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The Arabic version of the Mayo-Portland Adaptability Inventory 4: a validation study

Article type: Published article


The Mayo-Portland Adaptability Inventory 4 (MPAI-4) is a valid and reliable assessment tool to detect clinical impairments in patients with acquired brain injury. The tool is widely used by rehabilitation therapists worldwide, given its good psychometric properties and its availability in several languages. The purpose of this study was to translate the tool into Arabic and to examine its validity and reliability with multiple sclerosis and stroke patients. A total of 128 participants were enrolled in this study: 49 with multiple sclerosis, 17 with stroke, and 62 healthy adults. The psychometric properties of discriminative and convergent construct validity as well as test-retest reliability were tested. The translated tool, the Arabic-MPAI-4 (A-MPAI-4), significantly discriminated among the three subgroups (F=50.93, P<0.001), correlated moderately but significantly with the Arabic version of the Performance Assessment of Self-Care Skills Self-Report as a measure of functional independence in daily activities (r=-0.35, P<0.001), and showed good stability over time (r=0.73, P<0.001). The A-MPAI-4 is a valid and reliable tool for clinical use with multiple sclerosis and stroke patients who speak Arabic.

Full citation

Hamed, R., et al., The Arabic version of the Mayo-Portland Adaptability Inventory 4: a validation study. Int J Rehabil Res, 2012. 35(3): p. 243-7.


Methods Condition Gender Age Country Setting Sample size
multiple sclerosis and stroke Both 45.68 Jordan
Healthcare Facility 128

Number of items

35 items


Measure require training

Required time

6-30 min

Access measure


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Articles last updated: December 2020