Patient Reported Mobility: A Systematic Review

Publication date: Available online 18 February 2016
Source:Archives of Physical Medicine and Rehabilitation
Author(s): Arrate Pinto-Carral, Tania Fernández Villa, Antonio José Molina de la Torre
ObjectiveTo identify the self-administered instruments to assess mobility in adults with disability, to link the mobility assessed by these instruments to the International Classification of Functioning, Disability and Health (ICF) and to evaluate their methodological quality.Data SourcesScopus, Science Direct and Web of Science were systematically searched up to July 2015.Study SelectionStudies on the development and validation of self-administered questionnaires in which at least half of the items were related to movement or mobility were included.Data ExtractionThe mobility assessed by the instruments was classified according to the ICF categories. The methodological quality was assessed according to the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) checklist.Data Synthesis34 studies out of 5791 papers were eligible for inclusion. Only 10 of the instruments contained items that exclusively assessed mobility. The most frequently linked ICF categories were "changing basic body position" (19.4%), "walking" (14.8%) and "moving around" (13.5%). Measurement properties evaluated included internal consistency (5 studies), reliability (5 studies), measurement error (1 study), content validity (9 studies), structural validity (4 studies), hypotheses testing (6 studies) and responsiveness (1 study). Only content validity obtained the highest quality, probably because the studies included in the review reported the development and initial validation of the instruments.ConclusionsSelf-administered mobility questionnaires published in the scientific literature assess mobility activities rather than functions related to movement, and do so from the perspective of disability, frequently including self-care and domestic life as domains for assessment. The instruments that presented the highest methodological quality were OPTIMAL, MAM and Mobam-in.



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