{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T14:15:46Z","timestamp":1787062546905,"version":"build-2736575974"},"reference-count":35,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T00:00:00Z","timestamp":1757894400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100020475","name":"Australian Association of Gerontology Research Trust","doi-asserted-by":"publisher","award":["RM Gibson Grant 2023"],"award-info":[{"award-number":["RM Gibson Grant 2023"]}],"id":[{"id":"10.13039\/501100020475","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the psychometric properties of the modified Iowa Level of Assistance (mILOA) in general medical patients aged \u226565 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective observational psychometric measurement study.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Main outcome measures<\/jats:bold>\n                      : The mILOA was completed at hospital admission (\n                      <jats:italic toggle=\"yes\">n\u2009=\u2009<\/jats:italic>\n                      246) and discharge (\n                      <jats:italic toggle=\"yes\">n\u2009=\u2009<\/jats:italic>\n                      121). A second measure was completed within 24-h to establish inter-rater reliability and measurement error (\n                      <jats:italic toggle=\"yes\">n\u2009=\u2009<\/jats:italic>\n                      50). Criterion predictive validity for discharge destination, floor and ceiling effects, responsiveness, and construct validity, via convergent validity (with the de Morton Mobility Index, DEMMI) and known group validity (discharge home), were assessed using standard psychometric techniques.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There were 246 included participants (median age = 83.2; interquartile range = 46.1\u201388.0 years; 47% female). The mILOA took a median of 12.5 [interquartile range = 8.0\u201318.0] minutes to complete. There were no systematic differences across the range of scores (mean difference\u2009=\u20091.1) with limits of agreement of 7.7 and \u22125.4 (variability due to measurement error = 2.36). It was able to predict discharge destination (area under the curve = 0.74; 95% CI = 0.66\u20130.81). No floor or ceiling effects were observed, and it was highly responsive to change (effect size\u2009=\u20090.80). Scores correlated significantly and positively with DEMMI scores (Spearman's rho\u2009=\u20090.86, 95% confidence interval = 0.81\u20130.90,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.001) and showed a median difference of 8 points between known groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The mILOA has good inter-rater reliability, no floor or ceiling effects, strong responsiveness, high correlation with the DEMMI, and the ability to discriminate between known groups in older general medical patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692155251377219","type":"journal-article","created":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T18:19:34Z","timestamp":1757960374000},"page":"1623-1635","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Validity, inter-rater reliability and responsiveness of the modified Iowa Level of Assistance (mILOA) for acutely hospitalised general medical patients"],"prefix":"10.1177","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2510-109X","authenticated-orcid":false,"given":"Aruska N","family":"D\u2019Souza","sequence":"first","affiliation":[{"name":"The Royal Melbourne Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-1793-5641","authenticated-orcid":false,"given":"Aisling","family":"Burke","sequence":"additional","affiliation":[{"name":"The Royal Melbourne Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1400-7700","authenticated-orcid":false,"given":"Sze-Ee","family":"Soh","sequence":"additional","affiliation":[{"name":"Monash University"},{"name":"Rehabilitation, Ageing and Independent Living (RAIL) Research Centre, Monash University, Frankston, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8773-9750","authenticated-orcid":false,"given":"Catherine M","family":"Said","sequence":"additional","affiliation":[{"name":"Sunshine Hospital"},{"name":"Australian Institute of Musculoskeletal Science, St Albans, VIC, Australia"},{"name":"Department of Physiotherapy, The University of Melbourne, Parkville, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0687-4062","authenticated-orcid":false,"given":"Dina","family":"Pogrebnoy","sequence":"additional","affiliation":[{"name":"Sunshine Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4171-1812","authenticated-orcid":false,"given":"Joseph","family":"Cobbledick","sequence":"additional","affiliation":[{"name":"The Royal Melbourne Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Casey L","family":"Peiris","sequence":"additional","affiliation":[{"name":"The Royal Melbourne Hospital"},{"name":"La Trobe University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,9,15]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2011.tb03192.x"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glq069"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arr.2020.101076"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2020.1867906"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1519\/JPT.0000000000000272"},{"key":"e_1_3_5_7_2","first-page":"353252","article-title":"The de Morton mobility index: normative data for a clinically useful mobility instrument","volume":"1","author":"Macri EM","year":"2012","unstructured":"Macri EM, Lewis JA, Khan KM, et al. 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