A Critical Evaluation of the Barthel Index, Part 2

1992 ◽  
Vol 55 (4) ◽  
pp. 153-156 ◽  
Author(s):  
Carolyn Murdock
Keyword(s):  
Clinical Practice ◽  
Activities Of Daily Living ◽  
Barthel Index ◽  
Daily Living ◽  
Critical Evaluation ◽  
Occupational Therapist ◽  
Validity And Reliability

This is the second of two articles providing a critical evaluation of the Barthel Index as a measure of activities of daily living. Part 2 reviews evidence of the test's standardisation, validity and reliability. It also discusses the usefulness of the test for an occupational therapist in clinical practice and stresses the need for standardised assessment within the profession.

A Critical Evaluation of the Barthel Index, Part 1

1992 ◽  
Vol 55 (3) ◽  
pp. 109-111 ◽  
Author(s):  
Carolyn Murdock
Keyword(s):  
Activities Of Daily Living ◽  
Barthel Index ◽  
Daily Living ◽  
Critical Evaluation ◽  
Validity And Reliability

This is the first of two articles critically evaluating the Barthel Index to measure activities of daily living (ADL). Part 1 examines the concept of ADL and looks at the index as an instrument for assessment. Part 2 will review evidence of its standardisation, validity and reliability.

Effective Measurement of the Functional Progress of Stroke Clients

2005 ◽  
Vol 68 (6) ◽  
pp. 253-259 ◽  
Author(s):  
Hilary A Jacob-Lloyd ◽  
Orla M Dunn ◽  
Nicola D Brain ◽  
Sarah E Lamb
Keyword(s):  
Activities Of Daily Living ◽  
Lower Limb ◽  
Barthel Index ◽  
Daily Living ◽  
Functional Performance ◽  
Validity And Reliability ◽  
Mobility Index ◽  
Measure Change ◽  
Discharge From Hospital ◽  
Nine Hole Peg Test

There is a need for occupational therapists to establish a range of outcome measures that can measure change effectively. The aim of this study was to identify effective methods of measuring the functional performance of individuals who had experienced a stroke and had been discharged from a rehabilitation ward. Measures with recorded validity and reliability and in clinical use were selected. The measures were the Barthel Index (Shah version), Nottingham Extended Activities of Daily Living scale, Motricity Index (Upper and Lower Limb), Rivermead Mobility Index and Nine-Hole Peg Test. Assessments were carried out at the point of discharge from hospital and 6 months later. Responsiveness was analysed using effect size and relative efficiency statistics. The practicality (feasibility) was established by comparing completion rates. The Nottingham Extended Activities of Daily Living scale and the Rivermead Mobility Index were found to be more responsive than the Barthel Index and Lower Limb Motricity Index respectively and to be practical after discharge from hospital. The Nine-Hole Peg Test was found to be more responsive than the Upper Limb Motricity Index but less practical. The analysis suggested that some measures are more suitable than others for tracking change in function after discharge from hospital for a wide case mix of people who have experienced a stroke.

scholarly journals Associations among occupational roles, independence, assistive technology, and purchasing power of individuals with physical disabilities

2013 ◽  
Vol 21 (2) ◽  
pp. 484-491 ◽  
Author(s):  
Daniel Marinho Cezar da Cruz ◽  
Maria Luisa Guillaumon Emmel
Keyword(s):  
Activities Of Daily Living ◽  
Assistive Technology ◽  
Functional Status ◽  
Barthel Index ◽  
Daily Living ◽  
Physical Disabilities ◽  
Lower Number ◽  
Purchasing Power ◽  
Classification Criterion ◽  
Occupational Roles

OBJECTIVE: to verify whether there are associations among occupational roles, independence to perform Activities of Daily Living, purchasing power, and assistive technology for individuals with physical disabilities. METHOD: 91 individuals with physical disabilities participated in the study. The instruments used were: Role Checklist, Brazilian Economic Classification Criterion, Barthel Index, and a Questionnaire to characterize the subjects. RESULTS: an association with a greater number of roles was found among more independent individuals using a lower number of technological devices. Higher purchasing power was associated with a lower functional status of dependence. CONCLUSION: even though technology was not directly associated with independence, the latter was associated with a greater number of occupational roles, which requires reflection upon independence issues when considering the participation in occupational roles. These findings support interdisciplinary actions designed to promote occupational roles in individuals with physical disabilities.

