Validity and Reliability of the Arabic Version of De Morton Mobility Index After Abdominal Surgeries
NCT ID: NCT06796218
Last Updated: 2025-01-28
Study Results
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Basic Information
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RECRUITING
103 participants
OBSERVATIONAL
2024-09-01
2025-01-30
Brief Summary
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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?
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Detailed Description
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Study Design: This study is designed as a cross-sectional study. Subjects: 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 .
Material: Data will be collected mainly from Mansoura Hospitals through the use of The Arabic version of De Morton Mobility Index.
study scale and its scoring: The De Morton Mobility Index (DEMMI) is a 15-item clinician-rated performance-based measure of mobility in older adults. The DEMMI has minimal equipment requirements and the scale protocol and scoring system fit onto one page. Only a bed or plinth, armchair (seat height 45 cm) and pen are required to conduct the test.
The 15 tasks will be given in order of difficulty, beginning with bed (3 items), then chair (3 items), static balance (4 items), walking (2 items), and dynamic balance (3 items). The overall score runs from 0 to 100, with 0 representing severely limited physical mobility and 100 indicating independent mobility. Any competent healthcare provider can administer the DEMMI with minimum equipment.
Methods: This study will follow the guidelines of Sousa in translation. Step 1: Forward translation (Initial translation) Step 2: Synthesis of translation Step 3: Backward translation Step 4: Expert review Step 5: Test of pre-final testing Step 6: Authentication Psychometric properties: The final Arabic version of DE Morton Mobility Index will be assessed with regard to the validity and reliability using psychometric tests.
The scores will be administered twice to ensure test/retest reliability. The first score was obtained immediately following the procedure, and the second one week later.
Conditions
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Study Design
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CASE_ONLY
CROSS_SECTIONAL
Study Groups
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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.
No interventions assigned to this group
Eligibility Criteria
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Inclusion Criteria
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
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.
40 Years
60 Years
ALL
Yes
Sponsors
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Cairo University
OTHER
Responsible Party
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Basant Ashraf Younes Mohamed
Basant Ashraf Younes Mohamed
Principal Investigators
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Eman M Othman, professor
Role: STUDY_CHAIR
faculty of physical therapy, department of surgery, cairo university.
Karim I Saafan, Professor
Role: STUDY_CHAIR
faculty of physical therapy, department of surgery, cairo university.
Amr A Abouzid, professor
Role: STUDY_CHAIR
Faculty of Medicine, Mansoura University
Basant A younes, B.Sc.of PT
Role: PRINCIPAL_INVESTIGATOR
B.Sc., Faculty of Physical Therapy, Department of PT for Surgery, Delta University
Locations
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El-Mansoura international hospital
Al Mansurah, , Egypt
Countries
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Central Contacts
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Facility Contacts
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Basant A Younes
Role: backup
Related Links
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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
Other Identifiers
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DE Morton index after surgries
Identifier Type: -
Identifier Source: org_study_id
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