View Item 
        •   Utrecht University Student Theses Repository Home
        • UU Theses Repository
        • Theses
        • View Item
        •   Utrecht University Student Theses Repository Home
        • UU Theses Repository
        • Theses
        • View Item
        JavaScript is disabled for your browser. Some features of this site may not work without it.

        Browse

        All of UU Student Theses RepositoryBy Issue DateAuthorsTitlesSubjectsThis CollectionBy Issue DateAuthorsTitlesSubjects

        Translation, construct validity and inter-rater reliability of the Dutch AM-PAC ‘6-clicks’ Basic Mobility short form to assess the mobility of hospitalized patients

        Thumbnail
        View/Open
        Final MSc Thesis version S.J.G. Geelen | AM-PAC Translation, Validation, Reliability Abstract.docx (103.3Kb)
        Final MSc Thesis version S.J.G. Geelen | AM-PAC Translation, Validation, Reliability.pdf (367.7Kb)
        Final MSc Thesis version S.J.G. Geelen | AM-PAC Translation, Validation, Reliability Keywords.docx (28.70Kb)
        Publication date
        2017
        Author
        Geelen, S.J.G.
        Metadata
        Show full item record
        Summary
        ABSTRACT Aim: A high proportion of hospitalized patients experience limitations in mobility. To identify a loss in mobility, it is important to use an objective, standardized and valid measurement tool. The Activity Measure for Post-Acute Care ‘6-clicks’ Basic Mobility (AM-PAC BM) is an easy-to-use, quick English measuring tool and has been found valid and reliable in a hospital population. Therefore, the study aims were: (1) to translate the AM-PAC BM to Dutch, and (2) to determine the construct validity and (3) inter-rater reliability in patients hospitalized in a Dutch medical center. Methods: First, the AM-PAC BM was translated from English to Dutch by using a backward-forward translation protocol. Secondly, to determine the validity physiotherapists assessed patients admitted to the internal medicine wards to test six hypotheses regarding the construct ‘mobility’. Thirdly, to determine the inter-rater reliability, pairs of physiotherapists independently scored hospitalized patients using the Dutch AM-PAC BM. Results: Five of the six hypotheses (83.33%) were confirmed. Better mobility scores as measured with the AM-PAC BM relate to less restrictive pre-admission living situations (p=0.011), less restrictive discharge locations (p=0.001), more independence in activities of daily living (p=0.001), and less physiotherapy visits (p=0.000). There is a correlation between a patient’s AM-PAC BM score and length of stay (r=-0.408, p=0.001), but not between the patient’s AM-PAC BM and age (r=-0.180, p=0.528). Three Intraclass Correlation Coefficients were found between 0.919 (95% CI: 0.862-0.953) to 0.920 (95% CI: 0.828 – 0.964). The Kappa Coefficients for the individual items ranged between 0.649 (walking stairs) to 0.841 (sit to stand). Conclusion: This study provides evidence for the construct validity of the Dutch AM-PAC BM when physiotherapists use it to assess the mobility of hospitalized patients, and also demonstrates a moderate to excellent inter-rater reliability. Clinical Relevance Not only does the newly translated AM-PAC BM offer the Dutch physiotherapist an easy way to measure the mobility more validly, it also offers the Dutch physiotherapists a way to improve the validity of their clinical recommendations regarding post-acute care and discharge planning.
        URI
        https://studenttheses.uu.nl/handle/20.500.12932/26276
        Collections
        • Theses
        Utrecht university logo