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Mayo Portland Adaptability Inventory
Indications:
- inventory for traumatic brain injury
* Self report, scaled 0-3
Procedure:
Physical/Medical
1) Walking and Mobility
- 0 No problem
- 1 A little problem that does not interfere with activities
- 2 A bigger problem that does interfere with activities or requires me to use an aid like a cane or wheelchair
- 3 Need someone else to help me move about
2) Use of one or both hands
- 0 No problem
- 1 A little problem that does not interfere with activities
- 2 A bigger problem that does interfere with activities
- 3 Cannot use either hand
3) Hearing (with a hearing aid, if needed/used)
- 0 No problem
- 1 A little problem that does not interfere with activities
- 2 A bigger problem that does interfere with activities
- 3 Deaf or nearly deaf
4) Vision (with glasses, if needed/used)
- 0 No problem
- 1 A little problem that does not interfere with activities
- 2 A bigger problem that does interfere with activities
- 3 blind or nearly blind
5) Speech
- 0 No problem
- 1 A little problem that does not interfere with activities
- 2 A bigger problem that does interfere with activities
- 3 Cannot speak or can barely speak
6) Pain (headaches, backache, other pain)
- 0 No problem
- 1 A little problem that does not interfere with activities
- 2 A bigger problem that does interfere with activities
- 3 Can hardly do anything because of pain
Cognition
1) Communicating with other people
- 0 No problem
- 1 A little problem but usually communicate effectively
- 2 A bigger problem that often interferes with communication or requires use of a communicating aid
- 3 extreme difficulty communicating with anyone
2) Remembering new things
- 0 No problem
- 1 A little problem that does not interfere with activities
- 2 A bigger problem that does interfere with activities
- 3 Hardly remember anything new
3) Concentration
- 0 No problem
- 1 A little problem that does not interfere with activities
- 2 A bigger problem that does interfere with activities
- 3 Cannot keep attention on anything for more than a few seconds
4) Solving new problems
- 0 No problem
- 1 A little problem that does not interfere with activities
- 2 A bigger problem that does interfere with activities
- 3 Unable to solve any new problems without help
5) Spatial Relationships
- 0 No problem
- 1 A little problem that does not interfere with activities
- 2 A bigger problem that does interfere with activities
- 3 Need help with all activities that require spatial relationship skills
6) Fund of information
- 0 Remember about as much of what I learned in school as most people
- 1 Probably remember a little less of what I learned in school than most
- 2 Remember a lot less of what I learned in school than most
- 3 Hardly remember anything of what I learned in school
Emotion
1) Anger and irritability
- 0 No problem
- 1 Other people feel I have a problem with this, but I do not agree
- 2 Sometimes I yell or scream at people
- 3 Sometimes I strike or hit people
2) Anxiety and tension
- 0 No problem
- 1 A little problem that does not interfere with activities or for which I am receiving treatment
- 2 A bigger problem that does interfere with activities
- 3 I feel like I should be hospitalized for this
3) Depression
- 0 No problem
- 1 A little problem that does not interfere with activities or for which I am receiving treatment
- 2 A bigger problem that does interfere with activities
- 3 I feel like I should be hospitalized for this
Everyday activities
1) Independent living
- 0 Lives independently, handles own finances
- 1 Lives independently but does not handle own finances
- 2 Lives with help (i.e half-way house, supervised apartment, or with attendant)
- 3 Needs full-time supervision or is homeless
2) Dressing, personal hygiene, feeding
- 0 No problem
- 1 Sometimes needs reminders or a little help
- 2 Often needs help
- 3 Always needs help
3) Work or school
- 0 Working, homemaking, or school without special help
- 1 Working, homemaking, or school with some restrictions, but without special help
- 2 Working, homemaking, or school with special help
- 3 Not working, homemaking, or going to school
4) Leisure activities
- 0 Normal participation in leisure activities
- 1 Normal participation in leisure activities, but sometimes need reminders
- 2 Normal participation in leisure activities, but always need reminders
- 3 Little participation in leisure activities
5) Driving
- 0 No problem or choose not to drive
- 1 Sometimes I or others worry I am not a safe driver
- 2 Have been in an accident of gotten fines for driving
- 3 Cannot drive due to injury or illness
Social Behavior
1) Getting along with family and very close friends
- 0 No problem
- 1 Little problem
- 2 Big problems
- 3 Have no family of very close friends
2) Getting along with other friends and acquaintances
- 0 No problem
- 1 Often count on friends
- 2 Almost always count on friends
- 3 Have very few friends or aquaintances
3) Social behavior
- 0 No problem
- 1 Sometimes people seem a little offended by my behavior
- 2 Often people are offended by my behavior
- 3 Very serious problems, such as with the law, have occurred because of my behavior
Behavior
1) Understanding brain injury
- 0 Understand what my disabilities are and how they affect my life
- 1 Understand what my disabilities are, but do not see how they interfere with my life
- 2 Other people see much bigger problems related to my brain injury than I do
- 3 Brain injury has not changed anything
2) Delusions and hallucination
- 0 None
- 1 A little problem that does not interfere with activities or for which I am receiving treatment
- 2 A bigger problem that does interfere with activities
- 3 I feel like I should be hospitalized for this
3) Paronia
- 0 No problem
- 1 A little problem that does not interfere with activities or for which I am receiving treatment
- 2 A bigger problem that does interfere with activities
- 3 I feel like I should be hospitalized for this
4) Initiation
- 0 None
- 1 A little problem that does not interfere with activities
- 2 A bigger problem that does interfere with activities
- 3 Always need someone to remind me to get going
5) Law violations
- 0 None
- 1 Convicted of misdemeanor(s)
- 2 A felony conviction
- 3 More than 1 felony convictions
6) Alcohol use
- 0 None or occasional use
- 1 Sometimes I or someone else feels I should cut down on drinking
- 2 Interferes with some activities
- 3 Interferes greatly with activities of in need of treatment
7) Illegal drug use
- 0 None
- 1 Sometimes others think I have a drug problem
- 2 Interferes with some activities
- 3 Interferes greatly with activities of in need of treatment
Related
traumatic brain injury (TBI)
General
numerical rating scale (NRS)