To investigate the demmis construct validity in terms of a fall risk assessment. The purpose of ou r study was to evaluate interrater. Brazilian versions of the physical function icu test. This study reports the process of item reduction using the rasch model in the development of the demmi. An essential health index for an ageing world, health and quality of life outcomes, 2008, pp. Demmi scores, length of stay, and 30day readmission of acute. It overcomes practical and clinimetric limitations of existing mobility instruments. Brazilian versions of the physical function icu testscored. With patients on rehabilitation the ability to differentiate mobility level relating to walking ability was identified, but there was no difference relating to cause of mobility decline.
The final item set required minimal equipment and was quick and simple to administer. The demmi is administered by clinician observation of performance on 15 hierarchical mobility challenges, administered from easiest to hardest within 5 practical subsections. Helle andersen, seniorforsker nina beyer, fysioog ergoterapien, bispebjerg hospital og fysioterapeut peter oberlander, tr. Demmi pdf fill online, printable, fillable, blank pdffiller. The demmi is a 15 item unidimensional measure of mobility.
Morton mobility index demmi in healthy, community dwelling older adults. In order for a mobility measure to be relevant and meaningful. Ficsit4 frailty and injuries cooperative studies of intervention techniques. Brusco 1 2 lauri wood 3 katherine lawler 2 nicholas f taylor 1 2. Measuring mobility in older hospital patients with cognitive. There is no accepted standard for measuring mobility in hospitalized patients with an acute exacerbation of chronic obstructive pulmonary. Demmi er 2010 oversat til dansk af udviklingsfysioterapeut, ms. The aim of this study was to examine the demmis psychometric properties in older patients with dementia, delirium or other cognitive impairment. Mobility is a key outcome in geriatric rehabilitation. Lying to sitting unable unable unable able able min assist supervision chair 4. The scale consists of 15 items that cover the broad mobility spectrum from bedbound to high challenging balance abilities. The demmi consists of 15 hierarchical items with scoring from 0100 where 100 denotes the highest mobility level. An intervallevel unidimensional mobility measure was constructed using rasch analysis. Mobility index with other commonly used activityrelated measures of mobility and balance in a population of communitydwelling people with.
Both measures were performed on the same day in 29 participants 62%, and within two days in 18 participants 38%. However, the demmi has not been validated for use during. An essential health index for an ageing world, health and quality of life outcomes, vol. Search for articles by this author, first page pdf related. A large initial item pool was generated from existing instruments, focus groups with clinicians, and patient interviews.
It is a reliable and valid tool for assessment of patients after hip fracture, with hip or knee osteoarthritis, at rehabilitation and of critically ill patients. The demmi was designed to measure changes in mobility of the hospitalized elderly population across different settings, from acute to chronic, and from clinical to. Mobility is a key outcome in older patients with cognitive impairment. Determining mobility status is an important component of any health. Two hundred and twenty two patients with a hip fracture admitted to a geriatric ward following surgery were assessed on day 1 and at. The scale consists of 15 items that cover the broad mobility spectrum from bedbound to.
Aug 19, 2008 an intervallevel unidimensional mobility measure was constructed using rasch analysis. Reliability, validity, interpretability and responsiveness of. Video instructions and help with filling out and completing demmi pdf. Thirtyfive consecutively recruited older adults 65 years living in the community who required informal care were included from melbourne and regional victoria, australia. Pdf determining mobility status is an important component of any health assessment for older adults. To report the multiple reliability studies conducted during the development and validation of the demmi. Cross cultural validation and reliability of the brazilian portuguese version. Like other indices that monitor critical aspects of health such as blood pressure tests, a mobility test for all older acute medical patients provides essential health. Wachs version effective 18 november 2019 acknowledgement to wachs great southern region as adapted from gs mr62. The barthel index and the cumulated ambulation score are.
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