TY - JOUR
T1 - Reliability of the hierarchical assessment of balance and mobility in frail older adults
AU - Rockwood, Kenneth
AU - Rockwood, Michael R.H.
AU - Andrew, Melissa K.
AU - Mitnitski, Arnold
PY - 2008/7
Y1 - 2008/7
N2 - OBJECTIVES: To study the test-retest and interrater reliability of the Hierarchical Assessment of Balance and Mobility (HABAM) in frail older adults. DESIGN: Convenience sample of 167 frail older adults seen as part of routine care by an academic geriatrician at a tertiary care teaching hospital. SETTING: Inpatient medical and geriatric wards, geriatric ambulatory care clinic, emergency department, home visits. PARTICIPANTS: The interrater reliability sample consisted of 98 inpatients and 69 outpatients. The test-retest reliability sample tracked 63 of the inpatients over the first 2 days of their hospital stay. MEASUREMENTS: Mobility and balance were assessed using the HABAM. Frailty was assessed using a frailty index based on a standardized Comprehensive Geriatric Assessment. Reliability was assessed using Pearson correlations and the intraclass correlation coefficients. RESULTS: The interrater reliability of the HABAM was 0.92 and ranged from 0.88 to 0.96 across settings for the various components (balance, transfers, mobility). Test-retest reliability was 0.91 (range 0.85-0.92). CONCLUSION: The HABAM appears to be a reliable means of assessing mobility and balance in frail older adults.
AB - OBJECTIVES: To study the test-retest and interrater reliability of the Hierarchical Assessment of Balance and Mobility (HABAM) in frail older adults. DESIGN: Convenience sample of 167 frail older adults seen as part of routine care by an academic geriatrician at a tertiary care teaching hospital. SETTING: Inpatient medical and geriatric wards, geriatric ambulatory care clinic, emergency department, home visits. PARTICIPANTS: The interrater reliability sample consisted of 98 inpatients and 69 outpatients. The test-retest reliability sample tracked 63 of the inpatients over the first 2 days of their hospital stay. MEASUREMENTS: Mobility and balance were assessed using the HABAM. Frailty was assessed using a frailty index based on a standardized Comprehensive Geriatric Assessment. Reliability was assessed using Pearson correlations and the intraclass correlation coefficients. RESULTS: The interrater reliability of the HABAM was 0.92 and ranged from 0.88 to 0.96 across settings for the various components (balance, transfers, mobility). Test-retest reliability was 0.91 (range 0.85-0.92). CONCLUSION: The HABAM appears to be a reliable means of assessing mobility and balance in frail older adults.
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U2 - 10.1111/j.1532-5415.2008.01773.x
DO - 10.1111/j.1532-5415.2008.01773.x
M3 - Article
C2 - 18503518
AN - SCOPUS:48449091233
SN - 0002-8614
VL - 56
SP - 1213
EP - 1217
JO - Journal of the American Geriatrics Society
JF - Journal of the American Geriatrics Society
IS - 7
ER -