HABAM (Hierarchical Assessment of Balance and Mobility)

Purpose:
Display changes in balance and mobility graphically in the acute hospital setting.

Rationale:
Several tools are available to measure balance and mobility, but have been developed in community, outpatient, or nursing-home settings and may not be useful in the acute-care hospital where marked changes can occur rapidly.

The Tool:
An example and description is available at: http://geriatricresearch.medicine.dal.ca/habam.htm.

Validation:
Reliability was high at Rj = 0.94. The HABAM correlated well with the Barthel Index and its mobility subscale, but did not correlate with changes in the MMSE, IADL, and Spitzer QL Index. The HABAM is responsive as measured by both relative efficiency and effect size statistics.

References:
MacKnight C, Rockwood K. A hierarchical assessment of balance
and mobility. Age Ageing 1995;24:126–30.

MacKnight C, Rockwood K. Rasch analysis of the hierarchical assessment of
balance and mobility (HABAM). Journal of clinical epidemiology. 53, no. 12, (2000): 1242-1247

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