Activities of daily living at hospital admission and estimated survival time of older patients

2020 ◽  
Author(s):  
Jesper Ryg ◽  
Henriette Engberg ◽  
Pavithra Laxsen Anru ◽  
Solvejg Gram Henneberg Pedersen ◽  
Martin Gronbech Jorgensen ◽  
...  
Keyword(s):  
Hospital Admission ◽  
Activities Of Daily Living ◽  
Survival Time ◽  
Barthel Index ◽  
Daily Living ◽  
Older Patients ◽  
Cox Regression ◽  
Multivariable Analysis ◽  
Population Based ◽  
Kaplan Meier

Abstract Background Predicting expected survival time in acutely hospitalised older patients is a clinical challenge. Objective To examine if activities of daily living (ADL) assessed by Barthel-Index-100 (Barthel-Index) at hospital admission adds useful information to clinicians on expected survival time in older patients. Methods A nationwide population-based cohort study was used. All patients aged ≥65 years in the National Danish Geriatric Database from 2005 to 2014 were followed up until death, emigration or study termination (31 December 2015). Individual data were linked to national health registers. Barthel-Index was categorised into five-point subcategories with a separate category of Barthel-Index = 0. Kaplan–Meier analysis was used to assess crude survival proportions (95% CI) and Cox regression to examine association of Barthel-Index and mortality adjusting for age, Charlson comorbidity index, medication use, BMI, marital status, prior hospitalisations and admission year. Results In total, 74,589 patients (63% women) aged (mean (SD)) 82.5(7.5) years with Barthel-Index (median (IQR)) 54(29-77) were included. In patients with Barthel-Index = 100-96 crude survival was 0.96(0.95-0.97) after 90-days, 0.88(0.87-0.89) after 1-year, and 0.79(0.78-0.80) after 2-years. Corresponding survival in patients with Barthel-Index = 0 was 0.49(0.47-0.51), 0.35(0.34-0.37) and 0.26(0.24-0.27). Decreasing Barthel-Index was associated with increasing mortality in the multivariable analysis. In women with Barthel-Index = 0, the mortality risk (HR (95% CI)) was 14.74(11.33-19.18) after 90-days, 8.40(7.13-9.90) after 1-year and 6.22(5.47-7.07) after 2-years using Barthel-Index = 100-96 as reference. In men, the corresponding risks were 11.36(8.81-14.66), 6.22(5.29-7.31) and 5.22(4.56-5.98). Conclusions ADL measured by Barthel-Index provides useful, easily accessible and independent information to clinicians on expected survival time in patients admitted to a geriatric department.

Development and Evaluation of the Physical Activity Questionnaire for Elderly Japanese: The Nakanojo Study

2007 ◽  
Vol 15 (4) ◽  
pp. 398-411 ◽  
Author(s):  
Akitomo Yasunaga ◽  
Hyuntae Park ◽  
Eiji Watanabe ◽  
Fumiharu Togo ◽  
Sungjin Park ◽  
...  
Keyword(s):  
Physical Activity ◽  
Activities Of Daily Living ◽  
Barthel Index ◽  
Daily Living ◽  
Epidemiological Studies ◽  
Accelerometer Data ◽  
Physical Activity Questionnaire ◽  
Repeat Administration ◽  
Elderly Japanese ◽  
Activity Questionnaire

The Physical Activity Questionnaire for Elderly Japanese (PAQ-EJ) is a self-administered physical activity questionnaire for elderly Japanese; the authors report here on its repeatability and direct and indirect validity. Reliability was assessed by repeat administration after 1 month. Direct validation was based on accelerometer data collected every 4 s for 1 month in 147 individuals age 65–85 years. Indirect validation against a 10-item Barthel index (activities of daily living [ADL]) was completed in 3,084 individuals age 65–99 years. The test–retest coefficient was high (r= .64–.71). Total and subtotal scores for lower (transportation, housework, and labor) and higher intensity activities (exercise/sports) were significantly correlated with step counts and durations of physical activity <3 and ≥3 METs (r= .41, .28, .53), respectively. Controlling for age and ADL, scores for transportation, exercise/sports, and labor were greater in men, but women performed more housework. Sex- and ADL- or age-adjusted PAQ-EJ scores were significantly lower in older and dependent people. PAQ-EJ repeatability and validity seem comparable to those of instruments used in Western epidemiological studies.

scholarly journals Comparison of 2 Extended Activities of Daily Living Scales With the Barthel Index and Predictors of Their Outcomes

Stroke ◽  
2012 ◽  
Vol 43 (5) ◽  
pp. 1362-1369 ◽  
Author(s):  
Shah-Jalal Sarker ◽  
Anthony G. Rudd ◽  
Abdel Douiri ◽  
Charles D.A. Wolfe
Keyword(s):  
Activities Of Daily Living ◽  
Barthel Index ◽  
Daily Living
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