PMID- 28489702
OWN - NLM
STAT- MEDLINE
DCOM- 20180523
LR  - 20190216
IS  - 1550-509X (Electronic)
IS  - 0885-9701 (Print)
IS  - 0885-9701 (Linking)
VI  - 32
IP  - 4
DP  - 2017 Jul/Aug
TI  - The Minimal Clinically Important Difference for the Mayo-Portland Adaptability 
      Inventory.
PG  - E47-E54
LID - 10.1097/HTR.0000000000000268 [doi]
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.
FAU - Malec, James F
AU  - Malec JF
AD  - Department of Physical Medicine and Rehabilitation, Indiana University School of 
      Medicine, Rehabilitation Hospital of Indiana, Indianapolis (Dr Malec); Salt Lake 
      City VA Health Care System, Health System Innovation and Research, Departments of 
      Population Health Sciences and Communication Sciences and Disorders, University 
      of Utah, Salt Lake City (Dr Kean); and Department of Biostatistics and Department 
      of Public Health, Indiana University School of Medicine, Indianapolis (Dr 
      Monahan).
FAU - Kean, Jacob
AU  - Kean J
FAU - Monahan, Patrick O
AU  - Monahan PO
LA  - eng
GR  - IK2 RX000879/RX/RRD VA/United States
GR  - R03 HD077495/HD/NICHD NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, U.S. Gov't, Non-P.H.S.
PL  - United States
TA  - J Head Trauma Rehabil
JT  - The Journal of head trauma rehabilitation
JID - 8702552
SB  - IM
MH  - *Adaptation, Psychological
MH  - Adult
MH  - Aged
MH  - Brain Injuries, Traumatic/physiopathology/*psychology/therapy
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Minimal Clinically Important Difference
MH  - Psychometrics
MH  - Recovery of Function
MH  - Reproducibility of Results
MH  - Retrospective Studies
PMC - PMC5432408
MID - NIHMS813532
EDAT- 2017/05/11 06:00
MHDA- 2018/05/24 06:00
PMCR- 2018/07/01
CRDT- 2017/05/11 06:00
PHST- 2017/05/11 06:00 [pubmed]
PHST- 2018/05/24 06:00 [medline]
PHST- 2017/05/11 06:00 [entrez]
PHST- 2018/07/01 00:00 [pmc-release]
AID - 10.1097/HTR.0000000000000268 [doi]
PST - ppublish
SO  - J Head Trauma Rehabil. 2017 Jul/Aug;32(4):E47-E54. doi: 
      10.1097/HTR.0000000000000268.