{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T06:41:30Z","timestamp":1759905690865,"version":"build-2065373602"},"reference-count":66,"publisher":"MJS Publishing, Medical Journals Sweden AB","license":[{"start":{"date-parts":[[2025,10,7]],"date-time":"2025-10-07T00:00:00Z","timestamp":1759795200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JRM"],"abstract":"<jats:p>Objectives: This study aimed to examine the clinical relevance and usability of the digital self-report version of the Mayo-Portland Adaptability Inventory \u2013 fourth edition, MPAI-4 (MPAI-4-S-dig). In its paper version, MPAI-4 is well validated for patients with acquired brain injuries (ABIs) and neurological disorders (NDs), but time consuming. An additional aim was to investigate whether MPAI-4-S-dig is reliable for repeated measurements.\nSetting: Community neurorehabilitation in Stockholm, Sweden.\nMethods: MPAI-4-S-dig was administered to 40 patients with ABI or ND 2 weeks apart. Test\u2013retest reliability was assessed using the intraclass correlation coefficient (ICC); clinical relevance of data was assessed through Pearson\u2019s Correlation Coefficient with Montreal Cognitive Assessment (MoCA), the Community Integration Questionnaire \u2013 Revised (CIQ-R), and Hospital Anxiety and Depression Scale (HADS).\nResults: ICC values ranged from 0.86 to 0.93 for total and subscales. Significant correlations were found between MPAI-4-S-dig participation and CIQ-R Total, social integration and home integration and MoCA naming, MPAI-4-S-dig adjustment and CIQ-R Social integration, MPAI-4-S-dig Total and all subscale scores and HADS Anxiety score, MPAI-4-S-dig Total, abilities and participation and HADS Depression. \nConclusion: The demonstrated reliability and clinical relevance of MPAI-4-S-dig for patients undergoing neurorehabilitation permits the implementation of digital data capture in patients with mild acquired cognitive impairment.<\/jats:p>","DOI":"10.2340\/jrm.v57.43644","type":"journal-article","created":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T06:01:03Z","timestamp":1759903263000},"page":"jrm43644","source":"Crossref","is-referenced-by-count":0,"title":["A feasibility study of digital self-report measurement for brain injury patients utilizing an adapted version of the Mayo-Portland Adaptability Inventory \u2013 fourth edition"],"prefix":"10.2340","volume":"57","author":[{"given":"Mikael","family":"Gewers","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Kristian Borg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Uno Fors","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Sabine Koch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Marika C. M\u00f6ller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Aniko Bartfai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1183","published-online":{"date-parts":[[2025,10,7]]},"reference":[{"key":"129105","doi-asserted-by":"crossref","unstructured":"McCrea MA, Giacino JT, Barber J, Temkin NR, Nelson LD, Levin HS, et al. Functional outcomes over the first year after moderate to severe traumatic brain injury in the prospective, longitudinal TRACK-TBI Study. JAMA Neurol 2021; 78: 982\u2013992.","DOI":"10.1001\/jamaneurol.2021.2043"},{"key":"129106","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1001\/jamaneurol.2021.2043","DOI":"10.1001\/jamaneurol.2021.2043"},{"key":"129107","doi-asserted-by":"crossref","unstructured":"Ataman R, Thomas A, Roberge-Dao J, McKerral M, Auger C, Wittich W, et al. Measurement properties of the Mayo-Portland Adaptability Inventory (MPAI-4) and related measures: a systematic review. Arch Phys Med Rehabil 2023; 104: 1300\u20131313.","DOI":"10.1016\/j.apmr.2022.12.196"},{"key":"129108","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1016\/j.apmr.2022.12.196","DOI":"10.1016\/j.apmr.2022.12.196"},{"key":"129109","unstructured":"Malec, J. The Mayo Portland Adaptability Inventory (Internet). The Center for Outcome Measurement in Brain Injury 2005 (cited 2025). Available from: http:\/\/www.tbims.org\/combi\/mpai"},{"key":"129110","doi-asserted-by":"crossref","unstructured":"Malec JF, Kragness M, Evans RW, Finlay KL, Kent A, Lezak MD. Further psychometric evaluation and revision of the Mayo-Portland Adaptability Inventory in a national sample. J Head Trauma Rehabil 2003; 18: 