Mayo Portland Adaptability Inventory

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Indications

* Self report, scaled 0-3

Procedure

Physical/Medical

  • 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
  • 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
  • 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
  • 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
  • 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
  • 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

  • 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
  • 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
  • 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
  • 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
  • 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
  • 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

  • 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
  • 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
  • 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

  • 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
  • Dressing, personal hygiene, feeding
    • 0 No problem
    • 1 Sometimes needs reminders or a little help
    • 2 Often needs help
    • 3 Always needs help
  • 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
  • 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
  • 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

  • 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
  • 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
  • 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

  • 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
  • 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
  • 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
  • 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
  • Law violations
    • 0 None
    • 1 Convicted of misdemeanor(s)
    • 2 A felony conviction
    • 3 More than 1 felony convictions
  • 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
  • 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

More general terms

Additional terms

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