lineage_names":["American Speech\u2013Language\u2013Hearing Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Speech-Language Pathology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5069099331","display_name":"Natalie V. Covington","orcid":"https://orcid.org/0000-0002-0016-2654","observed_orcids":["https://orcid.org/0000-0002-0016-2654"]},"institutions":[{"id":"https://openalex.org/I130238516","display_name":"University of Minnesota","ror":"https://ror.org/017zqws13","country_code":"US","type":"education","lineage":["https://openalex.org/I130238516"]},{"id":"https://openalex.org/I1326929380","display_name":"Allina Health","ror":"https://ror.org/04esegk75","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1326929380"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Natalie V. Covington","raw_affiliation_strings":["Courage Kenny Rehabilitation Institute, Allina Health, Minneapolis, MN","Department of Speech-Language-Hearing Sciences, University of Minnesota, Minneapolis, MN"],"raw_orcid":"https://orcid.org/0000-0002-0016-2654","affiliations":[{"raw_affiliation_string":"Courage Kenny Rehabilitation Institute, Allina Health, Minneapolis, MN","institution_ids":["https://openalex.org/I1326929380"]},{"raw_affiliation_string":"Department of Speech-Language-Hearing Sciences, University of Minnesota, Minneapolis, MN","institution_ids":["https://openalex.org/I130238516"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5037562893","display_name":"Yalian Pei","orcid":"https://orcid.org/0000-0001-8666-100X","observed_orcids":["https://orcid.org/0000-0001-8666-100X"]},"institutions":[{"id":"https://openalex.org/I70983195","display_name":"Syracuse University","ror":"https://ror.org/025r5qe02","country_code":"US","type":"education","lineage":["https://openalex.org/I70983195"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Yalian Pei","raw_affiliation_strings":["Department of Communication Sciences and Disorders, Syracuse University, NY"],"raw_orcid":"https://orcid.org/0000-0001-8666-100X","affiliations":[{"raw_affiliation_string":"Department of Communication Sciences and Disorders, Syracuse University, NY","institution_ids":["https://openalex.org/I70983195"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5087855728","display_name":"Mary Vining Radomski","orcid":"https://orcid.org/0000-0003-0600-4494","observed_orcids":["https://orcid.org/0000-0003-0600-4494"]},"institutions":[{"id":"https://openalex.org/I1326929380","display_name":"Allina Health","ror":"https://ror.org/04esegk75","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1326929380"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mary Vining Radomski","raw_affiliation_strings":["Courage Kenny Rehabilitation Institute, Allina Health, Minneapolis, MN"],"raw_orcid":"https://orcid.org/0000-0003-0600-4494","affiliations":[{"raw_affiliation_string":"Courage Kenny Rehabilitation Institute, Allina Health, Minneapolis, MN","institution_ids":["https://openalex.org/I1326929380"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"1","last_page":"13"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10416","display_name":"Traumatic Brain Injury Research","score":0.9599999785423279,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10416","display_name":"Traumatic Brain Injury Research","score":0.9599999785423279,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10475","display_name":"Psychological Well-being and Life Satisfaction","score":0.0142000000923872,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10178","display_name":"Cancer survivorship and care","score":0.0031999999191612005,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/meaning-in-life","display_name":"meaning in life","score":0.9589999914169312},{"id":"https://openalex.org/keywords/meaning-of-life","display_name":"meaning of life","score":0.9580000042915344},{"id":"https://openalex.org/keywords/mild-traumatic-brain-injury","display_name":"mild traumatic brain injury","score":0.9940000176429749},{"id":"https://openalex.org/keywords/psychometric-validation","display_name":"psychometric validation","score":0.9480000138282776},{"id":"https://openalex.org/keywords/construct-validity","display_name":"construct validity","score":0.8149999976158142},{"id":"https://openalex.org/keywords/internal-consistency","display_name":"internal consistency","score":0.765999972820282},{"id":"https://openalex.org/keywords/protective-factors","display_name":"protective factors","score":0.5759999752044678},{"id":"https://openalex.org/keywords/brain-injury-rehabilitation","display_name":"brain injury rehabilitation","score":0.7020000219345093},{"id":"https://openalex.org/keywords/adults","display_name":"adults","score":0.45399999618530273}],"concepts":[{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.7389000058174133},{"id":"https://openalex.org/C2780876879","wikidata":"https://www.wikidata.org/wiki/Q3054749","display_name":"Meaning (existential)","level":2,"score":0.7045000195503235},{"id":"https://openalex.org/C2781017439","wikidata":"https://www.wikidata.org/wiki/Q1995526","display_name":"Traumatic brain injury","level":2,"score":0.5171999931335449},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.5130000114440918},{"id":"https://openalex.org/C2780801425","wikidata":"https://www.wikidata.org/wiki/Q5164392","display_name":"Construct (python library)","level":2,"score":0.5130000114440918},{"id":"https://openalex.org/C40722632","wikidata":"https://www.wikidata.org/wiki/Q5160137","display_name":"Confirmatory factor analysis","level":3,"score":0.4875999987125397},{"id":"https://openalex.org/C165957694","wikidata":"https://www.wikidata.org/wiki/Q5421350","display_name":"Exploratory factor analysis","level":3,"score":0.48410001397132874},{"id":"https://openalex.org/C49453240","wikidata":"https://www.wikidata.org/wiki/Q1592163","display_name":"Construct validity","level":3,"score":0.4562999904155731},{"id":"https://openalex.org/C121244757","wikidata":"https://www.wikidata.org/wiki/Q1783487","display_name":"Convergent validity","level":4,"score":0.40790000557899475},{"id":"https://openalex.org/C171606756","wikidata":"https://www.wikidata.org/wiki/Q506132","display_name":"Psychometrics","level":2,"score":0.391400009393692},{"id":"https://openalex.org/C138496976","wikidata":"https://www.wikidata.org/wiki/Q175002","display_name":"Developmental psychology","level":1,"score":0.39089998602867126},{"id":"https://openalex.org/C3018868096","wikidata":"https://www.wikidata.org/wiki/Q2693233","display_name":"Internal consistency","level":3,"score":0.3677000105381012},{"id":"https://openalex.org/C3017944768","wikidata":"https://www.wikidata.org/wiki/Q1450463","display_name":"Poison control","level":2,"score":0.35109999775886536},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.3467999994754791},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.33820000290870667},{"id":"https://openalex.org/C2779224077","wikidata":"https://www.wikidata.org/wiki/Q4674782","display_name":"Acquired brain injury","level":3,"score":0.3093999922275543},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.3073999881744385},{"id":"https://openalex.org/C190385971","wikidata":"https://www.wikidata.org/wiki/Q373494","display_name":"Injury prevention","level":3,"score":0.30489999055862427},{"id":"https://openalex.org/C2781276458","wikidata":"https://www.wikidata.org/wiki/Q22906812","display_name":"Meaning-making","level":2,"score":0.26499998569488525},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.26460000872612}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1044/2026_ajslp-26-00133","doi":"https://doi.org/10.1044/2026_ajslp-26-00133","is_oa":false,"landing_page_url":"https://doi.org/10.1044/2026_ajslp-26-00133","pdf_url":null,"source":{"id":"https://openalex.org/S50443188","display_name":"American Journal of Speech-Language Pathology","issn_l":"1058-0360","issn":["1058-0360","1558-9110"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-c","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320281","host_organization_name":"American Speech\u2013Language\u2013Hearing Association","host_organization_lineage":["https://openalex.org/P4310320281"],"host_organization_lineage_names":["American Speech\u2013Language\u2013Hearing Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Speech-Language Pathology","raw_type":"journal-article"},{"id":"pmid:42992990","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42992990","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American journal of speech-language pathology","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9940000176429749}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":80,"referenced_works":["https://openalex.org/W1600263315","https://openalex.org/W1727534893","https://openalex.org/W1963914586","https://openalex.org/W1965112511","https://openalex.org/W1993760488","https://openalex.org/W2007356270","https://openalex.org/W2043819902","https://openalex.org/W2070453156","https://openalex.org/W2071666535","https://openalex.org/W2088477804","https://openalex.org/W2093274439","https://openalex.org/W2096230543","https://openalex.org/W2098156554","https://openalex.org/W2100240119","https://openalex.org/W2107556487","https://openalex.org/W2115795251","https://openalex.org/W2133097426","https://openalex.org/W2134455340","https://openalex.org/W2135099581","https://openalex.org/W2135656616","https://openalex.org/W2137515231","https://openalex.org/W2141316441","https://openalex.org/W2155288265","https://openalex.org/W2159432578","https://openalex.org/W2160172778","https://openalex.org/W2170467533","https://openalex.org/W2253438684","https://openalex.org/W2277633149","https://openalex.org/W2296534067","https://openalex.org/W2310739859","https://openalex.org/W2396847362","https://