The reliability and predictive accuracy of the falls risk for older people in the community assessment (FROP-Com) tool.

Abstract:

BACKGROUND:the Falls Risk for Older People in the Community assessment (FROP-Com) tool was designed for use in targeted multi-factorial falls prevention programmes. It fills the gap between the short screening tools and the longer assessment tools, e.g. the physiological profile assessment (PPA). The aim of this study was to determine the reliability and predictive accuracy of the FROP-Com. METHODS:the intra-rater and inter-rater reliability studies were performed with 20 participants each. The prospective study was performed with 344 community-dwelling older people presenting to an emergency department after a fall and being discharged directly home. Following a home-based assessment, including the FROP-Com, Timed Up and Go (TUG) and functional Reach (FR), participants were monitored for falls for 12 months. RESULTS:the intra-class correlation coefficient (ICC) for intra-rater reliability and inter-rater reliability for the FROP-Com was 0.93 (95% CI 0.84-0.97) and 0.81 (95% CI 0.59-0.92) respectively. The AUC for the FROP-Com was 0.68 (95% CI 0.63-0.74). At the cut-off 18/19, sensitivity was 71.3% (95% CI 64.4-78.3) and specificity was 56.1% (95% CI 48.9-63.4). The AUC for the TUG was 0.63 (95% CI 0.57-0.69) and for the FR was 0.60 (95% CI 0.54-0.66). CONCLUSION:the FROP-Com demonstrated good reliability and a moderate capacity to predict falls.

journal_name

Age Ageing

journal_title

Age and ageing

authors

Russell MA,Hill KD,Blackberry I,Day LM,Dharmage SC

doi

10.1093/ageing/afn129

subject

Has Abstract

pub_date

2008-11-01 00:00:00

pages

634-9

issue

6

eissn

0002-0729

issn

1468-2834

pii

afn129

journal_volume

37

pub_type

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