Reliability and validity of the German translation of the de Morton Mobility Index (DEMMI) performed by physiotherapists in patients admitted to a sub-acute inpatient geriatric rehabilitation hospital

BMC Geriatrics

Research Article

Julia Reinke¹  Christian Thiel²  Christian Grüneberg²  Tobias Braun³  Ralf-Joachim Schulz⁴  Natalie A de Morton⁵  Nico L van Meeteren⁶  Megan Davidson⁷ 

[1] Catholic Clinic Bochum, Ruhr-University Bochum, Marien-Hospital Wattenscheid, Parkstr. 15, 44866, Bochum, Germany;Department of Applied Health Sciences, Physiotherapy Program, Hochschule für Gesundheit, Universitätsstr. 105, 44789, Bochum, Germany;Department of Applied Health Sciences, Physiotherapy Program, Hochschule für Gesundheit, Universitätsstr. 105, 44789, Bochum, Germany;University of Cologne, Medical Faculty, Kerpener Str. 62, 50937, Cologne, Germany;Department of Geriatric Medicine, St. Marien-Hospital, Kunibertskloster 11-13, 50668, Cologne, Germany;Donvale Rehabilitation Hospital, Ramsay Health, 1119 Doncaster Road, 3111, Donvale, VIC, Australia;Health~Holland, Topsector Life Sciences and Health, 2509, The Hague, The Netherlands;CAPHRI, Maastricht University, Minderbroedersberg 4-6, 6211 LK, Maastricht, The Netherlands;School of Allied Health, College of Science, Health and Engineering, La Trobe University, 3086, Melbourne, VIC, Australia;

关键词: Aged;    Mobility limitation;    Geriatric assessment;    Psychometrics;    Rehabilitation;   

DOI  :  10.1186/s12877-015-0035-y

 received in 2014-12-15, accepted in 2015-03-24,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundMobility is a key outcome in geriatric rehabilitation. The de Morton Mobility Index (DEMMI) is an internationally well-established, unidimensional measure of mobility with good psychometric properties. The aim of this study was to examine the reliability and construct validity of the German translation of the DEMMI in geriatric inpatients.MethodsThis cross-sectional study included patients admitted to a sub-acute inpatient geriatric rehabilitation hospital (reliability sample: N = 33; validity sample: N = 107). Reliability, validity, and unidimensionality were investigated.ResultsInter-rater reliability between two graduate physiotherapists was excellent, with intra-class correlation coefficient of 0.94 (95% confidence interval: 0.88-0.97). The minimal detectable change with 90% confidence was 9 points. Construct validity for the DEMMI was evidenced by significant moderate to strong correlations with other measures of mobility and related constructs (Performance Oriented Mobility Assessment: rho = 0.89; Functional Ambulation Categories: rho = 0.70; six-minute walk test: rho = 0.73; gait speed: rho = 0.67; Falls Efficacy Scale International: rho = −0.68). Known-groups validity was indicated by significant DEMMI mean group differences between independent versus dependent walkers and walking aid users versus non-users. Unidimensionality of the German DEMMI translation was confirmed by Rasch analysis.ConclusionsThe German translation of the DEMMI is a unidimensional instrument producing valid and reproducible measurement of mobility in an inpatient geriatric rehabilitation setting.

【 授权许可】

CC BY   
© Braun et al.; licensee BioMed Central. 2015