openalex.org/W2435100406","https://openalex.org/W2504320773","https://openalex.org/W2520473171","https://openalex.org/W2525609444","https://openalex.org/W2529248561","https://openalex.org/W2557138337","https://openalex.org/W2615182317","https://openalex.org/W2794342576","https://openalex.org/W2808599529","https://openalex.org/W2892862544","https://openalex.org/W2893656477","https://openalex.org/W2905515655","https://openalex.org/W2908019998","https://openalex.org/W2912808280","https://openalex.org/W2943789716","https://openalex.org/W2944906995","https://openalex.org/W2947627682","https://openalex.org/W2969335243","https://openalex.org/W2972331032","https://openalex.org/W2982635146","https://openalex.org/W2985403190","https://openalex.org/W2989636924","https://openalex.org/W3003974880","https://openalex.org/W3013134896","https://openalex.org/W3132971253","https://openalex.org/W3214423637","https://openalex.org/W4206218604","https://openalex.org/W4210259765","https://openalex.org/W4210376636","https://openalex.org/W4214890866","https://openalex.org/W4229033107","https://openalex.org/W4294955101","https://openalex.org/W4296039594","https://openalex.org/W4311178789","https://openalex.org/W4317727026","https://openalex.org/W4324130166","https://openalex.org/W4327899975","https://openalex.org/W4367835015","https://openalex.org/W4379800064","https://openalex.org/W4388834204","https://openalex.org/W4392950076","https://openalex.org/W4404381537","https://openalex.org/W4405995870","https://openalex.org/W4406364082","https://openalex.org/W4406964255","https://openalex.org/W4407031109","https://openalex.org/W4410514047","https://openalex.org/W4411372560","https://openalex.org/W4415584661"],"related_works":["https://openalex.org/W4406364082","https://openalex.org/W3178404996","https://openalex.org/W6922269893","https://openalex.org/W2071667368","https://openalex.org/W4392912707","https://openalex.org/W2426835116","https://openalex.org/W1985334712","https://openalex.org/W2171167801","https://openalex.org/W3094584054","https://openalex.org/W3016559717"],"abstract_inverted_index":{"PURPOSE:":[0],"Unexpected":[1],"life":[2,25],"events,":[3],"such":[4],"as":[5,29],"a":[6,12,110,209,227],"brain":[7,66,74,115],"injury,":[8],"can":[9],"result":[10],"in":[11,19,24,34,48,73,90,100,107,126,193,214,234],"disrupted":[13],"sense":[14],"of":[15,58,69,81,86,97,103,112,212,230,243],"purpose":[16,23,43,72,89,213,233,246],"and":[17,22,37,42,71,88,135,139,154,159,171,174,232,245,249],"meaning":[18,41,70,87,231,244],"life.":[20,215],"Meaning":[21,99,104,125],"have":[26,56],"been":[27,61],"identified":[28],"potentially":[30],"modifiable":[31],"protective":[32],"factors":[33],"promoting":[35],"health":[36,50],"well-being.":[38],"At":[39],"present,":[40],"are":[44],"not":[45],"widely":[46],"assessed":[47],"allied":[49],"research":[51,248],"or":[52],"clinical":[53,250],"practice,":[54],"nor":[55],"measures":[57],"these":[59],"constructs":[60],"validated":[62],"for":[63,150,252],"use":[64],"after":[65],"injury.":[67],"Consideration":[68],"injury":[75,116],"management":[76],"may":[77],"improve":[78],"long-term":[79],"outcomes":[80],"rehabilitation.":[82],"To":[83],"support":[84],"assessment":[85],"rehabilitation,":[91],"we":[92],"examined":[93],"the":[94,98,124,129,133,140,146,194,199,205],"psychometric":[95],"properties":[96],"Life":[101,127,130,206],"Questionnaire-Presence":[102],"(MLQ-P)":[105],"subscale":[106,149],"adults":[108,235],"with":[109,121,190,236],"history":[111],"mild":[113],"traumatic":[114],"(mTBI).":[117],"METHOD:":[118],"Sixty-two":[119],"people":[120],"mTBI":[122,253],"completed":[123],"Questionnaire,":[128],"Engagement":[131,207],"Test,":[132,208],"Work":[134],"Social":[136],"Adjustment":[137],"Scale,":[138],"Purpose":[141],"Status":[142],"Question.":[143],"We":[144],"evaluated":[145],"five-item":[147],"MLQ-P":[148,170,200,217,225],"(a)":[151],"construct":[152],"validity":[153,165],"internal":[155,176,185,220],"structure":[156,186],"using":[157,179],"exploratory":[158],"confirmatory":[160],"factor":[161],"analysis,":[162],"(b)":[163],"convergent":[164],"by":[166],"examining":[167],"relationships":[168],"between":[169],"related":[172,210],"constructs,":[173],"(c)":[175],"consistency":[177,221],"reliability":[178],"Cronbach's":[180],"alpha.":[181],"RESULTS:":[182],"The":[183,216,224],"MLQ-P's":[184],"was":[187],"unidimensional,":[188],"consistent":[189],"previous":[191],"findings":[192],"general":[195],"population.":[196],"Scores":[197],"on":[198],"were":[201],"strongly":[202],"correlated":[203],"to":[204],"measure":[211,229],"demonstrated":[218],"strong":[219],"reliability.":[222],"CONCLUSIONS:":[223],"is":[226],"valid":[228],"mTBI.":[237],"Future":[238],"work":[239],"should":[240],"incorporate":[241],"consideration":[242],"into":[247],"practice":[251],"management.":[254]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-11-07T00:00:00"}