479\u2013492.","DOI":"10.1097\/00001199-200311000-00002"},{"key":"129111","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1097\/00001199-200311000-00002","DOI":"10.1097\/00001199-200311000-00002"},{"key":"129112","doi-asserted-by":"crossref","unstructured":"Bogner JA, Whiteneck GG, MacDonald J, Juengst SB, Brown AW, Philippus AM, et al. Test\u2013retest reliability of traumatic brain injury outcome measures: a traumatic brain injury model systems study. J Head Trauma Rehabil 2017; 32: E1\u2013E16.","DOI":"10.1097\/HTR.0000000000000291"},{"key":"129113","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1097\/HTR.0000000000000291","DOI":"10.1097\/HTR.0000000000000291"},{"key":"129114","doi-asserted-by":"crossref","unstructured":"Alfonsson S, Maathz P, Hursti T. Interformat reliability of digital psychiatric self-report questionnaires: a systematic review. J Med Internet Res 2014; 16: e268.","DOI":"10.2196\/jmir.3395"},{"key":"129115","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.2196\/jmir.3395","DOI":"10.2196\/jmir.3395"},{"key":"129116","doi-asserted-by":"crossref","unstructured":"Osugi K, Ihara AS, Nakajima K, Kake A, Ishimaru K, Yokota Y, et al. Differences in brain activity after learning with the use of a digital pen vs. an ink pen: an electroencephalography study. Front Hum Neurosci 2019; 13: 275.","DOI":"10.3389\/fnhum.2019.00275"},{"key":"129117","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.3389\/fnhum.2019.00275","DOI":"10.3389\/fnhum.2019.00275"},{"key":"129118","doi-asserted-by":"crossref","unstructured":"Hedman E, Lj\u00f3tsson B, R\u00fcck C, Furmark T, Carlbring P, Lindefors N, et al. Internet administration of self-report measures commonly used in research on social anxiety disorder: a psychometric evaluation. Comput Human Behav 2010; 26: 736\u2013740.","DOI":"10.1016\/j.chb.2010.01.010"},{"key":"129119","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1016\/j.chb.2010.01.010","DOI":"10.1016\/j.chb.2010.01.010"},{"key":"129120","doi-asserted-by":"crossref","unstructured":"Sagorac Gruichich T, David Gomez JC, Zayas-Cab\u00e1n G, McInnis MG, Cochran AL. A digital self-report survey of mood for bipolar disorder. Bipolar Disord 2021; 23: 810\u2013820.","DOI":"10.1111\/bdi.13058"},{"key":"129121","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1111\/bdi.13058","DOI":"10.1111\/bdi.13058"},{"key":"129122","doi-asserted-by":"crossref","unstructured":"Goldman L, Siddiqui EM, Khan A, Jahan S, Rehman MU, Mehan S, et al. Understanding acquired brain injury: a review. Biomedicines 2022; 10: 2167.","DOI":"10.3390\/biomedicines10092167"},{"key":"129123","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.3390\/biomedicines10092167","DOI":"10.3390\/biomedicines10092167"},{"key":"129124","doi-asserted-by":"crossref","unstructured":"Prigatano GP. Anosognosia and patterns of impaired self-awareness observed in clinical practice. Cortex 2014; 61: 81\u201392.","DOI":"10.1016\/j.cortex.2014.07.014"},{"key":"129125","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1016\/j.cortex.2014.07.014","DOI":"10.1016\/j.cortex.2014.07.014"},{"key":"129126","doi-asserted-by":"crossref","unstructured":"Prigatano GP. Disturbances of self-awareness and rehabilitation of patients with traumatic brain injury: a 20-year perspective. J Head Trauma Rehabil 2005; 20: 19\u201329.","DOI":"10.1097\/00001199-200501000-00004"},{"key":"129127","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1097\/00001199-200501000-00004","DOI":"10.1097\/00001199-200501000-00004"},{"key":"129128","doi-asserted-by":"crossref","unstructured":"Stuss D, Anderson V. The frontal lobes and theory of mind: developmental concepts from adult focal lesion research. Brain Cognition 2004; 55: 69\u201383.","DOI":"10.1016\/S0278-2626(03)00271-9"},{"key":"129129","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1016\/S0278-2626(03)00271-9","DOI":"10.1016\/S0278-2626(03)00271-9"},{"key":"129130","doi-asserted-by":"crossref","unstructured":"Akbar N, Honarmand K, Feinstein A. Self-assessment of cognition in multiple sclerosis: the role of personality and anxiety. Cogn Behav Neurol 2011; 24: 115\u2013121.","DOI":"10.1097\/WNN.0b013e31822a20ae"},{"key":"129131","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1097\/WNN.0b013e31822a20ae","DOI":"10.1097\/WNN.0b013e31822a20ae"},{"key":"129132","doi-asserted-by":"crossref","unstructured":"Prigatano GP, Montreuil M, Chapple K, Tonini A, Toron J, Paquet C, et al. Screening for cognitive and affective dysfunction in patients suspected of mild cognitive impairment. Int J