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Related Experiment Videos

The Barthel ADL Index: a reliability study.

C Collin1, D T Wade, S Davies

  • 1Rivermead Rehabilitation Centre, Oxford, Great Britain.

International Disability Studies
|January 1, 1988
PubMed
Summary
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The Barthel Index, a disability measure, showed high reliability across self-report, nurse assessment, and skilled observers. Nurse or relative input is a quick and dependable method for scoring disability.

Area of Science:

  • Rehabilitation Medicine
  • Disability Assessment
  • Clinical Measurement

Background:

  • The Barthel Index is a widely used tool for measuring functional disability.
  • Accurate and reliable scoring is crucial for effective patient management and outcome assessment.
  • Different methods of data collection may impact the reliability of the Barthel Index.

Purpose of the Study:

  • To evaluate the reliability of four distinct methods for obtaining Barthel Index scores.
  • To compare the concordance of scores derived from self-report, nurse assessment, and observer testing.
  • To determine the most efficient and reliable method for Barthel Index administration.

Main Methods:

  • The study included 25 patients admitted to a clinical setting.

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  • Four methods were used to obtain Barthel Index scores: patient self-report, assessment by a trained nurse familiar with the patient, and testing by two independent skilled observers.
  • Scores were analyzed for total (summed) and individual item agreement.

    • Main Results:

    • High correlation was observed between total Barthel Index scores across all four methods.
    • A difference of approximately 4/20 points in total score was considered a likely genuine difference.
    • Minor disagreements in individual item scoring primarily concerned the definition of intermediate functional grades.
    • Assessing the Barthel Index via an informed nurse or relative demonstrated reliability comparable to direct observer testing.

    Conclusions:

    • The Barthel Index demonstrates high reliability regardless of the scoring method employed (self-report, nurse, or observer).
    • Utilizing an informed nurse or relative for Barthel Index assessment is a reliable and time-efficient alternative to direct observer testing.
    • These findings support the use of proxy reporting for disability assessment when direct observation is impractical.