Measurement Properties of the Mayo-Portland Adaptability Inventory (MPAI-4) and Related Measures: A Systematic Review

Ataman, Rebecca; Thomas, Aliki; Roberge‐Dao, Jacqueline; McKerral, Michelle; Auger, Claudine; Wittich, Walter; Talla, Pascaline Kengne; Boychuck, Zachary; Ahmed, Sara

doi:10.1016/j.apmr.2022.08.051

Cited by 1 publication

(3 citation statements)

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“…However, mandates and the perception of the MPAI‐4 are more commonly cited as facilitators rather than barriers, as found in this project. Further investigation into when and how mandates optimize sustainability, and on the MPAI‐4 itself could help address these barriers to sustainment, or conversely, justify the MPAI‐4's de‐implementation 56,57,115 …”

Section: Discussionmentioning

confidence: 99%

“…The results of a recent systematic review indicate that while there are gaps in existing evidence, the MPAI‐4 and its subscales have strong, high‐quality evidence for their use to describe and evaluate stroke outpatients (i.e., sufficient scores for reliability and construct validity) 57 …”

Section: Methodsmentioning

confidence: 99%

“…The MPAI‐4 can be completed by clinicians, patients or caregivers in multiple languages, including English and French amongst others 55,56 The results of a recent systematic review indicate that while there are gaps in existing evidence, the MPAI‐4 and its subscales have strong, high‐quality evidence for their use to describe and evaluate stroke outpatients (i.e., sufficient scores for reliability and construct validity) 57 To interpret the MPAI‐4 total and subscale scores, the raw score is converted to a standardized T score (average = 50, SD = 10) against a normative sample 58,59 …”

Section: Methodsmentioning

confidence: 99%

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Sustainability of an outcome measure in outpatient stroke rehabilitation: A realist evaluation

Ataman,

Ahmed,

Berta

et al. 2024

Evaluation Clinical Practice

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RationaleOnly half of newly implemented evidence‐based practices are sustained. Though poor sustainment can lead to negative consequences for clinical teams, organizations and patients, the causal explanations of sustainment are largely unknown.Aims and ObjectivesWe aimed to ascertain how (mechanisms) and in what circumstances (context) a newly implemented outcome measure in rehabilitation was sustained or not (outcome).MethodologyInformed by an integrated knowledge translation approach, we conducted a realist evaluation using a mixed method, embedded single case study design with data collection up to 18 months following the implementation of the Mayo‐Portland Adaptability Inventory ‐ version 4 (MPAI‐4), a rehabilitation outcome measure. Quantitative data (survey and patient charts) was analysed using descriptive statistics, then integrated with qualitative data (interviews with 10 key informants) and analysed using inductive and deductive retroduction. We integrated the data to develop a case description and ultimately, to refine the programme theory to better understand the sustainability of the MPAI‐4.ResultsWe linked context, mechanisms and outcomes, and also emphasized sustainability strategies in 18 explanations of how sustainability works. These explanations provide evidence for four overarching patterns: (1) implementation and sustainability phases are interconnected, (2) outcomes build on each other recursively, with patient benefits as the keystone outcome, (3) sustainment is achieved to varying levels across different sustainability outcomes [e.g., high level (e.g., rate of MPAI‐4 scoring: 77.7%) to low level (e.g., rate of MPAI‐4 application to clinical decision‐making: 3.7%)] and (4) the work of sustaining the MPAI‐4 is shared amongst different stakeholders.ConclusionImplementation teams can draw from this programme theory to improve the sustainment of outcomes measures while researchers could continue to refine the theory. Continued investigation of sustainability, including diverse and continuous sustainability outcomes, is needed to understand how to maintain improvements in quality of care and patient outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%