De Morton Mobility Index (DEMMI)

How to access the tool

  • The pdf is available online

Time

  • under 9 minutes

Equipment

  • access to chair and bed, regular aids, pen

Additional Info

Citation for Validity/Reliability:

  • De Morton, NA., Davidson, M., Keating, JL. Validity, responsiveness and the minimal clinically important difference for the de Morton Mobility Index (DEMMI) in an older acute medical population. 2010. BMC Geriatrics 10:72. http://www.biomedcentral.com/1471-2318/10/72

Constructs

  • Walking
    • Ambulation
    • Assistance Needed (aids)
    • Walking Speed/Timed Walk
    • Distance Walk
    • Walking Backwards
  • Balance
    • Functional Reach
    • Picking up objects
    • Standing
    • Sitting
  • Change in Position
    • Standing to Sitting
    • Sitting to Standing
    • Lying to Sitting
    • Transfer (vertical or horizontal)
    • Turn
    • Rolling/Positioning (in bed)
  • Strength/Flexibility
    • Jump
    • Other in bed (i.e. bridge)
    • Touch toes
    • Stairs

Expert Stakeholder Panel Responses

Experts were asked to rank each tool based on feasibility, relevance, and likelihood to recommend. They also provided their thoughts on using the tool.

Category Question Average Response (1 – 7 where
1 = strongly disagree and
7 = strongly agree)
Category Feasibility Question Overall, I think this measure for assessing mobility can be used in a timely manner. Average Response5.25
Category Feasibility Question Overall, I think this measure for assessing mobility can be used without causing undue burden to existing resources (e.g., materials, cost, etc.) Average Response5.58
Category Feasibility Question Overall, I understand how to use this measure. Average Response6
Category Relevance Question Overall, I think this measure is relevant for assessing mobility in acute care settings. Average Response4.92
Category Net Promoter Score Question What is the likelihood that you would recommend this measure (i.e., to a colleague)? Average Response4.75

Comments

  • Easy to use
  • Not time consuming
  • Assesses key domains
  • May not be sensitive to change
  • Some measures may not apply to acutely ill patients (i.e., jumping)
  • Vertical transfers and stairs (which are potentially important constructs) not measured