Barthel Index (BI) Evaluation Summary
|What does the tool measure?||Activities of Daily Living|
|What types of clients can the tool be used for?||Patients with stroke, patients with other neuromuscular or
musculoskeletal disorders, oncology patients
|Is this a screening or assessment tool?||Assessment|
|Time to administer||Self report: 2-5 minutes; Direct observation: 20 minutes,
but may vary according to patient’s abilities and tolerance
|Versions||Modified 10-item version (MBI); 5-item short form; The expanded 15-item version; The extended BI (EBI); The 3-item BI; Self-rating BI (SB); Early Rehabilitation Barthel Index (ERI)|
|Other Languages||Dutch, German, Turkish, Persian, French, Chinese|
– Five studies of the MBI reported excellent internal consistency
|Does the tool detect change in patients?||Significant ceiling effects noted for the BI, meaning that it doesn’t detect change well in highly functional individuals.
The Functional Independence Measure was developed as a measure that would be better able to detect change in disability than the BI, however little to no difference has been found.
Out of 8 studies examined, 3 reported that the BI had a large ability to detect change, 3 reported adequate ; 2 reported small.
|Acceptability||The MBI/BI has been evaluated for both self-report and use with proxy respondents in addition to direct observation.|
|Feasibility||The MBI/BI is simple to administer. Requires training if
administered by direct observation. It has been developed in many forms that can be administered in many situations and can be used for longitudinal assessment.
|How to obtain the tool?||For a copy of the original BI click here http://www.strokecenter.org/trials/scales/barthel.pdf|