Tools for Clinical Use - the COMBI connection

Creator:   John Corrigan, PhD, ABPP; Stephanie A. Kolakowsky-Hayner PhD, CBIST; Jerry Wright, MS, CBIST
Created:   1/17/2012
Contains:  3 items


The Journal of Head Trauma Rehabilitation (JHTR)—in partnership with The Center For Outcome Measurement in Brain Injury (COMBI)—introduces a new feature designed to support effective and informed use of standardized assessments for evaluation of brain injury.

The COMBI website has created a 'one-stop shop' to look for information about measurement tools, their use and how they were validated. And now, JHTR readers will have regular updates of both existing scales and new additions to the COMBI.



Mayo-Portland Adaptability Inventory-4

Bellon, Kimberly; Malec, James F.; Kolakowsky-Hayner, Stephanie A.

Journal of Head Trauma Rehabilitation. 27(4):314-316, July/August 2012.

THE Mayo-Portland Inventory was created by Drs. James Malec and Muriel Lezak and is in its fourth revision. The Mayo-Portland Adaptability Inventory-4 (MPAI-4) was designed exclusively for people older than 1 year who have incurred an acquired brain injury. Specifically, it is used in postacute assessments to increase understanding of outcomes and evaluate rehabilitation programs providing services to people with brain injuries. The MPAI-4 covers a wide range of domains, including physical, cognitive, emotional, behavioral, and social integration; all areas in which people can experience deficits following a brain injury. The scale is an evaluation of a person's current functional abilities and includes an assessment of community reintegration. The MPAI-4 forms, a manual detailing their use, and translation into a number of languages are available for free download from the COMBI Web site.

A Brief Overview of the Patient Competency Rating Scale: Updates and Additions to the COMBI

Kolakowsky-Hayner, Stephanie A.; Wright, Jerry; Bellon, Kimberly

Journal of Head Trauma Rehabilitation. 27(1):83-85, January/February 2012.

ANOSAGNOSIA, the physiologically based unawareness of one's deficits due to disability, is common after head injury.1 Individuals with brain injury also often over- and underestimate their abilities secondary to a lack of insight.2 Lack of awareness and insight can often negatively impact rehabilitation participation and outcomes and should be assessed and monitored. The Patient Competency Rating Scale (PCRS) is a 30-item self-report measure developed in 1986 by Prigatano and colleagues3 to evaluate lack of insight. The scale was designed for use in a post–acute setting to determine awareness of deficits after traumatic brain injury (TBI), by measuring patients' ability to carry out cognitive, self-care, and social tasks. Copies of the original Patient, Relative, and Clinician forms can be downloaded directly from COMBI or from links within the JHTR article.

  • Press Release