Reliability and validity of telephonic Barthel Index: an experience from multi-centric randomized control study

Prasad, Kameshwar; Kumar, Purushottam; Misra, Shubham; Yadav, Arun Kumar; Johri, Sarat; Sarkar, Rik; Gorthi, Sankar Prasad; Hassan, Kaukab Maqbool; Prabhakar, Sudesh; Misra, U. K.

doi:10.1007/s13760-017-0843-2

Cited by 25 publications

(44 citation statements)

References 10 publications

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“…Notably, the telephone Barthel index (BI) has been found to have robust reliability and validity. 10,11 Function was assessed using the BI. 12 The BI considers independence in 10 ADLs: feeding, toilet use, bowel and bladder control, grooming, dressing, bathing, mobility, stair climbing, and transfers (from bed to chair and back).…”

Section: Methodsmentioning

confidence: 99%

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Persistent Functional Decline Following Hospitalization with Influenza or Acute Respiratory Illness

Andrew

MacDonald

Godin

et al. 2020

J American Geriatrics Society

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Background/objectives Influenza is associated with significant morbidity and mortality, particularly for older adults. Persistent functional decline following hospitalization has important impacts on older adults' wellbeing and independence, but has been under‐studied in relation to influenza. We aimed to investigate persistent functional change in older adults admitted to hospital with influenza and other acute respiratory illness (ARI). Design Protective observational cohort study. Setting Canadian Immunization Research Network Serious Outcomes Surveillance Network 2011 to 2012 influenza season. Participants A total of 925 patients aged 65 and older admitted to hospital with influenza and other ARI. Measurements Influenza was laboratory‐confirmed. Frailty was measured using a Frailty index (FI). Functional status was measured using the Barthel index (BI); moderate persistent functional decline was defined as a clinically meaningful loss of ≥10 to <20 points on the 100‐point BI. Catastrophic disability (CD) was defined as a loss of ≥20 points, equivalent to full loss of independence in two basic activities of daily living. Results Five hundred and nineteen (56.1%) were women; mean age was 79.4 (standard deviation=8.4) years. Three hundred and forty‐six (37.4%) had laboratory‐confirmed influenza. Influenza cases had lower baseline function (BI = 77.0 vs 86.9, P < .001) and higher frailty (FI = 0.23 vs 0.20, P < .001) than those with other ARI. A total of 8.4% died, 8.2% experienced persistent moderate functional decline, and 9.9% experienced CD. Higher baseline frailty was associated with increased odds of experiencing functional decline, CD, and death. The experience of functional decline and CD, and its association with frailty, was the same for influenza and other ARI. Conclusion Functional loss in hospital is common among older adults; for some this functional loss is persistent and catastrophic. This highlights the importance of prevention and optimal management of acute declines in health, including influenza, to avoid hospitalization. In the case of influenza, for which vaccines exist, this raises the potential of vaccine preventable disability.

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Section: Methodsmentioning

confidence: 99%

“…Follow‐up interviews were conducted in person or by telephone. Notably, the telephone Barthel index (BI) has been found to have robust reliability and validity 10,11 …”

Section: Methodsmentioning

confidence: 99%

Persistent Functional Decline Following Hospitalization with Influenza or Acute Respiratory Illness

Andrew

MacDonald

Godin

et al. 2020

J American Geriatrics Society

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“…During the phone call, all patients were assessed using the MBI [ 22 , 23 ] and the 12-Item Short Form Health Survey (SF-12) [ 24 , 25 ]. A specific questionnaire for RTW was also administered, together with questions related to any organizational or physical adaptations applied for the workplace.…”

Section: Methodsmentioning

confidence: 99%

Return to Work and Quality of Life after Stroke in Italy: A Study on the Efficacy of Technologically Assisted Neurorehabilitation

