Four-item fall risk screening tool for subacute and residential aged care: The first step in fall prevention

Aim: To report the reliability, accuracy and compliance of a brief fall risk screening tool in subacute and residential aged care. Method: A 9-item tool, developed by expert and literature review, was administered to 291 persons admitted to subacute and residential aged care at Peninsula Health (PH)...

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Main Authors: Stapleton, C., Hough, P., Oldmeadow, L., Bull, K., Hill, Keith, Greenwood, K.
Format: Journal Article
Published: Wiley-Blackwell Publishing Asia 2009
Online Access:http://hdl.handle.net/20.500.11937/31531
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author Stapleton, C.
Hough, P.
Oldmeadow, L.
Bull, K.
Hill, Keith
Greenwood, K.
author_facet Stapleton, C.
Hough, P.
Oldmeadow, L.
Bull, K.
Hill, Keith
Greenwood, K.
author_sort Stapleton, C.
building Curtin Institutional Repository
collection Online Access
description Aim: To report the reliability, accuracy and compliance of a brief fall risk screening tool in subacute and residential aged care. Method: A 9-item tool, developed by expert and literature review, was administered to 291 persons admitted to subacute and residential aged care at Peninsula Health (PH) Victoria, Australia. Items were analysed for their ability to predict falls and the four strongest incorporated into a screening tool. Reliability was assessed on six nurses. Results: Most predictive items were recent falls (0.82), psychological status (0.55), medications (0.46) and cognition (0.41) ?2 (4, n = 291) = 89.89, P < 0.0001. The final 4-item tool (PH-FRAT) provides 80% accuracy (sensitivityER 70.2%, specificityER 68.8%) and high reliability (ICC = 0.79). The PH-FRAT is now used in 50 local subacute and residential facilities. Conclusion: The 4-item PH-FRAT is a popular, moderately predictive, reliable and brief method of screening fall risk in subacute and residential aged care. © 2009 ACOTA.
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spelling curtin-20.500.11937-315312017-09-13T15:19:08Z Four-item fall risk screening tool for subacute and residential aged care: The first step in fall prevention Stapleton, C. Hough, P. Oldmeadow, L. Bull, K. Hill, Keith Greenwood, K. Aim: To report the reliability, accuracy and compliance of a brief fall risk screening tool in subacute and residential aged care. Method: A 9-item tool, developed by expert and literature review, was administered to 291 persons admitted to subacute and residential aged care at Peninsula Health (PH) Victoria, Australia. Items were analysed for their ability to predict falls and the four strongest incorporated into a screening tool. Reliability was assessed on six nurses. Results: Most predictive items were recent falls (0.82), psychological status (0.55), medications (0.46) and cognition (0.41) ?2 (4, n = 291) = 89.89, P < 0.0001. The final 4-item tool (PH-FRAT) provides 80% accuracy (sensitivityER 70.2%, specificityER 68.8%) and high reliability (ICC = 0.79). The PH-FRAT is now used in 50 local subacute and residential facilities. Conclusion: The 4-item PH-FRAT is a popular, moderately predictive, reliable and brief method of screening fall risk in subacute and residential aged care. © 2009 ACOTA. 2009 Journal Article http://hdl.handle.net/20.500.11937/31531 10.1111/j.1741-6612.2009.00375.x Wiley-Blackwell Publishing Asia restricted
spellingShingle Stapleton, C.
Hough, P.
Oldmeadow, L.
Bull, K.
Hill, Keith
Greenwood, K.
Four-item fall risk screening tool for subacute and residential aged care: The first step in fall prevention
title Four-item fall risk screening tool for subacute and residential aged care: The first step in fall prevention
title_full Four-item fall risk screening tool for subacute and residential aged care: The first step in fall prevention
title_fullStr Four-item fall risk screening tool for subacute and residential aged care: The first step in fall prevention
title_full_unstemmed Four-item fall risk screening tool for subacute and residential aged care: The first step in fall prevention
title_short Four-item fall risk screening tool for subacute and residential aged care: The first step in fall prevention
title_sort four-item fall risk screening tool for subacute and residential aged care: the first step in fall prevention
url http://hdl.handle.net/20.500.11937/31531