Turkish Validation and Reliability of the John Hopkins In-Room Independence Scale

Turkish Validity and Reliability Study of the John Hopkins In-Room Independence Scale: A Cross-Sectional Diagnostic Value Study

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.

Study Overview

• Status: Completed
• Conditions: Parkinson Disease; Amputation; Hemiplegia; Musculoskeletal Disease; Arthrosis; Paraplegia; Polyneuropathy; Independence
• Intervention / Treatment: Other: In-room independence assessment

Detailed Description

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.

• Study Type: Observational
• Enrollment (Actual): 100

Contacts and Locations

Study Locations

• Turkey (Türkiye)
  • Istanbul, Turkey (Türkiye)
    • Sisli Hamidiye Etfal Training and Research Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

• Sampling Method: Non-Probability Sample

Study Population

Patients aged 18 and over who are receiving inpatient treatment in the PM&R service with any diagnosis

Description

Inclusion Criteria:

• Ages 18 and over
• Volunteering to participate in the study

Exclusion Criteria:

• Patients <18 years old

Study Plan

How is the study designed?

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort

Intervention / Treatment

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

Other: In-room independence assessment; 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.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	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

Secondary Outcome Measures

Outcome Measure	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	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

Collaborators and Investigators

• Sponsor: Sisli Hamidiye Etfal Training and Research Hospital
• Investigators: Study Chair: Banu Kuran, Professor, Sisli Hamidiye Etfal Training and Research Hospital

Study record dates

Study Major Dates

• Study Start (Actual): September 1, 2025
• Primary Completion (Actual): January 1, 2026
• Study Completion (Actual): January 15, 2026

Study Registration Dates

• First Submitted: November 18, 2025
• First Submitted That Met QC Criteria: November 18, 2025
• First Posted (Actual): November 26, 2025

Study Record Updates

• Last Update Posted (Actual): February 27, 2026
• Last Update Submitted That Met QC Criteria: February 25, 2026
• Last Verified: February 1, 2026

More Information

Terms related to this study

• Keywords: musculoskeletal disease; independence; in-room independence
• Additional Relevant MeSH Terms: Synucleinopathies; Neurologic Manifestations; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neuromuscular Diseases; Arthritis; Joint Diseases; Rheumatic Diseases; Peripheral Nervous System Diseases; Neurodegenerative Diseases; Movement Disorders; Parkinsonian Disorders; Basal Ganglia Diseases; Paralysis; Pathological Conditions, Signs and Symptoms; Signs and Symptoms; Osteoarthritis; Polyneuropathies; Parkinson Disease; Musculoskeletal Diseases; Paraplegia; Hemiplegia
• Other Study ID Numbers: 08.19.2025/approval no: 5022

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No