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

NCT06796218 | Recruiting DMC

• 1 other identifier: DE Morton index after surgries
• Study Type: observational
• Target: 103
• Locations: 1 country
• Sites: 1

Brief 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?

Conditions

Abdominal Surgeries; Mobility Limitation; Mobility Difficulty; Abdominal Surgery Patients

Keywords

mobility limitation; mobility difficulty; abdominal surgeries; abdominal surgical approaches

Outcome Measures

Primary Outcomes (2)

• validity of de morton mobility index

  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).

  3 months from September,2024 to December, 2024

• reliability of De morton mobility index

  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.

  3 months from September, 2024 to December, 2024

Study Arms (1)

The study will include106 Egyptian participants of both sexes after abdominal surgeries

The study will include 103 Egyptian participants of both sexes after abdominal surgeries. Their ages range between (60 and 90) years. Inclusion criteria: 1. Patients after abdominal surgeries. 2. Patients aged between 40 and 60 years. 3. All patients are able to read and write in Arabic language. 4. All patients can understand items of the scale. 5. All patients will follow the given instructions during the assessment. Exclusion criteria: 1. Patients with mental disabilities . 2. Patients with communication, vision and hearing disorders 3. Patients who are not co-operative . 4. patients who are contraindicated to mobilize due to medical reasons. 5. patients who are isolated due to infection.

Eligibility Criteria

• Age: 40 Years - 60 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)
• Sampling Method: Probability Sample

Study Population

The study will include 106 Egyptian participants of both sexes after abdominal surgeries. Their ages range between (40 and 60) years .They will be selected randomly from: • Mansoura International Hospital .

You may qualify if:

• Patients after abdominal surgeries.
• Patients aged between 40 and 60 years.
• All patients are able to read and write in Arabic language.
• All patients can understand items of the scale.
• All patients will follow the given instructions during the assessment

You may not qualify if:

• Patients with mental disabilities .
• Patients with communication, vision and hearing disorders
• Patients who are not co-operative .
• patients who are contraindicated to mobilize due to medical reasons.
• patients who are isolated due to infection.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

El-Mansoura international hospital

Al Mansurah, Egypt

RECRUITING

Related Links

• De Morton, N. A., Davidson, M., \& Keating, J. L. (2008). The de Morton Mobility Index (DEMMI): An essential health index for an ageing world. Health and Quality of Life Outcomes, 6

MeSH Terms

Conditions

Mobility Limitation

Condition Hierarchy (Ancestors)

Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Eman M Othman, professor

  faculty of physical therapy, department of surgery, cairo university.

  STUDY CHAIR

• Karim I Saafan, Professor

  faculty of physical therapy, department of surgery, cairo university.

  STUDY CHAIR

• Amr A Abouzid, professor

  Faculty of Medicine, Mansoura University

  STUDY CHAIR

• Basant A younes, B.Sc.of PT

  B.Sc., Faculty of Physical Therapy, Department of PT for Surgery, Delta University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Basant A younes

CONTACT

01005093576; basantyounes1996@gmail.com

karim I saafan, professor

CONTACT

01110127251; dr.Karim.saafan@gmail.com

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: CROSS SECTIONAL
• Target Duration: 2 Days
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Basant Ashraf Younes Mohamed

Study Record Dates

• First Submitted: January 12, 2025
• First Posted: January 28, 2025
• Study Start: September 1, 2024
• Primary Completion: December 30, 2024
• Study Completion: January 30, 2025
• Last Updated: January 28, 2025

Record last verified: 2025-01

Locations

EG (1)