Development, reliability, and validity of the mobility assessment scale in hospitalized patients (HMob)

•The HMob scale showed excellent internal consistency and reliability.•The HMOB scale presents concurrent validity with the FSS and FIM scales.•The HMOB scale can be used in daily practice to measure mobility in hospital. Existing mobility scales for hospitalized patients do not include assessment o...

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Bibliographic Details
Published in:	Revista brasileira de fisioterapia (São Carlos (São Paulo, Brazil)) Vol. 28; no. 2; p. 101047
Main Authors:	Ramos, Isis Resende, Santos, Joice Sousa, Pires dos Santos, Maria Cecilia, da Silva, Daruane Ferreira, Alves, Iura Gonzalez Nogueira, Neto, Mansueto Gomes, Martinez, Bruno Prata
Format:	Journal Article
Language:	English
Published:	Brazil Elsevier España, S.L.U 01-03-2024 Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia
Subjects:	Diagnosis Hospital Mobility limitation Original Research Reliability Validity Validity Diagnosis Hospital Mobility limitation Reliability
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Summary:	•The HMob scale showed excellent internal consistency and reliability.•The HMOB scale presents concurrent validity with the FSS and FIM scales.•The HMOB scale can be used in daily practice to measure mobility in hospital. Existing mobility scales for hospitalized patients do not include assessment of tasks for the right and left side, ability to transfer from sitting to lying and from standing to sitting, ability to climbing steps and pick up an object from the floor in the same instrument. Evaluate the reliability and validity of the hospital mobility assessment scale (HMob) according to the Consensus-based standards for the selection of health measurement instruments (COSMIN). Study conducted in three inpatient units (cardiology, neurology, and gastrohepatology) and one adult intensive care unit in a hospital. Patients of both sexes were included; age >18 years; collaborative and who obeyed commands, with different medical diagnoses and clinical release to leave their bed (provided by the doctor). Special populations such as those with burns and orthopedics were excluded. The sample consisted of 130 patients; 20 from the pilot study and 110 to assess the clinimetric properties of the HMob. Cronbach alpha coefficient was 0.949. Relative intra- (A1-A2) and inter-rater (A1-B; A2-B) reliability was excellent (A1-A2: ICC = 0.982, p-value < 0.0001; A1-B: ICC = 0.993, p-value < 0.0001; A2-B: ICC = 0.986, p-value < 0.0001.) The convergent criterion validity of HMob in relation to the ICU Functional Status Score was 0.967 (p-value < 0.0001) and for Functional Independence measure (MIF) was 0.926 (p-value < 0.0001). The HMob scale showed excellent internal consistency, intra- and inter-rater reliability, and concurrent validity in the motor domain, which suggests that it can be used in daily practice to measure mobility in hospitalized patients.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1413-3555 1809-9246
DOI:	10.1016/j.bjpt.2024.101047