Feasibility and inter-rater reliability of the ICU Mobility Scale

Abstract Objectives The objectives of this study were to develop a scale for measuring the highest level of mobility in adult ICU patients and to assess its feasibility and inter-rater reliability. Background Growing evidence supports the feasibility, safety and efficacy of early mobilization in the...

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Bibliographic Details
Published in:Heart & lung 2014, Vol.43 (1), p.19-24
Main Authors: Hodgson, Carol, PhD, FACP, M(Research), PGDip(Cardio), BAppSc(Physio), Needham, Dale, FCA, MD, PhD, Haines, Kimberley, BHSc(Physiotherapy), Bailey, Michael, PhD, MSc, Ward, Alison, BPT, Harrold, Megan, BSc Physiotherapy, Young, Paul, BSc (Hons), MBChB, FCICM, Zanni, Jennifer, PT, Buhr, Heidi, RN, BCur(Ed et Admin)Med&SurgCritCare(general), MClinTPrac, Higgins, Alisa, MPH, BPhysio, Presneill, Jeff, MBBS, PhD, MBiostat, PGDipEcho FRACP, FCICM, Berney, Sue, PhD, BPhysiotherapy
Format: Article
Language:English
Subjects:
Adult
Aged
Cardiovascular
Critical Care
Early mobilization
Feasibility Studies
Female
Humans
Intensive care
Intensive Care Units
Locomotion
Male
Mechanical ventilation
Middle Aged
Mobility
Mobility Limitation
Observer Variation
Personnel, Hospital
Physical Therapists
Physical therapy
Pulmonary/Respiratory
Rehabilitation
Reliability
Reproducibility of Results
Surveys and Questionnaires
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Summary:Abstract Objectives The objectives of this study were to develop a scale for measuring the highest level of mobility in adult ICU patients and to assess its feasibility and inter-rater reliability. Background Growing evidence supports the feasibility, safety and efficacy of early mobilization in the intensive care unit (ICU). However, there are no adequately validated tools to quickly, easily, and reliably describe the mobility milestones of adult patients in ICU. Identifying or developing such a tool is a priority for evaluating mobility and rehabilitation activities for research and clinical care purposes. Methods This study was performed at two ICUs in Australia. Thirty ICU nursing, and physiotherapy staff assessed the feasibility of the ‘ICU Mobility Scale’ (IMS) using a 10-item questionnaire. The inter-rater reliability of the IMS was assessed by 2 junior physical therapists, 2 senior physical therapists, and 16 nursing staff in 100 consecutive medical, surgical or trauma ICU patients. Results An 11 point IMS scale was developed based on multidisciplinary input. Participating clinicians reported that the scale was clear, with 95% of respondents reporting that it took
ISSN:0147-9563
1527-3288
DOI:10.1016/j.hrtlng.2013.11.003