Abstract
Objectives: To determine the Minimal Clinically Important Difference (MCID) and Robust Clinically Important Difference (RCID) of the Mayo-Portland Adaptability Inventory-4 (MPAI-4) as measures of response to intervention. Methods: Retrospective analysis of existing data. Both distribution-and anchor-based methods were used to triangulate on the MCID and to identify a moderate, that is, more robust, level of change (RCID) for the MPAI-4. These were further evaluated with respect to clinical provider ratings. Participants: Data for individuals with acquired brain injury in rehabilitation programs throughout the United States in the OutcomeInfo Database (n = 3087) with 2 MPAI-4 ratings. Main Measures: MPAI-4, Supervision Rating Scale, Clinician Rating of Global Clinical Improvement. Results: Initial analyses suggested 5 T-score points (5T) as the MCID and 9T as the RCID. Eighty-one percent to 87% of clinical raters considered a 5T change and 99% considered a 9T change to indicate meaningful improvement. Conclusions: 5T represents the MCID for the MPAI-4 and 9T, the RCID. Both values are notably less than the Reliable Change Index (RCI). While the RCI indicates change with a high level of statistical confidence, it may be insensitive to change that is considered meaningful by providers and participants as indicated by the MCID.
| Original language | English (US) |
|---|---|
| Pages (from-to) | E47-E54 |
| Journal | Journal of Head Trauma Rehabilitation |
| Volume | 32 |
| Issue number | 4 |
| DOIs | |
| State | Published - 2017 |
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Keywords
- Brain injury
- Outcome assessment
- Rehabilitation
ASJC Scopus subject areas
- Physical Therapy, Sports Therapy and Rehabilitation
- Rehabilitation
- Clinical Neurology
Cite this
The minimal clinically important difference for the mayo-portland adaptability inventory. / Malec, James F.; Kean, Jacob; Monahan, Patrick.
In: Journal of Head Trauma Rehabilitation, Vol. 32, No. 4, 2017, p. E47-E54.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The minimal clinically important difference for the mayo-portland adaptability inventory
AU - Malec, James F.
AU - Kean, Jacob
AU - Monahan, Patrick
PY - 2017
Y1 - 2017
N2 - Objectives: To determine the Minimal Clinically Important Difference (MCID) and Robust Clinically Important Difference (RCID) of the Mayo-Portland Adaptability Inventory-4 (MPAI-4) as measures of response to intervention. Methods: Retrospective analysis of existing data. Both distribution-and anchor-based methods were used to triangulate on the MCID and to identify a moderate, that is, more robust, level of change (RCID) for the MPAI-4. These were further evaluated with respect to clinical provider ratings. Participants: Data for individuals with acquired brain injury in rehabilitation programs throughout the United States in the OutcomeInfo Database (n = 3087) with 2 MPAI-4 ratings. Main Measures: MPAI-4, Supervision Rating Scale, Clinician Rating of Global Clinical Improvement. Results: Initial analyses suggested 5 T-score points (5T) as the MCID and 9T as the RCID. Eighty-one percent to 87% of clinical raters considered a 5T change and 99% considered a 9T change to indicate meaningful improvement. Conclusions: 5T represents the MCID for the MPAI-4 and 9T, the RCID. Both values are notably less than the Reliable Change Index (RCI). While the RCI indicates change with a high level of statistical confidence, it may be insensitive to change that is considered meaningful by providers and participants as indicated by the MCID.
AB - Objectives: To determine the Minimal Clinically Important Difference (MCID) and Robust Clinically Important Difference (RCID) of the Mayo-Portland Adaptability Inventory-4 (MPAI-4) as measures of response to intervention. Methods: Retrospective analysis of existing data. Both distribution-and anchor-based methods were used to triangulate on the MCID and to identify a moderate, that is, more robust, level of change (RCID) for the MPAI-4. These were further evaluated with respect to clinical provider ratings. Participants: Data for individuals with acquired brain injury in rehabilitation programs throughout the United States in the OutcomeInfo Database (n = 3087) with 2 MPAI-4 ratings. Main Measures: MPAI-4, Supervision Rating Scale, Clinician Rating of Global Clinical Improvement. Results: Initial analyses suggested 5 T-score points (5T) as the MCID and 9T as the RCID. Eighty-one percent to 87% of clinical raters considered a 5T change and 99% considered a 9T change to indicate meaningful improvement. Conclusions: 5T represents the MCID for the MPAI-4 and 9T, the RCID. Both values are notably less than the Reliable Change Index (RCI). While the RCI indicates change with a high level of statistical confidence, it may be insensitive to change that is considered meaningful by providers and participants as indicated by the MCID.
KW - Brain injury
KW - Outcome assessment
KW - Rehabilitation
UR - http://www.scopus.com/inward/record.url?scp=85025141667&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85025141667&partnerID=8YFLogxK
U2 - 10.1097/HTR.0000000000000268
DO - 10.1097/HTR.0000000000000268
M3 - Article
C2 - 28489702
AN - SCOPUS:85025141667
VL - 32
SP - E47-E54
JO - Journal of Head Trauma Rehabilitation
JF - Journal of Head Trauma Rehabilitation
SN - 0885-9701
IS - 4
ER -