- Title
- A self-report home environment screening tool identified older women at risk of falls
- Creator
- Hassani Mehraban, Afsoon; Mackenzie, Lynette A.; Byles, Julie E.
- Relation
- Journal of Clinical Epidemiology Vol. 64, Issue 2, p. 191-199
- Publisher Link
- http://dx.doi.org/10.1016/j.jclinepi.2010.02.013
- Publisher
- Elsevier
- Resource Type
- journal article
- Date
- 2011
- Description
- Objective: To evaluate a self-report version of the Home Falls and Accidents Screening Tool (HOME FAST-SR). Study Design and Setting: The HOME FAST-SR was designed using expert review, pretesting and piloting. Agreement of selfreported home hazard ratings and ratings by health professionals was evaluated using the kappa statistic. The HOME FAST-SR was validated in a cross-sectional survey of 568 older community-living Australian women using endorsement rates for HOME FAST-SR items and the association of scores with self-reported falls. Results: The 87-item HOME FAST-SR was constructed, and a scoring system was devised to calculate equivalent scores for the health professional version of the HOME FAST (HOME FAST-HP). Endorsement rates demonstrated that no items needed to be removed. Agreement between self-reported and professional ratings was moderate with therapists under-reporting hazards compared with older people. The mean HOME FAST score for the 568 cross-sectional participants was 9.39 (95% confidence interval: 9.1, 9.7) with a range from 2 to 23 out of a possible 25. Fallers had a significantly higher HOME FAST score (P50.02). Conclusion: The HOME FAST-SR is a viable alternative to the HOME FAST-HP, and scores were associated with falls experienced by older women in a cross-sectional study.
- Subject
- injury; prevention; evaluation; validity; agreement; instrument development
- Identifier
- http://hdl.handle.net/1959.13/936470
- Identifier
- uon:12320
- Identifier
- ISSN:0895-4356
- Language
- eng
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