Evaluation of the Military Functional Assessment Program for Return-to-Duty Decision Making: A Longitudinal Study

Following concussion, return-to-duty decisions are made by medical providers and leaders using informal assessment, review of symptom resolution, and clinical assessments. In an effort to provide military-specific tasks for use in the decision making regarding return-to-duty, a battery developed from the set of basic soldier skills, the Military Functional Assessment Program (MFAP), was evaluated for construct validity using clinical assessment outcomes as well as the relationships between MFAP performance and indicators of long-term performance and satisfaction. A total of 48 participants were enrolled in the study providing baseline and post-treatment clinical assessment, and MFAP performance data. Twenty participants provided follow-up data at 6-month post-MFAP. Correlational analyses suggest significant relationships between MFAP performance ratings and clinical measures of vestibular and cognitive functions and psychological well-being. These findings are consistent with those from previous research on construct validity of the MFAP tasks. Performance on one MFAP task related to perceptions of performance and overall MFAP ratings related to satisfaction reported at 6 months. These findings provide preliminary, however limited, support for these tasks being indicative of the motivation and mental state of the program participant.