Geriatr Psychiatry 2014; 29: 936\u2013942.","DOI":"10.1002\/gps.4082"},{"key":"129133","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1002\/gps.4082","DOI":"10.1002\/gps.4082"},{"key":"129134","doi-asserted-by":"crossref","unstructured":"B\u00fcttner J, Royko J, Resch K, Heider N, Falkowska Z. Digital participation in traumatic brain injury: scoping review about assessment tools for computer-mediated communication. Front Commun 2023; 8: 1221149.","DOI":"10.3389\/fcomm.2023.1221149"},{"key":"129135","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.3389\/fcomm.2023.1221149","DOI":"10.3389\/fcomm.2023.1221149"},{"key":"129136","doi-asserted-by":"crossref","unstructured":"Khan JS, Jibb LA, Busse JW, Gilron I, Choi S, Paul JE, et al. Electronic versus traditional data collection: a multicenter randomized controlled perioperative pain trial. Can J Pain 2019; 30: 16\u201325.","DOI":"10.1080\/24740527.2019.1587584"},{"key":"129137","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1080\/24740527.2019.1587584","DOI":"10.1080\/24740527.2019.1587584"},{"key":"129138","doi-asserted-by":"crossref","unstructured":"Malec JF. Comparability of Mayo-Portland Adaptability Inventory ratings by staff, significant others and people with acquired brain injury. Brain Inj 2004; 18: 563\u2013575.","DOI":"10.1080\/02699050310001646134"},{"key":"129139","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1080\/02699050310001646134","DOI":"10.1080\/02699050310001646134"},{"key":"129140","unstructured":"Caregiver guide Region Stockholm. Community neurorehabilitation teams (Internet). 2025 (cited 2025). Available from: https:\/\/vardgivarguiden.se\/avtal\/avtalsomrade\/lov-vardval-stockholm\/primarvardsrehabilitering\/neuroteam\/"},{"key":"129141","doi-asserted-by":"crossref","unstructured":"Nasreddine ZS, Phillips NA, B\u00e9dirian V, Charbonneau S, Whitehead V, Collin I, et al. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc 2005; 53: 695\u2013699.","DOI":"10.1111\/j.1532-5415.2005.53221.x"},{"key":"129142","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1111\/j.1532-5415.2005.53221.x","DOI":"10.1111\/j.1532-5415.2005.53221.x"},{"key":"129143","doi-asserted-by":"crossref","unstructured":"Jacobsson LJ, Westerberg M, S\u00f6derberg S, Lexell J. Functioning and disability 6\u201315 years after traumatic brain injuries in northern Sweden. Acta Neurol Scand 2009; 120: 389\u2013395.","DOI":"10.1111\/j.1600-0404.2009.01238.x"},{"key":"129144","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1111\/j.1600-0404.2009.01238.x","DOI":"10.1111\/j.1600-0404.2009.01238.x"},{"key":"129145","doi-asserted-by":"crossref","unstructured":"Borland E, N\u00e4gga K, Nilsson PM, Minthon L, Nilsson ED, Palmqvist S. The Montreal cognitive assessment: normative data from a large Swedish population-based cohort. J Alzheimers Dis 2017; 59: 893\u2013901.","DOI":"10.3233\/JAD-170203"},{"key":"129146","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.3233\/JAD-170203","DOI":"10.3233\/JAD-170203"},{"key":"129147","doi-asserted-by":"crossref","unstructured":"Sun R, Ge B, Wu S, Li H, Lin L. Optimal cut-off MoCA score for screening for mild cognitive impairment in elderly individuals in China: a systematic review and meta-analysis. Asian J Psychiatr 2023; 87: 103691.","DOI":"10.1016\/j.ajp.2023.103691"},{"key":"129148","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1016\/j.ajp.2023.103691","DOI":"10.1016\/j.ajp.2023.103691"},{"key":"129149","doi-asserted-by":"crossref","unstructured":"Wei X, Ma Y, Wu T, Yang Y, Yuan Y, Qin J, et al. Which cutoff value of the Montreal Cognitive Assessment should be used for post-stroke cognitive impairment? A systematic review and meta-analysis on diagnostic test accuracy. Int J Stroke 2023; 18: 908\u2013916.","DOI":"10.1177\/17474930231178660"},{"key":"129150","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1177\/17474930231178660","DOI":"10.1177\/17474930231178660"},{"key":"129151","unstructured":"Dijkers, M. The Community Integration Questionnaire (Internet). The Center for Outcome Measurement in Brain Injury. 