Psychometric characteristics of the Spanish version of the Barthel Index

González, Nerea; Bilbao, Amaia; Forjaz, María João; Ayala, Alba; Orive, Miren; García-Gutiérrez, Susana; Hayas, Carlota Las; Quintana, José M.

doi:10.1007/s40520-017-0809-5

Cited by 88 publications

(72 citation statements)

References 30 publications

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“…This result could also reinforce the role of Pulmonary Rehabilitation in reducing short-and longterm readmission following discharge from an index admission due to a severe COPD [18]. The use of a non-specific index of respiratory pathology in this study, such as Barthel's index [21], which is influenced not only by dyspnoea, but also by other functional mobility or cognitive impairments, or even by the patients' specific degree of support, could have influenced the strength that this variable had in our study. It is likely that Barthel's index reflects in a much more global way the true ability of each patient to perform their most basic functions [33,37,38].…”

Section: Discussionsupporting

confidence: 61%

“…The patients' demographic information, level of education, place of residence, usual means of transport, monthly income, and type of pension (contributory or not) were registered. In addition, their employment regime; type of housing (flat, house, nursing home, hotel); living characteristics (living alone); caregiver availability and remuneration; previous contacts with social services; dependence to perform basic activities of daily living (BADLs) measured according to Barthel's index [21] and to perform instrumental activities measured according to Lawton and Brody's index [22] prior to the admission; score in Barber's social fragility questionnaire [23] � ; social or family situation measured according to Gijón's socio-familial evaluation scale [24]; and the informal caregivers' overload (when applicable) measured according to Zarit's test [25]. The social variables were transformed into dichotomous variables based on the recommended cut-off points [21,22,24,25].…”

Section: Data Collectionmentioning

confidence: 99%

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Social and clinical predictors of short- and long-term readmission after a severe exacerbation of copd

et al. 2020

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Introduction and objectives The aim of this study was to evaluate the predictive ability of multiple social, and clinical factors for readmission after a severe acute exacerbation of COPD (AECOPD) during various time periods. Methods We performed a prospective cohort study in which recruited patients with AECOPD. We systematically collected numerous clinical (symptoms, pulmonary function, comorbidities, and treatment) and social (financial situation, housing situation, family support, caregiver overload, ability to perform activities, and risk of social exclusion) variables using several questionnaires and indices. The patients were followed closely for one year and readmissions at 30, 60, and 365 days were analysed. Results 253 patients were included, aged 68.9±9.8years, FEV 1 = 42.1%±14.2%, and a Charlson's index = 1.8±0.9. Of these patients, 20.2%, 39.6%, and 63.7% were readmitted within the first 30, 90, and 365 days after discharge, respectively. In the multivariate model applied, the variables that were independently associated with readmission over all three periods of the analysis were dependence to perform basic activities of daily living (BADLs) (odds ratio [OR] = 2.10-4.10) and a history of two or more admissions within the previous year (OR = 2.78-3.78). At 90 days, a history of bacterial isolates in a previous sputum culture (OR = 2.39) and at 365 days, a high grade of dyspnoea (OR = 2.51) and obesity (OR = 2.38) were also identified as predictors of hospital readmission.

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Section: Discussionsupporting

confidence: 61%

Section: Data Collectionmentioning

confidence: 99%

Social and clinical predictors of short- and long-term readmission after a severe exacerbation of copd

et al. 2020

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“…"> Dependence/physical disability : The physical dependence/disability assessment was measured using the validated Spanish version of the Barthel Index, which presents adequate psychometric properties (Cronbach's α ≥ .88) 18 . Specifically, this questionnaire evaluates the various aspects of daily life activities to determine the physical capacity level 18 . Each Barthel index item receives a score of 0, 5, 10, or 15, depending on the evaluated activity.…”

Section: Methodsmentioning

confidence: 99%

“…18 Specifically, this questionnaire evaluates the various aspects of daily life activities to determine the physical capacity level. 18 Each Barthel index item receives a score of 0, 5, 10, or 15, depending on the evaluated activity. In this way, the total score of the instrument ranges between 0 and 100, with a higher score indicating less dependence.…”

