Mayo-Portland Adaptability Inventory (MPAI-4)
The MPAI-4 is a nationally recognized, highly developed and documented measure for tracking treatment outcome. It was designed to assess sensory, motor, and cognitive abilities, mood and interpersonal functioning as well as participation in activities of daily living. Results show a reduction in disability levels from intake to discharge from the program. This will be used to assess outcomes at 6 and 12 months from program discharge to ascertain whether treatment gains are maintained.
Repeatable Battery for the Assessment of Neuropsychological Status Update (RBANS Update)
The RBANS measures a wide array of cognitive functions, including Immediate Memory, Visuospatial/Constructional ability, Language functioning, Attention, and Delayed Memory. It is an ideal tool for measuring change over time as it offers multiple parallel forms and is available both in English and Spanish. Our data reflect improvements in Immediate Memory, Visuospatial Ability, Delayed Memory, and the Total score. A small sample size on this, however, reduces the representativeness of this data set. Use of the RBANS was implemented relatively recently (12/2015).
The Generalized Anxiety Disorder-7 Item (GAD-7) and the Patient Health Questionnaire (PHQ-9)
The GAD-7 is a self-report measure that was used to document severity of symptoms of anxiety. As indicated above, there was a decrease in symptoms of reported anxiety from intake to discharge.
The PHQ-9 is a self-report measure to document severity of symptoms of depression. As indicated above, there was a decrease in symptoms of reported depression from intake to discharge.
Quality of Life After Brain Injury (QOLIBRI)
The QOLIBRI is a self-report measure of quality of life following brain injury. As indicated above, persons served indicated increases in satisfaction with thinking/cognitive abilities and with overall level of independence.
National Outcomes Measurement System (NOMS)
The NOMS was selected for outcome tracking as it compares our clinic data to regional, within clinic, and national norms. It describes specific domains of cognitive-linguistic function and is sensitive to change. Our data reflect improvements in Attention, Memory, Pragmatics, and Problem Solving.
Patient satisfaction is measured at discharge from the program using a patient satisfaction questionnaire which provides the option for anonymity. Satisfaction is measured on a 0 to 10 likert scale with “0” indicating not satisfied all the way to “10” extremely satisfied with treatment and with accuracy of information received. Additionally, the person-served has the opportunity to indicate his or her satisfaction with the different treatment services received. Lastly, the person served is asked if there is any other feedback they have for the team. A resource center was suggested by one person and is now the “Patient Resource Library” located in the patient lunch room. On average, persons served appear “very satisfied” with treatment and accuracy of information.
Data completed between 10/2015-3/2016.