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Titre : | Development and Initial Psychometric Evaluation of the Mobility Activities Measure for Inpatient Rehabilitation Settings (Mobam-in) (2014) |
Auteurs : | Francesc Medina-Mirapeix ; Mariano Gacto-Sánchez ; Esther Navarro-Pujalte |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2014/12, 2014) |
Article en page(s) : | p. 2367-2375 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Kinésithérapie (spécialité) ; Mobilité réduite ; Rééducation et réadaptation |
Mots-clés: | Disability evaluation ; Évaluation de l'incapacité ; Mobility limitation ; Physical Therapy Specialty ; Physical Therapy Modalities ; Techniques de physiothérapie |
Résumé : |
Objective To describe the development and the initial psychometric evaluation of a mobility measure for inpatient postacute rehabilitation settingsthe Mobility Activities Measure for Inpatient Rehabilitation Settings (Mobam-in). Design Self-reportbased psychometric study. Setting Postacute rehabilitation unit of a public hospital. Participants A consecutive sample of inpatients (N=239) receiving postacute rehabilitation care. Interventions Not applicable. Main Outcome Measures We developed a 30-item mobility measure, using the Mobility Activities Measure (Mobam) framework, to assess functioning across 5 mobility activity domains classified within the International Classification of Functioning, Disability and Health. These were (1) changing and maintaining body position involving only sitting and/or lying (4 items); (2) changing and maintaining body position involving standing up (6 items); (3) carrying and moving objects using the hand and shoulder (6 items); (4) handling objects using only the hand and/or forearm (7 items); and (5) walking and moving (7 items). Psychometric analyses were conducted to test assumptions underlying the scaling and scoring of Mobam-in scales, and to test both the reliability and validity. Results Multitrait scaling and confirmatory factor analyses (with Tucker-Lewis Index median, .99; root mean square error of approximation median, .025) supported the assumption of unidimensionality concerning each domain. Five dimensions appeared to be stable across diverse diagnostic groups (the percentage of items with discriminant validity ranged from 93% to 100%, Cronbach coefficient ranged from .859 to .966). Rasch model (Masters' partial credit) showed that all items could be located along a continuum in each dimension, with goodness-of-fit criteria of infit and outfit mean-square values between 0.6 and 1.4. Test-retest reliability was excellent (intraclass correlation coefficients median, .98). Groups with more severe conditions and lower functional independence scored lower on Mobam-in scales, as hypothesized. Conclusions Mobam-in covers 5 dimensions of mobility activities. The Mobam framework is an effective reference for building outcome instruments. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999314009356 |