Reliability and Clinical Utility of the DIMAS Tool for Assessing Physical Difficulty in Muslim Prayer among Frail Older Adults
Keywords:
Salah, Islamic prayer, frailty, older adults, occupational therapyAbstract
Frail older Muslims often struggle with Salah due to musculoskeletal issues, yet culturally tailored assessment tools are lacking. The Difficulty in Performing Physical Movements in Muslim Prayer (DIMAS) objectively evaluates physical challenges during prayer. This cross-sectional study assessed DIMAS’s reliability and clinical utility, analyzing internal consistency, test-retest reliability, Minimal Detectable Change (MDC), and Minimal Clinically Important Difference (MCID). Results showed excellent test-retest reliability (ICC = 0.98), with MDC = 1.17 and MCID = 1.57. Internal consistency was low (α = 0.43), likely reflecting its multidimensional scope. DIMAS is reliable, clinically meaningful tool for assessing Salah-related physical limitations in frail older Muslims, aiding culturally sensitive care.
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