Interrater Reliability of AM-PAC “6-Clicks” Basic Mobility and Daily Activity Short Forms

Abstract

The ICCs for AM-PAC "6-Clicks" total scores were very high. Levels of agreement varied across pairs of raters, from large to nearly perfect for physical therapists and from moderate to nearly perfect for occupational therapists. Levels of agreement for individual item scores ranged from small to very large.

Level of function mobility scale for nurse‐driven early mobilisation in people with acute cardiovascular disease

“…The 6‐Clicks mobility score has been validated and is reliable in acute hospitalised patients (Geelen, Valkenet, & Veenhof, ; Jette et al, ). It has been shown to have very good discrimination at predicting hospital discharge destination (receiver operating characteristic scores of 0.86 for basic mobility and 0.85 for daily activity) (Jette et al, , ). The 6‐Clicks is composed of six mobility activities.…”

Towards improving hospital workflows: An evaluation of resources to mobilize patients

“…Patients were defined as ambulatory if they scored ≥6 (able to walk at least 10 steps). Mobility limitations, such as how difficult it was to stand the patient, were evaluated using the Activity Measure for Post‐Acute Care Inpatient Mobility Short Form (AM‐PAC IMSF or “6‐Clicks”), which has been shown to be reliable (Jette et al, ) and valid (Jette et al, ). The AM‐PAC IMSF consists of six questions that quantify functional limitations in mobility by asking about how much assistance from another person a patient currently needs to perform mobility activities (Jette et al, ).…”

“…Mobility limitations, such as how difficult it was to stand the patient, were evaluated using the Activity Measure for Post‐Acute Care Inpatient Mobility Short Form (AM‐PAC IMSF or “6‐Clicks”), which has been shown to be reliable (Jette et al, ) and valid (Jette et al, ). The AM‐PAC IMSF consists of six questions that quantify functional limitations in mobility by asking about how much assistance from another person a patient currently needs to perform mobility activities (Jette et al, ). Each of the six questions is scored on a four‐point ordinal scale (ranging from total assist to independent) resulting in raw scores that range from a high of 24 (if they need no assistance) to a low of six (if they are totally dependent on another person for mobility).…”

“…Patients were defined as ambulatory if they scored ≥6 (able to walk at least 10 steps). Mobility limitations, such as how difficult it was to stand the patient, were evaluated using the Activity Measure for Post-Acute Care Inpatient Mobility Short Form (AM-PAC IMSF or "6-Clicks"), which has been shown to be reliable (Jette et al, 2015) and valid (Jette et al, 2014).…”

Failed Removal of Indwelling Urinary Catheters in Patients With Acute Stroke: Incidence and Risk Factors

“…The NIHSS measures neurologic impairment in stroke patients and is composed of 15 items, with greater scores indicating greater impairment [23]. The 6‐Clicks tool is a valid and reliable measure of basic mobility and self‐care function that is used in the acute care setting to inform therapy resource use and discharge recommendations [24‐26]. Scores on the 6‐clicks tool are normalized along a 100‐point scale, with mean = 50 and standard deviation (SD) = 10.…”