Rachel Reoli, Erik Wilkins, Julia Klag, Erik Hoyer, Annette Lavezza

Are your patients safe to mobilize alone in their room? The Johns Hopkins Hospital In-Room Independence Scale (JH-IRIS)

  • Rehabilitation
  • Physical Therapy, Sports Therapy and Rehabilitation

Abstract Objective Given the stigma of falls while hospitalized, inpatient rehabilitation facilities (IRF) often restrict the independent room mobility of their patients. We assessed the psychometric properties of a new tool, the Johns Hopkins In-Room Independence Scale (JH-IRIS), to evaluate its effectiveness at identifying independence for in-room mobility. Design Construct validity was assessed by comparing the JH-IRIS to its “gold standard” counterparts, The Johns Hopkins Falls Risk Assessment Tool (JHFRAT), the Activity Measure for Post-Acute Care (AM-PAC) Mobility and Activity, and the Centers for Medicare Quality Indicators (QI). Reliability was assessed via Cronbach’s Alpha. Results 197 episodes were included. Construct validity: JH-IRIS had significantly negative low correlation to the JHFRAT (Spearman’s Rho –0.281), and a significant moderate correlation to the AM-PAC Activity and AM-PAC Mobility (Spearman’s Rho, 0.678 and 0.530, respectively). The JH-IRIS was moderately positively correlated to the QIs for mobility and activity (Spearman’s Rho 0.577 and 0.643, respectively). All two tailed, alpha level 0.01. JH-IRIS' reliability was strong (Cronbach’s Alpha 0.822, 15 items). Sensitivity and specificity were both 100%. Conclusion Given the moderate validity, strong reliability, and high sensitivity/specificity, our study suggests the JH-IRIS can be used to identify patients who have the capacity to mobilize independently in their room.

Need a simple solution for managing your BibTeX entries? Explore CiteDrive!

  • Web-based, modern reference management
  • Collaborate and share with fellow researchers
  • Integration with Overleaf
  • Comprehensive BibTeX/BibLaTeX support
  • Save articles and websites directly from your browser
  • Search for new articles from a database of tens of millions of references
Try out CiteDrive

More from our Archive