A feasibility study of digital self-report measurement for brain injury patients utilizing an adapted version of the Mayo-Portland Adaptability Inventory – fourth edition

Objectives: This study aimed to examine the clinical relevance and usability of the digital self-report version of the Mayo-Portland Adaptability Inventory – fourth edition, MPAI-4 (MPAI-4-S-dig). In its paper version, MPAI-4 is well validated for patients with acquired brain injuries (ABIs) and neurological disorders (NDs), but time consuming. An additional aim was to investigate whether MPAI-4-S-dig is reliable for repeated measurements. Setting: Community neurorehabilitation in Stockholm, Sweden. Methods: MPAI-4-S-dig was administered to 40 patients with ABI or ND 2 weeks apart. Test–retest reliability was assessed using the intraclass correlation coefficient (ICC); clinical relevance of data was assessed through Pearson’s Correlation Coefficient with Montreal Cognitive Assessment (MoCA), the Community Integration Questionnaire – Revised (CIQ-R), and Hospital Anxiety and Depression Scale (HADS). Results: ICC values ranged from 0.86 to 0.93 for total and subscales. Significant correlations were found between MPAI-4-S-dig participation and CIQ-R Total, social integration and home integration and MoCA naming, MPAI-4-S-dig adjustment and CIQ-R Social integration, MPAI-4-S-dig Total and all subscale scores and HADS Anxiety score, MPAI-4-S-dig Total, abilities and participation and HADS Depression. Conclusion: The demonstrated reliability and clinical relevance of MPAI-4-S-dig for patients undergoing neurorehabilitation permits the implementation of digital data capture in patients with mild acquired cognitive impairment.