A Measure of Disability

Wylie, Charles M.; White, Betty K.

doi:10.1080/00039896.1964.10663764

Cited by 55 publications

(24 citation statements)

References 2 publications

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“…In particular, it mal: lack sensitivity at the upper end of the scale (independence). , 17 No justification is given'! for the weight or value given to a specific activity or level of function other than clinical judgement, that is, implicit value judgements not specific values.…”

Section: Hierarchical Scalesmentioning

confidence: 99%

“…However, a maximum score of 100 does not mean that the person is capable of living alone. 17,18 Validity studies were done by which show a correlation between Barthel scores and clinical (that is, doctor's) judgement, length of stay and place of discharge. The reliability of the Barthel Index has not been specifically reported' but it has been used in many studies,11,17-2 including The index covers basic physical functions.…”

Section: Hierarchical Scalesmentioning

confidence: 99%

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Assessments of Activities of Daily Living: A Critical Review

Eakin

1989

British Journal of Occupational Therapy

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Occupational therapists are prolific creators and users of assessments. However, many of us accept an ‘assessment’ form at face value without really considering the reliability or validity of the assessment method. The use of unreliable assessments seriously diminishes the credibility of the profession. Unfortunately, testing assessments for reliability and validity is time consuming. Therefore, it is suggested that occupational therapists make use of the many published assessments, which already provide evidence of their reliability and validity.

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Section: Hierarchical Scalesmentioning

confidence: 99%

Section: Hierarchical Scalesmentioning

confidence: 99%

Assessments of Activities of Daily Living: A Critical Review

Eakin

1989

British Journal of Occupational Therapy

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“…It has been highly correlated with the Katz ADL, the Kenny self care evaluation, and the PULSES profile of independence in life functioning. [8][9][10][11][12][13][14][15][16][17] The Barthel Index has also been shown to be sensitive to clinical interventions, 18,19 and it is a clinically useful scale that is easy to administer.…”

Section: Introductionmentioning

confidence: 99%

Barthel ADL Index: a comparison of administration methods

1995

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The Barthel ADL Index is routinely used to assess elderly patients after discharge from hospital. Its inter-rater reliability and criterion validity have been well established. However, the inter-method reliability in administering this scale has not been sufficiently documentated. This study compares post, telephone and interview (visit) methods of administration to investigate their agreement. The index was administered by the three methods in random order after patients were discharged from acute geriatric wards. Results suggest that these three methods are reliable and agree well with each other in the total scores obtained.

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“…First used in approximately 1955, Barthel's eponymous scale became popular in rehabilitation and was well-established by time of publication. 6 Use of the BI spread quickly, such that it is now arguably the most popular ADL scale in clinical practice. 3 Examples of BI assessment in studies of spinal injury, burns, cardiac disease, rheumatoid arthritis, amputations, and frail elderly are available.…”

Section: Development Of the Bimentioning

confidence: 99%

“…In the "chronic disease" hospitals of Baltimore, a "Maryland disability index" was developed. 6 Dr Florence I. Mahoney and Dorothea W. Barthel modified this scale to produce "a simple index of independence, useful in scoring improvement in rehabilitation," ie, the BI. 7 The scale described 10 tasks and was scored according to amount of time or assistance required by the patient.…”

Section: Development Of the Bimentioning

confidence: 99%

Barthel Index for Stroke Trials

Quinn

Langhorne

Stott

2011

Stroke

409

180

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Background and Purpose-Robust measures of functional outcome are required to determine treatment effects in stroke trials. Of the various measures available, the Barthel index (BI) is one of the more prevalent. We aimed to describe validity, reliability, and responsiveness (clinimetric properties) of the BI in stroke trials. Methods-Narrative review of published articles describing clinimetric properties or use of the BI as a stroke trial end point. Results-Definitive statements on properties of BI are limited by heterogeneity in methodology of assessment and in the content of "BI" scales. Accepting these caveats, evidence suggests that BI is a valid measure of activities of daily living; sensitivity to change is limited at extremes of disability (floor and ceiling effects), and reliability of standard BI assessment is acceptable. However, these data may not be applicable to contemporary multicenter stroke trials. Conclusions-Substantial literature describing BI clinimetrics in stroke is available; however, questions remain regarding certain properties. The "BI" label is used for a number of instruments and we urge greater consistency in methods, content, and scoring. A 10-item scale, scoring 0 to 100 with 5-point increments, has been used in several multicenter stroke trials and it seems reasonable that this should become the uniform stroke trial BI. (Stroke. 2011;42:1146-1151.)

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A Measure of Disability

Cited by 55 publications

References 2 publications

Assessments of Activities of Daily Living: A Critical Review

Assessments of Activities of Daily Living: A Critical Review

Barthel ADL Index: a comparison of administration methods

Barthel Index for Stroke Trials

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