Ghoshchi

Angelis

Morone

et al. 2020

IJERPH

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Cerebrovascular diseases, including stroke, are historically considered diseases of old adults so only in a few studies has “return to work” (RTW) been considered as an index of rehabilitative outcome. At the moment, data on RTW in patients with stroke are highly variable: four different reviews reported the following ranges: 11–85%, 19–73%, 22–53%, and 40–45%. The absence of re-integration to work after a stroke is shown to be associated with an increase of cardiac disorders and depression, with a higher level of mortality, with social isolation and with insufficient adaptive skills. The aim of this study was to verify the effectiveness of technological treatment, performed with optic (SonicHand) and wearable (Riablo™) systems providing auditory and visual biofeedback, on RTW in patients with stroke. RTW was found to be associated with a higher independence in the activities of daily living (assessed by the Modified Barthel Index). No significant differences were found between technological versus conventional rehabilitation in terms of RTW, despite the former showing a higher odds ratio than the latter (OR = 9 vs. 6). Assistive devices were mainly used in patients who had not returned to work. Finally, quality of life was found higher in those patients who returned to work with the same conditions (work duties and time) as before stroke.

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“…There are five tools (Sinhala version of ADL[42], Modified Barthel index[43], EASI[44], EASY Care[20], modified Bristol and Blessed scales[45]) were validated for ADL assessment. Among them, Sinhala version of ADL[42] and EASY Care[20] independence scale had high reliability, Whereas Modified Barthel index[43], substantial-high sensitivity and specificity, EASI[44] tool had shown moderate sensitivity and high specificity, with a poor PPV and the modified Bristol and Blessed scales[45] had very high sensitivity and moderate specificity.…”

Section: Resultsmentioning

confidence: 99%

“…A large majority of studies were from India (34) followed by Sri Lanka (5), Nepal (3), Bangladesh (2) and Pakistan (2). All these studies were conducted in rural, urban or semi-urban settings except 3 studies(55)(52)(57). 32 tools were reported in regional language.…”

Section: Discussionmentioning

confidence: 99%

A Scoping Review of Community-Based Geriatric Health Assessment and Screening Tools used in South Asia

Panigrahi

Bhoi

Kshatri

2021

Preprint

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There have been many geriatric tools developed to assess health status targeting especially for older adults from developed nations but not context specific. Whereas finger count tools are available for LMICs, especially the South Asia population. CGA, as opposed to medical examination, uses multiple tools to capture a holistic health status of the older adults in line with the more comprehensive WHO definition of health. It includes a harmonized evaluation of the clinical, functional, psychological, environmental and social health status of older population. Although there is no standardized format for carrying out CGA, there is broad consensus on the domains that need to be measured. For the better caring of culturally diverse South Asian older population, we need to develop more culturally competent CGHA tools. So, this review summarised studies that describe validated tools for assessing geriatric health in community settings in South Asia. We followed Arksey and O Malleys five-stage scoping review framework, refined with the Joanna Briggs Institute methodology, to identify the research questions, identify relevant studies, select studies, chart the data, and collate and summarize the data. Using the PRISMA-ScR guidelines, a search of 3 databases (PubMed, Embase and PsychInfo was undertaken. After applying eligibility criteria to 607 articles, only 46 studies met the inclusion criteria. 7 studies reported on medical assessment, 4 studies assessed psychological condition,6 studies assessed functional issue,2 studies assessed social wellbeing and 9 studies reported on different domains. None study measured all domains. 24 tools calibrated with Gold standard measure, were validated and reliable by assessed with psychometric properties such as sensitivity, specificity, PPV, NPV and ROC-AUC. Meanwhile, 21 tools were validated exclusively for older adults, whereas there are no validated tools available for CGHA in South Asia. This review will guide us for development of CGHA tools or adaptation of existing tools in our context. As well, it will help practitioners to develop tools to measure comprehensive health of the elderly in their context.

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Reliability and validity of telephonic Barthel Index: an experience from multi-centric randomized control study

Cited by 25 publications

References 10 publications

Persistent Functional Decline Following Hospitalization with Influenza or Acute Respiratory Illness

Persistent Functional Decline Following Hospitalization with Influenza or Acute Respiratory Illness

Return to Work and Quality of Life after Stroke in Italy: A Study on the Efficacy of Technologically Assisted Neurorehabilitation

A Scoping Review of Community-Based Geriatric Health Assessment and Screening Tools used in South Asia

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