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Measuring Mobility in Low Functioning Hospital Patients: An AM-PAC Replenishment Project
- Source :
- Archives of physical medicine and rehabilitation. 101(7)
- Publication Year :
- 2019
-
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.
- Subjects :
- Male
030506 rehabilitation
medicine.medical_specialty
Patient-Reported Outcomes Measurement Information System
Physical Therapy, Sports Therapy and Rehabilitation
Pilot Projects
Risk Assessment
Structural equation modeling
Tertiary Care Centers
03 medical and health sciences
Disability Evaluation
0302 clinical medicine
Floor effect
Acute care
Item response theory
Activities of Daily Living
Outcome Assessment, Health Care
medicine
Raw score
Humans
Longitudinal Studies
Mobility Limitation
Aged
Academic Medical Centers
Inpatients
business.industry
Rehabilitation
Middle Aged
Differential item functioning
Confirmatory factor analysis
United States
Physical therapy
Female
0305 other medical science
business
030217 neurology & neurosurgery
Subacute Care
Subjects
Details
- ISSN :
- 1532821X
- Volume :
- 101
- Issue :
- 7
- Database :
- OpenAIRE
- Journal :
- Archives of physical medicine and rehabilitation
- Accession number :
- edsair.doi.dedup.....3481c54c46910d134761636a0e9e114e