Barthel Index Modified

The original Barthel Index was developed in the USA by Florence Mahoney and Dorothea Barthel (1965). The Modified Barthel Index was developed in Australia by Surya Shah, Frank Vanclay and Betty Cooper (1989). A third version was developed in England by Collin and colleagues (1988).

The original Barthel Index was developed to measure activities of daily living. The 10 subtest items include (1) feeding, (2) moving from wheelchair to bed and return, (3) personal grooming, (4) getting on/off the toilet, (5) bathing, (6) walking or propelling a wheelchair , (7) stair climbing, (8) dressing and undressing, (9) bowel and (10) bladder continence.. Each subtest item on the original Barthel Index is rated 0, 5 or 10 (or 15 for two of the test items). Maximum total score is 100.

The Modified Barthel Index includes the same 10 subtest items, scored on a 5-point ordinal scale which varies from item to item (eg 0, 1, 3, 4, or 5 for personal hygiene; 0, 3, 8, 12 or 15 for ambulation). This scale was developed to enhance the sensitivity of the original scale. The Modified Barthel Index scores the degree of independence of a client from any assistance (regardless of how minor, and for what purpose the assistance is provided). Maximum total score is 100.

The 20-point Barthel Index includes the same 10 subtest items with variable sub-scores between 0 and 3. For example, bathing can be rated 0 (dependent) or 1 (independent), while transferring can be rated 0 (unable, no sitting balance), 1 (major help one or two people, physical contact), 2 (major help, verbal or physical), or 3 (independent). Maximum total score is 20.

The original Barthel Index uses weighted scoring, with subtest scores ranging from 0 to 15 with increments of 5. A total score of 100 represents the highest level of independence although a perfect score does not necessarily mean that a person is able to perform instrumental activities of daily living. The total score is not as meaningful as the breakdown into individual subtest scores, since these indicate where limitations exist. The Modified Barthel Index and 20-point Barthel Index also use weighted scoring.

Abbreviated Name: BI

Author(s): Surya Shah, Frank Vanclay, Betty Cooper Purpose: To assess all chronic disabilities + acute stages Population: Adult Age Range : 16-99 years

Type of Instrument: Disability / Physical functioning Mode of Administration: Rater:

Time required:

Response Options:

Scoring: Score Direction:

Number of Items: 10 Original Language: English

Existing Translations : Chinese, German, Greek, Hindi, Italian, Japanese, Polish

Self-/ Proxy-administered

12 minutes for self-report status,

10 minutes for a telephone interview to 40 minutes for direct observation of all tasks

Each item is rated in terms of whether the patient can perform the task indenpendently; with some assisstance, or is dependent. Global score

Higher scores show better QoL

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  • Mattia
    What is the modified barthel index?
    8 years ago
  • tim
    Who develop barthel index?
    8 years ago
  • teija parras
    Can the modified Barthel Index be used by telephone?
    7 years ago
  • angela
    How reliable is the modified Barthel Index?
    7 years ago
  • megan
    How to Score Barthel Index scoring 1 or 2?
    6 years ago
  • Esko
    How to score a modified barthal?
    6 years ago
  • tommaso
    How to score modified barthel index?
    6 years ago
  • carita
    How do i interpret score of the modified barthel 020?
    1 year ago
  • timba
    How was the barthel index developed?
    1 year ago
    What is the range meaning in the barthel scale?
    10 months ago
  • felix
    How to score the modified barthel when person does not walk?
    10 months ago
  • steven
    What is the maximum barthel inex score?
    10 months ago
  • DODA
    Does barthen index score have to be in increments of 5?
    8 months ago
  • eoin macleod
    Can you score mid range numbers on barthel?
    8 months ago
  • Elanor Puddifoot
    How often should I complete the modified barthel index directions?
    7 months ago
  • Johanna Adler
    Who can fill out the barthel index?
    6 months ago
  • Christian
    How to score catheter on modified barthel?
    4 months ago
  • levi
    How to interpret scoring for Barthel?
    3 months ago
  • manu
    What change from barthel to modified barthel?
    2 months ago
  • Inigo
    Does modified barthel index have a copyright on it?
    2 months ago
  • sandra wilson
    What barthel scores mean?
    22 days ago
  • fethawi
    How many points can be scored in a modified barthel test?
    17 days ago
  • Luwam
    What do the scores mean on the barthel test?
    10 days ago
  • wegahta
    How to score barthel index when not completed?
    3 days ago

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