Author: Flemming Patricia J.
Publisher: Haworth Press
ISSN: 0162-1424
Source: Home Health Care Services Quarterly, Vol.25, Iss.3-4, 2006-09, pp. : 1-26
Disclaimer: Any content in publications that violate the sovereignty, the constitution or regulations of the PRC is not accepted or approved by CNPIEC.
Abstract
Purpose. This study examined the reliability and validity of a Falls Risk Assessment (FRA) tool developed to identify risk factors associated with falls in homebound older adults. Design and Methods. FRA scores of 307 Medicare-eligible adults over 65 admitted sequentially to a home health agency (HHA) were analyzed retrospectively using a case-control design. A total of 18 subjects participated prospectively in assessment of criterion-related validity and rater reliability. Results. Mean FRA scores of fallers were significantly higher than non-fallers (10.13, 7.2, respectively; p < 0.05). The FRA and Performance-Oriented Mobility Assessment (POMA) demonstrated a strong negative correlation (r =-0.74), utilizing a Pearson correlation. Using percent agreement, FRA scores of nine raters yielded 94.74% agreement. Kuder-Richardson (KR)-20 analysis yielded internal consistency of 0.98, 0.97, and 0.98 within subjects scored, indicating high consistency among raters. An intraclass correlation coefficient (Model 3,1) of 0.83 supports intra-rater reliability. History of recurrent falls was the only significant predictor in logistic regression (p = 0.027, odds ratio: 2.83). Implications. Data support use of the FRA in screening for fall-related risk factors in homebound older adults.
Related content
By Shahar Suzana Dixon Robert A. Earland Jane
International Journal of Food Sciences and Nutrition, Vol. 50, Iss. 6, 1999-11 ,pp. :
By MacKenzie Lynette Byles Julie Higginbotham Nick
Journal of Allied Health, Vol. 31, Iss. 1, 2002-01 ,pp. :