Mayo-Portland Adaptability Inventory-4 (MPAI-4)
Overview
- Purpose
- (1) To assist in the clinical evaluation of people during the postacute (posthospital) period following acquired brain injury (ABI), and (2) to assist in the evaluation of rehabilitation programs designed to serve these people.
- Respondents
- Family Member
- Provider
- Proxy
- Person with a Disability
- Administration Method
- Interview
- Administration Mode
- In-person
- Item Count
- 33
- Population
- Traumatic Brain Injury
Instrument Citation(s)
Center for Outcome Measurement in Brain Injury (COMBI):
http://www.tbims.org/mpai/mpai4.pdf 
Instrument Domains
| Domain | Number of Items |
|---|---|
| Community Inclusion | 5 |
| Employment | 1 |
| Meaningful activity | 2 |
| Social connectedness and relationships | 2 |
| Transportation | 1 |
| Resources and settings to facilitate inclusion | 0 |
| Holistic Health and Functioning | 26 |
| Individual health and functioning | 26 |
| Health promotion and prevention | 0 |
| Caregiver Support | 0 |
| Access to resources | 0 |
| Family caregiver/natural support involvement | 0 |
| Family caregiver/natural support wellbeing | 0 |
| Training and skill-building | 0 |
| Choice and Control | 0 |
| Choice of services and supports | 0 |
| Personal choices and goals | 0 |
| Personal freedoms and dignity of risk | 0 |
| Self-direction | 0 |
| Consumer Leadership in System Development | 0 |
| Evidence of meaningful caregiver involvement | 0 |
| Evidence of meaningful consumer involvement | 0 |
| System supports meaningful consumer involvement | 0 |
| Equity | 0 |
| Availability | 0 |
| Equitable access and resource allocation | 0 |
| Transparency and consistency | 0 |
| Fluctuation of Need | 0 |
| Human and Legal Rights | 0 |
| Freedom from abuse and neglect | 0 |
| Informed decision-making | 0 |
| Optimizing the preservation of legal and human rights | 0 |
| Privacy | 0 |
| Supporting individuals in exercising their human and legal rights | 0 |
| Level of Caregiver Well-Being | 0 |
| Person-Centered Planning and Coordination | 0 |
| Assessment | 0 |
| Coordination | 0 |
| Person-centered planning | 0 |
| Service Delivery and Effectiveness | 0 |
| Delivery | 0 |
| Person's needs met and goals realized | 0 |
| System Performance and Accountability | 0 |
| Data management and use | 0 |
| Evidence-based practice | 0 |
| Financing and service delivery structures | 0 |
| Workforce | 0 |
| Adequately compensated with benefits | 0 |
| Culturally competent | 0 |
| Demonstrated competencies when appropriate | 0 |
| Person-centered approach to services | 0 |
| Safety of and respect for the worker | 0 |
| Staff Turnover | 0 |
| Sufficient workforce numbers dispersion and availability | 0 |
| Workforce engagement and participation | 0 |
Psychometric Citations
Bohac, D. L., Malec, J. F., et al. (1997). Factor analysis of the Mayo-Portland Adaptability Inventory: structure and validity.
Brain Injury 11(7): 469-482- Type of Publication
- Peer review
- Instrument Language
- English
- Sample: Age (Mean and Range)
Mean=36.2 years; Range=17-72 years
- Sample: Age Group
18-64 Years, 65+ Years
- Sample: Countries/State
Minnesota
- Sample: Disability Type
Traumatic Brain Injury
- Sample: Gender (%male)
66%
- Sample: Race/Ethnicity (%)
Not Reported
- Sample: Sampling Strategy
Convenience Sample
- Sample: Size
201
- Validity: Other Evidence
EFA found eight factor model explaining 64.4% of variance
- Study design
- Cross-Sectional
Kean, J., Malec, J.F., Cooper, D.B., & Bowles, A.O. (2013). Utility of the Mayo-Portland Adaptability Inventory-4 for
Self-Reported Outcomes in a Military Sample With Traumatic Brain Injury
Archives of Physical Medicine and Rehabilitation , 94(12), 2417 - 2424; DOI: https://doi.org/10.1016/j.apmr.2013.08.006- Type of Publication
- Peer review
- Instrument Language
- English
- Sample: Age (Mean and Range)
Median-29 years
- Sample: Age Group
Not Reported
- Sample: Countries/State
Texas
- Sample: Disability Type
Traumatic Brain Injury
- Sample: Gender (%male)
93%
- Sample: Race/Ethnicity (%)
Not Reported
- Sample: Sampling Strategy
Convenience Sample
- Sample: Size
404
- Reliability: Internal Consistency
Cronbach's Alphas for overall (α=0.94)
- Validity: Other Evidence
Initial MRFA found 2-factor model explaining 50.8% of variance.
- Study design
- Cross-Sectional