Progress Assessed With the Mayo-Portland Adaptability Inventory in 604 Participants in 4 Types of Post–Inpatient Rehabilitation Brain Injury Programs 

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Progress Assessed With the Mayo-Portland Adaptability Inventory in 604 Participants in 4 Types of Post–Inpatient Rehabilitation Brain Injury Programs  Vicki Eicher, MSW, Mary Pat Murphy, MSN, CRRN, CBIST, Thomas F. Murphy, James F. Malec, PhD  Archives of Physical Medicine and Rehabilitation  Volume 93, Issue 1, Pages 100-107 (January 2012) DOI: 10.1016/j.apmr.2011.06.038 Copyright © 2012 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 1 Changes from first to second assessment for intensive rehabilitation programs (IRR and IRC) demonstrate significant progress (P<.002) relative to minimal change for supported living programs (SLR and SLC), controlling for initial level of disability and chronicity. IRR participants were more severely disabled on first assessment than participants in other program types (P<.001). Archives of Physical Medicine and Rehabilitation 2012 93, 100-107DOI: (10.1016/j.apmr.2011.06.038) Copyright © 2012 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 2 IRR participants showed greater adjustment difficulties (lower scores; P<.001) on initial assessment than IRC participants; both IRR and IRC participants had greater adjustment difficulties than SLR and SLC participants. Initial differences among program types on the Ability Index were less pronounced (P<.05), and initial differences among program types on the Participation Index were not significant. Archives of Physical Medicine and Rehabilitation 2012 93, 100-107DOI: (10.1016/j.apmr.2011.06.038) Copyright © 2012 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 3 MPAI-4 T scores on the second assessment adjusted for MPAI-4 score on the first assessment and for chronicity are presented. Intensive rehabilitation programs (IRR and IRC) showed significantly better outcomes (higher scores) on the Ability (P<.006) and Participation (P<.001) indices and on total score (P<.002) than supported living programs (SLR and SLC). Archives of Physical Medicine and Rehabilitation 2012 93, 100-107DOI: (10.1016/j.apmr.2011.06.038) Copyright © 2012 American Congress of Rehabilitation Medicine Terms and Conditions