Comparison of the de morton mobility index and hierarchical assessment of balance and mobility in older acute medical patients

Abstract

Objective: To compare the measurement properties of the de Morton Mobility Index (DEMMI) and the Hierarchical Assessment of Balance and Mobility (HABAM) in an older acute medical inpatient population. Design: Cross-sectional. Subjects: Older acute medical inpatients. Methods: The DEMMI, HABAM and further assessments were performed after hospital admission. Construct validity was assessed by testing 13 hypotheses on convergent and known-groups validity. Test retest reliability and minimal detectable change were estimated based on a re-Assessment of unchanged patients. Floor and ceiling effects were used to indicate adequacy of scale width. Results: For both the DEMMI and HABAM, 11 (85%) hypotheses regarding construct validity were confirmed (n = 158). Both scales showed strong correlations with other multi-component mobility scales (Spearman's rho 0.75 0.92). Neither floor nor ceiling effects were evident. The intraclass correlation coefficient was 0.98 (95% confidence interval (95% CI) 0.96 0.99) for the DEMMI and 0.99 (95% CI 0.99 0.99) for the HABAM, respectively (n = 30). The minimal detectable change with 90% confidence was 6 points on the 100-point DEMMI scale and 1 point on the 26-point HABAM scale. Conclusion: The DEMMI and the HABAM appear to be suitable for measuring mobility in older acute medical patients.