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 PDF

Instrument Domains

DomainNumber of Items
Community Inclusion5
Employment1
Meaningful activity2
Social connectedness and relationships2
Transportation1
Resources and settings to facilitate inclusion0
Holistic Health and Functioning26
Individual health and functioning26
Health promotion and prevention0
Caregiver Support0
Access to resources0
Family caregiver/natural support involvement0
Family caregiver/natural support wellbeing0
Training and skill-building0
Choice and Control0
Choice of services and supports0
Personal choices and goals0
Personal freedoms and dignity of risk0
Self-direction0
Consumer Leadership in System Development0
Evidence of meaningful caregiver involvement0
Evidence of meaningful consumer involvement0
System supports meaningful consumer involvement0
Equity0
Availability0
Equitable access and resource allocation0
Transparency and consistency0
Fluctuation of Need0
Human and Legal Rights0
Freedom from abuse and neglect0
Informed decision-making0
Optimizing the preservation of legal and human rights0
Privacy0
Supporting individuals in exercising their human and legal rights0
Level of Caregiver Well-Being0
Person-Centered Planning and Coordination0
Assessment0
Coordination0
Person-centered planning0
Service Delivery and Effectiveness0
Delivery0
Person's needs met and goals realized0
System Performance and Accountability0
Data management and use0
Evidence-based practice0
Financing and service delivery structures0
Workforce0
Adequately compensated with benefits0
Culturally competent0
Demonstrated competencies when appropriate0
Person-centered approach to services0
Safety of and respect for the worker0
Staff Turnover0
Sufficient workforce numbers dispersion and availability0
Workforce engagement and participation0

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