Section: Dependence/physical Disabilitymentioning

confidence: 99%

Pelvic floor dysfunction negatively impacts general functional performance in patients with multiple sclerosis

Aguilar-Zafra¹,

Corral²,

Vidal-Quevedo

et al. 2020

Neurourology and Urodynamics

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Background There is a lack of evidence to assess whether gait functionality can be affected by the condition of the pelvic floor musculature in patients with multiple sclerosis (MS). Objective To evaluate the relationship between pelvic floor functionality and general functional performance, and also their relationship depending on dependence degree in MS patients. Participants Forty‐three MS patients performed the study. The pelvic floor musculature and its functionality were evaluated by urinary incontinence (UI), fecal incontinence, and constipation. General functional performance was evaluated by the Barthel index, the Health Status Questionnaire Short Form‐12 (SF‐12), and the Timed Up and Go (TUG) test. Results UI was moderately related to general functional performance (SF‐12 Physical: R = −0.413; Barthel index: R = −0.501; TUG: R = 0.482). The comparative analysis showed differences between UI and gait functionality (P = .008), with poorer results in the TUG in patients with moderate/severe dependence (P < .001). Conclusion UI appears to have a negative impact on the performance of daily living activities, walking, and the physical dimension of quality of life in patients with MS. In addition, patients with moderate or severe dependence showed higher UI and gait disturbance compared with those with mild dependence or independence.

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“…The participants will be ≥70 years of age, resident in the community and should meet the following criteria for frailty and functionally independent, respectively: SPPB score <10 points20 and Barthel score >90 points 23. The SPPB will be used because this instrument identifies persons at risk of presenting adverse health outcomes (dependence, falls, institutionalisation and death) 24–26.…”

Section: Methods and Analysismentioning

confidence: 99%

Tackling frailty at primary care: evaluation of the effectiveness of a multicomponent intervention through a randomised controlled trial: study protocol

et al. 2020

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IntroductionThis project focuses on how frailty is addressed in primary healthcare (PHC) and will evaluate the effectiveness of a multifactorial intervention (considering the appropriateness of the pharmaceutical prescription, the nutritional care provided and the exercise intervention) for persons with frailty, in terms of improving their functional capacity and reducing the incidence of adverse events related to frailty. The final evaluation will be made at 12 months’ follow-up.Methods and analysisPragmatic multicentre cluster randomised controlled clinical trial, single blind with two arms: multifactorial intervention in PHC versus usual follow-up. The randomisation unit is the patient list and the analysis unit is the patient. In addition, a cost-effectiveness study and a qualitative study will be carried out, the latter based on semistructured interviews and focus groups. Two hundred persons (100 per study branch) all aged ≥70 years, presenting frailty, but functionally independent and resident in the community, will be recruited. A baseline evaluation will be carried out prior to the intervention, with follow-up at 6 and 12 months. The main study variables considered will be functional capacity and incidence of adverse events; the secondary variables considered will be the patients’ sociodemographic characteristics, nutritional status, level of physical activity and drug consumption, together with data on comorbidity, cognitive and affective status and health-related quality of life. Data will be analysed according to the intention-to-treat principle using a 5% significance level.Ethics and disseminationThe study will at all times be conducted in strict accordance with the provisions of the Declaration of Helsinki and with the national legislation regulating patients’ autonomy. All patients recruited will be asked to provide written informed consent before taking part in the clinical trial. On completion of the study, the principal investigator expects to publish the results of this research in a peer-reviewed open access scientific journal.Trial registration numberISRCTN17143761.

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Psychometric characteristics of the Spanish version of the Barthel Index

Abstract: This questionnaire can be used in the evaluation of functionality and basic activities of daily living in elderly people with different conditions.

Cited by 88 publications

References 30 publications

Social and clinical predictors of short- and long-term readmission after a severe exacerbation of copd

Social and clinical predictors of short- and long-term readmission after a severe exacerbation of copd

Pelvic floor dysfunction negatively impacts general functional performance in patients with multiple sclerosis

Tackling frailty at primary care: evaluation of the effectiveness of a multicomponent intervention through a randomised controlled trial: study protocol

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