Measurement Properties of the Mayo-Portland Adaptability Inventory (MPAI-4) and related measures: A Systematic Review.

Jan 30, 2023

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

To assess the MPAI-4 and related measures’ measurement properties and the quality of evidence supporting these results; and identify the interpretability and feasibility of the MPAI-4 and related measures.
We conducted a systematic review according to COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN) guidelines. We searched nine electronic databases and registries, and hand searched reference lists of included articles.
Two independent reviewers screened and selected all articles. From 605 retrieved articles, 48 were included.
Two independent reviewers appraised the evidence quality and rated the extracted Classical Test Theory and Rasch results from each study.
We used meta-analysis and COSMIN’s approach to synthesize measurement properties evidence (insufficient, sufficient), and the modified GRADE approach to synthesize evidence quality (very-low, low, moderate, high) by diagnosis (traumatic brain injury (TBI), stroke) and setting (inpatient, outpatient). The MPAI-4 and its subscales are sufficiently comprehensible (GRADE: very-low), but there is currently no other content validity evidence (relevance, comprehensiveness). The MPAI-4 and its participation index (M2PI) have sufficient interrater reliability for stroke and TBI outpatients (GRADE: moderate), whereas interrater reliability between TBI inpatients and clinicians is currently insufficient (GRADE: moderate). There is no evidence for measurement error. For stroke and TBI outpatients the MPAI-4 and M2PI have sufficient construct validity (GRADE: high) and responsiveness (GRADE: moderate-high). For TBI inpatients the MPAI-4 and M2PI have mixed indeterminant/sufficient construct validity and responsiveness evidence (GRADE: moderate-high). There is one study with mixed insufficient/sufficient evidence for each MPAI-4 adaptation (21- and 22-item MPAI, 9-item M2PI) (GRADE: low-high).
Users can be most confident in using the MPAI-4 and M2PI in TBI and stroke outpatient settings. Future research is needed on reliability, measurement error, predictive validity and content validity of the MPAI-4 and its related measures across populations and settings.

Copyright © 2023. Published by Elsevier Inc.

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ABOUT THE EXPERTS

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

Rebecca Ataman

School of Physical and Occupational Therapy, McGill University, Montréal, Canada; Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR).

Aliki Thomas

School of Physical and Occupational Therapy, McGill University, Montréal, Canada; Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR).

Jacqueline Roberge-Dao

Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR); Institute of Health Sciences Education, McGill University, Montréal, Canada.

Michelle McKerral

Department of Psychology, Université de Montréal, Montréal, Canada; Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Institut universitaire sur la réadaptation en déficience physique de Montréal, Montréal, Canada.

Claudine Auger

Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Institut universitaire sur la réadaptation en déficience physique de Montréal, Montréal, Canada; School of Rehabilitation, Université de Montréal, Montréal, Canada.

Walter Wittich

Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR); School of Optometry, Université de Montreal.

Pascaline Kengne Talla

Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR); Faculty of Dental Medicine and Oral Health Sciences, McGill University, Montréal, Canada.

Zachary Boychuck

Postdoctoral Fellow, CanChild Centre for Childhood Disability Research, Department of Pediatrics, McMaster University, Hamilton, Canada.

Sara Ahmed

School of Physical and Occupational Therapy, McGill University, Montréal, Canada; Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR); McGill University Health Center, Clinical Epidemiology, Montréal, Canada. Electronic address: sara.ahmed@mcgill.ca.