Development, reliability, and validity of the mobility assessment scale in hospitalized patients (HMob).

Autor: Ramos IR; Program in Medicine and Health, Universidade Federal da Bahia (UFBA), Salvador, Bahia, Brazil., Santos JS; Course in Physical Therapy, Universidade Federal da Bahia (UFBA), Salvador, Bahia, Brazil., Pires Dos Santos MC; Course in Physical Therapy, Universidade Federal da Bahia (UFBA), Salvador, Bahia, Brazil., da Silva DF; Course in Physical Therapy, Universidade Federal da Bahia (UFBA), Salvador, Bahia, Brazil., Alves IGN; Course in Physical Therapy, Universidade Federal da Bahia (UFBA), Salvador, Bahia, Brazil; Department of Medicine, Escola Bahiana de Medicina e Saúde Pública (EBMSP), Salvador, Bahia, Brazil., Neto MG; Program in Medicine and Health, Universidade Federal da Bahia (UFBA), Salvador, Bahia, Brazil; Course in Physical Therapy, Universidade Federal da Bahia (UFBA), Salvador, Bahia, Brazil., Martinez BP; Program in Medicine and Health, Universidade Federal da Bahia (UFBA), Salvador, Bahia, Brazil; Course in Physical Therapy, Universidade Federal da Bahia (UFBA), Salvador, Bahia, Brazil; Department of Physical Therapy, Universidade do Estado da Bahia (UNEB), Salvador, Bahia, Brazil. Electronic address: brunopmartinez@hotmail.com.
Jazyk: angličtina
Zdroj: Brazilian journal of physical therapy [Braz J Phys Ther] 2024 Mar-Apr; Vol. 28 (2), pp. 101047. Date of Electronic Publication: 2024 Mar 07.
DOI: 10.1016/j.bjpt.2024.101047
Abstrakt: Background: Existing mobility scales for hospitalized patients do not include assessment of tasks for the right and left side, ability to transfer from sitting to lying and from standing to sitting, ability to climbing steps and pick up an object from the floor in the same instrument.
Objective: Evaluate the reliability and validity of the hospital mobility assessment scale (HMob) according to the Consensus-based standards for the selection of health measurement instruments (COSMIN).
Methods: Study conducted in three inpatient units (cardiology, neurology, and gastrohepatology) and one adult intensive care unit in a hospital. Patients of both sexes were included; age >18 years; collaborative and who obeyed commands, with different medical diagnoses and clinical release to leave their bed (provided by the doctor). Special populations such as those with burns and orthopedics were excluded.
Results: The sample consisted of 130 patients; 20 from the pilot study and 110 to assess the clinimetric properties of the HMob. Cronbach alpha coefficient was 0.949. Relative intra- (A1-A2) and inter-rater (A1-B; A2-B) reliability was excellent (A1-A2: ICC = 0.982, p-value < 0.0001; A1-B: ICC = 0.993, p-value < 0.0001; A2-B: ICC = 0.986, p-value < 0.0001.) The convergent criterion validity of HMob in relation to the ICU Functional Status Score was 0.967 (p-value < 0.0001) and for Functional Independence measure (MIF) was 0.926 (p-value < 0.0001).
Conclusion: The HMob scale showed excellent internal consistency, intra- and inter-rater reliability, and concurrent validity in the motor domain, which suggests that it can be used in daily practice to measure mobility in hospitalized patients.
Competing Interests: Conflicts of interest The authors declare that they have no conflicts of interest.
(Copyright © 2024 Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze: MEDLINE
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