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J Am Geriatr Soc. 2008 Jul;56(7):1213-7. doi: 10.1111/j.1532-5415.2008.01773.x. Epub 2008 May 22.

Reliability of the hierarchical assessment of balance and mobility in frail older adults.

Author information

1
Department of Medicine, Division of Geriatric Medicine, Geriatric Medicine Research Unit, Dalhousie University, Halifax, Nova Scotia, Canada. Kenneth.Rockwood@dal.ca

Abstract

OBJECTIVES:

To study the test-retest and interrater reliability of the Hierarchical Assessment of Balance and Mobility (HABAM) in frail older adults.

DESIGN:

Convenience sample of 167 frail older adults seen as part of routine care by an academic geriatrician at a tertiary care teaching hospital.

SETTING:

Inpatient medical and geriatric wards, geriatric ambulatory care clinic, emergency department, home visits.

PARTICIPANTS:

The interrater reliability sample consisted of 98 inpatients and 69 outpatients. The test-retest reliability sample tracked 63 of the inpatients over the first 2 days of their hospital stay.

MEASUREMENTS:

Mobility and balance were assessed using the HABAM. Frailty was assessed using a frailty index based on a standardized Comprehensive Geriatric Assessment. Reliability was assessed using Pearson correlations and the intraclass correlation coefficients.

RESULTS:

The interrater reliability of the HABAM was 0.92 and ranged from 0.88 to 0.96 across settings for the various components (balance, transfers, mobility). Test-retest reliability was 0.91 (range 0.85-0.92).

CONCLUSION:

The HABAM appears to be a reliable means of assessing mobility and balance in frail older adults.

[Indexed for MEDLINE]

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