2000 (cited 2025). Available from: http:\/\/www.tbims.org\/combi\/ciq"},{"key":"129152","unstructured":"Callaway L, Winkler D, Tippett A, Migliorini C, Herd N, Willer B. The community integration questionnaire\u2013revised (Internet). Summer Foundation Ltd; 2014 (cited 2025). Available from: https:\/\/www.summerfoundation.org.au\/resources\/the-community-integration-questionnaire-revised\/"},{"key":"129153","doi-asserted-by":"crossref","unstructured":"Waid-Ebbs JK, Wen PS, Graham DP, Leroux AJ, O\u2019Connor MK, Helmer DA. Measurement properties of the MPAI-4 in veterans With mTBI. Arch Phys Med Rehabil 2020; 101: 789\u2013796.","DOI":"10.1016\/j.apmr.2019.10.191"},{"key":"129154","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1016\/j.apmr.2019.10.191","DOI":"10.1016\/j.apmr.2019.10.191"},{"key":"129155","doi-asserted-by":"crossref","unstructured":"Zigmond AS, Snaith RP. The Hospital Anxiety and Depression Scale. Acta Psychiatr Scand 1983; 67: 361\u2013370.","DOI":"10.1111\/j.1600-0447.1983.tb09716.x"},{"key":"129156","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1111\/j.1600-0447.1983.tb09716.x","DOI":"10.1111\/j.1600-0447.1983.tb09716.x"},{"key":"129157","doi-asserted-by":"crossref","unstructured":"Andersson G, Kaldo-Sandstr\u00f6m V, Str\u00f6m L, Str\u00f6mgren T. Internet administration of the Hospital Anxiety and Depression Scale in a sample of tinnitus patients. J Psychosom Res 2003; 55: 259\u2013262.","DOI":"10.1016\/S0022-3999(02)00575-5"},{"key":"129158","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1016\/s0022-3999(02)00575-5","DOI":"10.1016\/S0022-3999(02)00575-5"},{"key":"129159","doi-asserted-by":"crossref","unstructured":"Koo TK, Li MY. A Guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med 2016; 15: 155\u2013163.","DOI":"10.1016\/j.jcm.2016.02.012"},{"key":"129160","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1016\/j.jcm.2016.02.012","DOI":"10.1016\/j.jcm.2016.02.012"},{"key":"129161","doi-asserted-by":"crossref","unstructured":"Ekdahl N, Godbolt AK, Deboussard CN, Lannsj\u00f6 M, St\u00e5lnacke BM, Stenberg M, et al. Cognitive reserve, early cognitive screening, and relationship to long-term outcome after severe traumatic brain injury. J Clin Med 2022; 11: 2046.","DOI":"10.3390\/jcm11072046"},{"key":"129162","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.3390\/jcm11072046","DOI":"10.3390\/jcm11072046"},{"key":"129163","doi-asserted-by":"crossref","unstructured":"Lisspers J, Nygren A, Soderman E. Hospital Anxiety and Depression Scale (HAD): some psychometric data for a Swedish sample. Acta Psychiatr Scand 1997; 96: 281\u2013286.","DOI":"10.1111\/j.1600-0447.1997.tb10164.x"},{"key":"129164","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1111\/j.1600-0447.1997.tb10164.x","DOI":"10.1111\/j.1600-0447.1997.tb10164.x"},{"key":"129165","doi-asserted-by":"crossref","unstructured":"Carmichael J, Spitz G, Gould KR, Johnston L, Samiotis A, Ponsford J. Bifactor analysis of the Hospital Anxiety and Depression Scale (HADS) in individuals with traumatic brain injury. Sci Rep 2023; 13: 8017.","DOI":"10.1038\/s41598-023-35017-7"},{"key":"129166","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1038\/s41598-023-36651-x","DOI":"10.1038\/s41598-023-36651-x"},{"key":"129167","doi-asserted-by":"crossref","unstructured":"Neue DC, Linden M, Muschalla B. Capacity limitations in neurology patients, with and without comorbid mental disorders. J Psychosom Res 2022; 159: 110928.","DOI":"10.1016\/j.jpsychores.2022.110928"},{"key":"129168","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1111\/j.1600-0447.1997.tb10164.x","DOI":"10.1111\/j.1600-0447.1997.tb10164.x"},{"key":"129169","doi-asserted-by":"crossref","unstructured":"Lefevre-Dognin C, Cogn\u00e9 M, Perdrieau V, Granger A, Heslot C, Azouvi P. Definition and epidemiology of mild traumatic brain injury. Neurochirurgie 2021; 67: 218\u2013221.","DOI":"10.1016\/j.neuchi.2020.02.002"},{"key":"129170","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1016\/j.neuchi.2020.02.002","DOI":"10.1016\/j.neuchi.2020.02.002"}],"container-title":["Journal of Rehabilitation Medicine"],"original-title":[],"link":[{"URL":"https:\/\/medicaljournalssweden.se\/jrm\/article\/download\/43644\/51687","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/medicaljournalssweden.se\/jrm\/article\/download\/43644\/51687","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T06:01:17Z","timestamp":1759903277000},"score":1,"resource":{"primary":{"URL":"https:\/\/medicaljournalssweden.se\/jrm\/article\/view\/43644"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,7]]},"references-count":66,"URL":"https:\/\/doi.org\/10.2340\/jrm.v57.43644","relation":{},"ISSN":["1651-2081"],"issn-type":[{"value":"1651-2081","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,7]]}}}