Evidence map›Paper›PMID 25935559›Full record

ArticleBMC geriatrics2015

Reliability and validity of the German translation of the de Morton Mobility Index (DEMMI) performed by physiotherapists in patients admitted to a sub-acute inpatient geriatric rehabilitation hospital.

Tobias Braun, Ralf-Joachim Schulz, Julia Reinke, Nico L van Meeteren, Natalie A de Morton, Megan Davidson, Christian Thiel, Christian Grüneberg

Open access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.5field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 37 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 4 countries.

Tobias BraunDepartment of Applied Health Sciences, Physiotherapy Program, Hochschule für Gesundheit, Universitätsstr. 105, 44789, Bochum, Germany. tobias.braun@hs-gesundheit.de.
Ralf-Joachim SchulzDepartment of Geriatric Medicine, St. Marien-Hospital, Kunibertskloster 11-13, 50668, Cologne, Germany. ralf-joachim.schulz@cellitinnen.de.
Julia ReinkeCatholic Clinic Bochum, Ruhr-University Bochum, Marien-Hospital Wattenscheid, Parkstr. 15, 44866, Bochum, Germany. reinke@mhwat.de.
Nico L van MeeterenHealth~Holland, Topsector Life Sciences and Health, 2509, The Hague, The Netherlands. meeteren@health-holland.com.
Natalie A de MortonDonvale Rehabilitation Hospital, Ramsay Health, 1119 Doncaster Road, Donvale, VIC, 3111, Australia. demortonn@ramsayhealth.com.au.
Megan DavidsonSchool of Allied Health, College of Science, Health and Engineering, La Trobe University, Melbourne, VIC, 3086, Australia. m.davidson@latrobe.edu.au.
Christian ThielDepartment of Applied Health Sciences, Physiotherapy Program, Hochschule für Gesundheit, Universitätsstr. 105, 44789, Bochum, Germany. christian.thiel@hs-gesundheit.de.
Christian GrünebergDepartment of Applied Health Sciences, Physiotherapy Program, Hochschule für Gesundheit, Universitätsstr. 105, 44789, Bochum, Germany. christian.grueneberg@hs-gesundheit.de.
Hochschule für Gesundheit - University of Applied Sciences · DEDoncaster Council · GBLa Trobe University · AUMaastricht University · NLSt. Marien Hospital · DEUniversity Hospitals of the Ruhr-University of Bochum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMobility is a key outcome in geriatric rehabilitation. The de Morton Mobility Index (DEMMI) is an internationally well-established, unidimensional measure of mobility with good psychometric properties. The aim of this study was to examine the reliability and construct validity of the German translation of the DEMMI in geriatric inpatients.

methodsThis cross-sectional study included patients admitted to a sub-acute inpatient geriatric rehabilitation hospital (reliability sample: N = 33; validity sample: N = 107). Reliability, validity, and unidimensionality were investigated.

resultsInter-rater reliability between two graduate physiotherapists was excellent, with intra-class correlation coefficient of 0.94 (95% confidence interval: 0.88-0.97). The minimal detectable change with 90% confidence was 9 points. Construct validity for the DEMMI was evidenced by significant moderate to strong correlations with other measures of mobility and related constructs (Performance Oriented Mobility Assessment: rho = 0.89; Functional Ambulation Categories: rho = 0.70; six-minute walk test: rho = 0.73; gait speed: rho = 0.67; Falls Efficacy Scale International: rho = -0.68). Known-groups validity was indicated by significant DEMMI mean group differences between independent versus dependent walkers and walking aid users versus non-users. Unidimensionality of the German DEMMI translation was confirmed by Rasch analysis.

conclusionsThe German translation of the DEMMI is a unidimensional instrument producing valid and reproducible measurement of mobility in an inpatient geriatric rehabilitation setting.

Indexed as

Geriatric AssessmentMobility LimitationAgedAged, 80 and overCross-Sectional StudiesExercise TestFemaleGaitGermanyHospitalizationHumansMaleMotor ActivityPsychometricsReproducibility of ResultsTranslations

Identifiers

PMID25935559
PMCPMC4424447
OpenAlexW2008829468

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.