Use our online barthel index calculator to assess the activities of daily living adl based on barthel index scale. Bladder 0 incontinent, or catheterized and unable to manage 1 occasional accident max. The barthel index is an ordinal scale as are most rehabilitation measures. Guidelines for the barthel index of activities of daily livinggeneral the index should be used as a record of what a patient does, not as a record of what a patient could do. Consequently, an improvement in score from, say, 5 to 6 does not represent the same clinical improvement as a score of 10 moving to 11. The barthel index bowels 0 incontinent or needs to be given enemata 1 occasional accident onceweek 2 continent patients score. Information can be obtained from the patients selfreport, from a separate. The katz activities of daily living and the barthel index evaluate a patients function in terms of level of independence or dependence when performing certain activities required for daily living. The main aim is to establish degree of independence from any help, physical. The barthel index of activities of daily living adls, first developed in 1965 1 and later modified by granger et al. We used the danishlanguage version of the barthel20 index, which is a validated and reliable generic instrument, to measure adl. Formatting for the barthel index includes a 10item or a 15item response with a fourpoint scale. Instruments pengkajian adl dengan indeks barthel ib dan. This 100score evaluation system still remains in use.
Modified barthel adl index nzgp web directory medical websites. However, some users of the scale now score out of 20 which can cause confusion. Barthel index of activities of daily living adls this summary was last revised 3 december 2010. In this study we investigated the reliability of four different methods of obtaining the score in 25 patients. The barthel index is calculated by summing the response value to each of the 10 questions. Inde ks katz adalah suatu instrument pengkajian dengan sistem penilaian yang didasarkan pada kemampuan seseorang untuk melakukan aktivitas kehidupan seharihari secara mandiri. Full text is available as a scanned copy of the original print version. Although the reliability and validity of petmbi have been verified for older people. Reliability interrater agreement of the barthel index.
Validity and reliability of a performance evaluation tool. Individuals may receive the highest score, and still require assistance with other activities 3. The need for supervision renders the patient not independent. A critique of the barthel index when scored out of 100, the scale provides a metric rating system which is convenient for statistical analysis jacelon, 1986. Louis school of medicine and ut southwestern medical center. Total possible scores range from 0 20, with lower scores indicating increased disability. Depending on the scale used, these individual ratings yield a total score of either 20 or 100. Two attendants are required to transfer the patient with or without a mechanical device.
Shah modified barthel index recommended assessment tool name. This amounts to disagreement in half the total number of items from the index that were. The barthel index bi is a measure of independence in activities of daily living adl. Barthel index for activities of daily living adl mdcalc. The main aim is to establish degree of independence from any help, physical or verbal, however minor and for whatever reason. The barthel index score correlates well with mortality, 1 length of hospital stay, 114 and requirement for institutional care. When rated on a barthel index, the higher you score, the more you are able to improve and live independently. Katz index of independence in activities of daily living adl. Penentuan kemandirian fungsional dapat mengidentifikasikan kemampuan dan keterbatasan klien sehingga memudahkan pemilihan intervensi yang tepat maryam, r. The modified barthel index scores the degree of independence of a client from any assistance regardless of how minor, and for what purpose the assistance is provided. Based on this modified measure, the performance evaluation tool mbi petmbi was developed in japan. Clinimetrics is the methodological discipline that. Guidelines for the barthel index of activities of daily living general the index should be used as a record of what a patient.
Patients who score 100 on the barthel index have widely varying scores on the physical function subscale of the mos36. The barthel index of activities of daily living duration. Activities of daily living barthel index at discharge. In essence, the barthel index records indicators of independence in terms of the disability caused by impairments. The barthel index for activities of daily living adl assesses functional independence, generally in stroke patients. Assessment is made by anyone who knows the patient well. Modified barthel adl index measure of physical disability used widely to assess behaviour relating to activities of daily living for stroke patients or patients with. The individual is scored in a number of areas depending upon independence of performance. Feeding 0 unable 5 needs help cutting, spreading butter, etc. Modified barthel adl index measure of physical disability. There is considerably more psychometric data available for the barthel index than for many. Fulltime healthy caregiver fulltime frail caregiver parttime caregiver i. The barthel index is designed to measure the ability of an individual with a neuromuscular or musculoskeletal disorder to care for onself. Selfreporting versus actual performance in the oldold.
In the modified barthel index mbi, a fivepoint system replaced the original two or three or four point rating system. Several authors have proposed guidelines for interpreting barthel scores. The barthel index measures the capacity to perform 10 basic adl and gives a quantitative estimation of the patients level of dependency, with scoring from 0 totally dependent to 20 totally independent. The 20point barthel index includes the same 10 subtest items with variable subscores between 0 and 3. Get a printable copy pdf file of the complete article 63k, or click on a page image below to browse page by page. It assesses levels of independence or dependence for 10 adl tasks with a score range of 0 dependent to 20 independent. Modified versions include a 10item scale that reordered the orginal ten items, clarified the rating instructions and modified the scores for each item totalling 20 collin, 1988. Choose the scoring point for the statement that most closely corresponds to the. It is the dedication of healthcare workers that will lead us through this crisis. Barthel index rehabmeasures database shirley ryan abilitylab. The barthel scaleindex bi is an ordinal scale used to measure performance in. Another instrument commonly called the modified barthel index covers 15 items and uses fourpoint response scales for most items granger, 1981. In stroke medicine, bi is used in clinical practice to assess baseline abilities, to quantify functional change after rehabilitation, and to inform discharge planning.
Thus, if the barthel index is the only stroke outcome measure used, a decline in many. The barthel index, katz index of activities of daily living, health. Although this original version is still widely used, it was modified by granger, dewis, peters, sherwood, and barrett when it came to include 010 points for every item total possible score of 0100. International journal of older people nursing, 23, 204212. This project is supported in part by the nih specialized programs of translational research in acute stroke spotrias network, and ninds grant 3p50ns055977 to washington university in st. The original barthel index of adls elite learning elite healthcare. Barthel index has been used for such tasks as predicting time needed for rehabilitation and amount of nursing aid required. Barthel index of activities of daily living general. Get a printable copy pdf file of the complete article 63k, or click on a page image below.
First presented in 1965, the barthel index was evaluated using a score of 0 to 100 and replaced the old 20score system as less accurate and effective. This article has been cited by other articles in pmc. Proposed guidelines for interpreting barthel scores are that scores of 020. Activities of daily living, mobility and instrumental activities of daily living. Barthel index of activities of daily living wiley online. Barthel index of activities of daily living alberta health services. Barthel activities of daily living adl index ncbi nih. The barthel index is a valid measure of disability. Scribd is the worlds largest social reading and publishing site. The barthel index is not designed to detect low levels of disability. It gives a score out of 20, principally concerned with physical aspects of disability, although the numerical assessment ought to be regarded with caution.
Shah and colleagues 9 note that a score of 020 suggests total dependence, 2160 severe dependence, 6190 moderate dependence and 9199 slight. Able to participate but maximum assistance of one other person is require in all aspects of the. Barthel index scoring form massachusetts general hospital. Modified barthel adl index measure of physical disability used widely to assess behaviour relating to activities of daily living for stroke patients or patients with other disabling conditions. Self care assessment index item score description chairbed transfers 0 3 8 12 15 unable to participate in a transfer. The katz activities of daily living and the barthel index are two of the oldest competing indices for assessing activities of daily living. The barthel index bi, originally described in 1955 by dr florence mahoney and dorothea barthel, 1 is a 10item measure of activities of daily living.