Validity and Reliability of the Arabic Version of De Morton Mobility Index After Abdominal Surgeries

Condition(s) studied

Study summary

PURPOSE: To determine validity and reliability of translated Arabic version of the De Morton Mobility index for mobility assessment in patients after abdominal surgeries.

BACKGROUND:

Major abdominal surgery has a high morbidity and Mortality rate, and the risk of surgical complications is higher than for equivalent elective operations. those receiving emergency laparotomy are in a condition of physiological derangement driven by inflammation that has already occurred prior to surgery, in contrast to those undergoing elective abdominal operations. early mobility and exercise play an important role in postoperative treatment following abdominal surgery and are related with reduced postoperative fitness loss and fewer postoperative complications in individuals undergoing elective surgery. reduced mobility is a primary factor of lower quality of life and decreased social participation. reduced mobility is particularly common in older hospitalized patients, and it leads to an increased risk of falls, longer hospitalizations, more severe impairment and morbidity, and higher mortality rates. To manage elderly patients' mobility function, a reliable and valid mobility assessment tool is required. Performance-based examinations are commonly used to measure the mobility of elderly individuals. The De Morton Mobility Index (DEMMI) was established and validated exclusively for older patients hospitalized in the ward. The DEMMI provides clinicians and researchers with a valid interval-level method for accurately measuring and monitoring mobility levels of acute medical patients. It has been validated also in sub acute hospital and community settings. A DEMMI score of \<40 indicates an independent risk of serious postoperative complications. A low DEMMI score suggested impaired mobilization, and prior research of patients following abdominal surgery discovered that delayed mobilization was related with postoperative pulmonary complications.

HYPOTHESES: It will be hypothesized that: Arabic version of the De Morton Mobility Index may be valid and reliable in patients after abdominal surgeries.

RESEARCH QUESTION: Is The Arabic version of the De Morton Mobility index valid and reliable for mobility assessment in patients after abdominal surgeries?

Eligibility

Primary outcome measure(s)

• validity of de morton mobility index — 3 months from September,2024 to December, 2024
  De morton mobility index is a scale for mobility assessment. it's score ranges from 0 (the minimum) to 19 the maximum(which is the best ). Clarity index and expert proportion of the clearance were used to test( face validity). Index of content validity (CVI), scale content validity indices (S-CVI) and expert proportion of relevance were used to test the (content validity).
• reliability of De morton mobility index — 3 months from September, 2024 to December, 2024
  Cronbach's alpha will be used to measure the internal consistency reliability. Test-retest reliability will be measured using intraclass correlation coefficient (ICC). The level of significance for all statistical tests will be set at p \< 0.05. the study includes 103 participants the lowest score (minimum )for this scale is 0 (worse outcome) the highest score (maximum) for this scale is 19 (interpreted as better outcome) the conversion table's scores ranged from (0 to 100) DEMMI is the abbreviation of De Morton Mobility Index.

Trial sites (1)

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