Measuring Mobility in Low Functioning Hospital Patients: An AM-PAC Replenishment Project.
Arch Phys Med Rehabil
; 101(7): 1144-1151, 2020 07.
Article
en En
| MEDLINE
| ID: mdl-32173327
ABSTRACT
OBJECTIVE:
To expand an existing validated measure of basic mobility (Activity Measure for Post-Acute Care [AM-PAC]) for patients at the lowest levels of function.DESIGN:
Item replenishment for existing item response theory (IRT) derived measure via (1) idea generation and creation of potential new items, (2) item calibration and field testing, and (3) longitudinal pilot test.SETTING:
Two tertiary acute care hospitals.PARTICIPANTS:
Consecutive inpatients (N=502) ≥18 years old, with an AM-PAC Inpatient Mobility Short Form (IMSF) raw score ≤15. For the longitudinal pilot test, 8 inpatients were evaluated.RESULTS:
Fifteen new AM-PAC items were developed, 2 of which improved mobility measurement at the lower levels of functioning. Specifically, with the 2 new items, the floor effect of the AM-PAC IMSF was reduced by 19%, statistical power and measurement breadth were greater, and there was greater measurement sensitivity in longitudinal pilot testing.CONCLUSION:
Adding 2 new items to the AM-PAC IMSF lowered the floor and increased statistical power, measurement breadth, and sensitivity.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Actividades Cotidianas
/
Evaluación de Resultado en la Atención de Salud
/
Atención Subaguda
/
Evaluación de la Discapacidad
/
Pacientes Internos
Tipo de estudio:
Clinical_trials
/
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Límite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Arch Phys Med Rehabil
Año:
2020
Tipo del documento:
Article