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Inter-rater reliability of the Johns Hopkins Highest Level of Mobility Scale (JH-HLM) in the intensive care unit.
- Source :
-
Brazilian journal of physical therapy [Braz J Phys Ther] 2021 May-Jun; Vol. 25 (3), pp. 352-355. Date of Electronic Publication: 2020 Aug 08. - Publication Year :
- 2021
-
Abstract
- Background: The Johns Hopkins Highest Level of Mobility (JH-HLM) scale is used to document the observed mobility of hospitalized patients, including those patients in the intensive care unit (ICU) setting.<br />Objective: To evaluate the inter-rater reliability of the JH-HLM, completed by physical therapists, across medical, surgical, and neurological adult ICUs at a single large academic hospital.<br />Methods: The JH-HLM is an ordinal scale for documenting a patient's highest observed level of activity, ranging from lying in bed (score = 1) to ambulating >250 feet (score = 8). Eighty-one rehabilitation sessions were conducted by eight physical therapists, with 1 of 2 reference physical therapist rater simultaneously observing the session and independently scoring the JH-HLM. The intraclass correlation coefficient was used to determine the inter-rater reliability.<br />Results: A total of 77 (95%) of 81 assessments had perfect agreement. The overall intraclass correlation coefficient for inter-rater reliability was 0.98 (95% confidence interval: 0.96, 0.99), with similar scores in the medical, surgical, and neurological ICUs. A Bland-Altman plot revealed a mean difference in JH-HLM scoring of 0 (limits of agreement: -0.54 to 0.61).<br />Conclusion: The JH-HLM has excellent inter-rater reliability as part of routine physical therapy practice, across different types of adult ICUs.<br /> (Copyright © 2020 Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia. Publicado por Elsevier España, S.L.U. All rights reserved.)
- Subjects :
- Adult
Humans
Reproducibility of Results
Intensive Care Units
Physical Therapists
Subjects
Details
- Language :
- English
- ISSN :
- 1809-9246
- Volume :
- 25
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Brazilian journal of physical therapy
- Publication Type :
- Academic Journal
- Accession number :
- 32811787
- Full Text :
- https://doi.org/10.1016/j.bjpt.2020.07.010