Reliability of the Hierarchical Assessment of Balance and Mobility in Frail Older Adults
Article first published online: 22 MAY 2008
© 2008, Copyright the Authors. Journal compilation © 2008, The American Geriatrics Society
Journal of the American Geriatrics Society
Volume 56, Issue 7, pages 1213–1217, July 2008
How to Cite
Rockwood, K., Rockwood, M. R. H., Andrew, M. K. and Mitnitski, A. (2008), Reliability of the Hierarchical Assessment of Balance and Mobility in Frail Older Adults. Journal of the American Geriatrics Society, 56: 1213–1217. doi: 10.1111/j.1532-5415.2008.01773.x
- Issue published online: 7 AUG 2008
- Article first published online: 22 MAY 2008
- comprehensive geriatric assessment;
- clinical state variable
OBJECTIVES: To study the test–retest and interrater reliability of the Hierarchical Assessment of Balance and Mobility (HABAM) in frail older adults.
DESIGN: Convenience sample of 167 frail older adults seen as part of routine care by an academic geriatrician at a tertiary care teaching hospital.
SETTING: Inpatient medical and geriatric wards, geriatric ambulatory care clinic, emergency department, home visits.
PARTICIPANTS: The interrater reliability sample consisted of 98 inpatients and 69 outpatients. The test–retest reliability sample tracked 63 of the inpatients over the first 2 days of their hospital stay.
MEASUREMENTS: Mobility and balance were assessed using the HABAM. Frailty was assessed using a frailty index based on a standardized Comprehensive Geriatric Assessment. Reliability was assessed using Pearson correlations and the intraclass correlation coefficients.
RESULTS: The interrater reliability of the HABAM was 0.92 and ranged from 0.88 to 0.96 across settings for the various components (balance, transfers, mobility). Test–retest reliability was 0.91 (range 0.85–0.92).
CONCLUSION: The HABAM appears to be a reliable means of assessing mobility and balance in frail older adults.