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The aim was to conduct a Turkish validity and reliability study of the Johns Hopkins In-Room Independence Scale. The investigators believe this scale will address the lack of information regarding fall risk and dependency, particularly for patients scheduled for discharge and their caregivers.
Independence and fall risk are critical for many illnesses and age groups. Patients receiving inpatient physical therapy in a Physical Medicine and Rehabilitation clinic often worry about returning home and performing daily activities after discharge. Therefore, this scale assessing in-room independence will allow clinicians to better warn and guide patients about potential risks.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients receiving treatment in a physical medicine and rehabilitation inpatient clinic | Patients aged 18 and over who are receiving inpatient treatment at the PM&R inpatient clinic with any diagnosis |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| In-room independence assessment | Other | The Turkish validity and reliability study of The Johns Hopkins Hospital In-Room Independence Scale(JH-IRIS) will be conducted.The researchers who developed the scale were contacted and a two-stage translation was conducted based on their suggestions.The final Turkish version of the scale was agreed upon after an online meeting with the developing research group.Because the other scales used in the original study lacked Turkish validity, the decision was made to use the Turkish-validated Morse and Henrich-2 Fall Scales and the Barthel Index, with the research team's permission.The study planned to include patients hospitalized for rehabilitation over a four-month period, regardless of their indication.This will allow comparison with previously validated Turkish fall risk and independence scales.One week later, patients will complete the JH-IRIS again and undergo a test-retest.The scale will be evaluated by two different researchers to determine inter-observer reliability. |
| Measure | Description | Time Frame |
|---|---|---|
| Johns Hopkins Hospital In-Room Independence Scale | The Johns Hopkins Hospital In-Room Independence Scale is a scale that assesses a person's in-room independence, assessing mobility, toileting, and cognition. It consists of 15 items. A person who passes all items receives a score of 15. Failure on any item indicates in-room dependency. | 1 week |
| Measure | Description | Time Frame |
|---|---|---|
| Morse Fall Scale | The Morse Fall Scale is an 125-point assessment tool that evaluates the risk of falling by considering factors such as fall history, secondary diagnoses, need for a walking aid, gait and transfer, and mental status; higher scores indicate poorer functioning. | 1 week |
| Hendrich II Fall Risk Scale |
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Inclusion Criteria:
Exclusion Criteria:
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Patients aged 18 and over who are receiving inpatient treatment in the PM&R service with any diagnosis
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| Name | Affiliation | Role |
|---|---|---|
| Banu Kuran, Professor | ÅžiÅŸli Hamidiye Etfal Training and Research Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Şişli Hamidiye Etfal Training and Research Hospital | Istanbul | Turkey (Türkiye) |
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The Hendrich II Fall Risk Scale assesses patients' fall risk. The scale includes factors like confusion, depression, dizziness, male gender, certain medications, and a mobility test. A score of 5 or above indicates high risk. |
| 1 week |
| Barthel Index | The Barthel Index is an evaluation tool used to measure independence in performing 10 physical activities of daily living, with a primary focus on self-care and mobility. Minimum: 0,. Maximum: 100 (higher is better). | 1 week |
| ID | Term |
|---|---|
| D006429 | Hemiplegia |
| D010264 | Paraplegia |
| D010300 | Parkinson Disease |
| D011115 | Polyneuropathies |
| D010003 | Osteoarthritis |
| D009140 | Musculoskeletal Diseases |
| ID | Term |
|---|---|
| D010243 | Paralysis |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D020734 | Parkinsonian Disorders |
| D001480 | Basal Ganglia Diseases |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009069 | Movement Disorders |
| D000080874 | Synucleinopathies |
| D019636 | Neurodegenerative Diseases |
| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D012216 | Rheumatic Diseases |
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