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WHDL - 00010014

Validity and Reliability of the Modified John Hopkins Fall Risk Assessment Tool for Elderly Patients in Home Health Care

Resource Types

Academic (Thesis, Dissertation, Etc.)

Resource Languages

English

Institutional Repository

WHDL

Description / Abstract

Note: The co-author of this thesis is Raquel Archuleta. See the attached thesis cover page.

Full Abstract: This prospective cohort study was conducted to evaluate the validity and reliability of the modified Johns Hopkins Fall Risk Assessment Tool (mJH-FRAT) among elderly patients receiving home health care visits. Out of 107 patients, 33 (30.8%) had one or more falls and seven (6.5%) experienced falls with injury. Receiver Operating Characteristics of the tool in predicting falls showed an AUC (Area Under Curve) of 0.66 (p =0.011) with sensitivity and specificity of 72.5% and 52.2% at the cutoff score of 14. For predicting falls with injury, the AUC was 0.82 (p =0.016) with sensitivity and specificity of 100% and 65.9 % at score of 17. Inter-rater reliability of the tool at cutoff score of 17 was 85.7% agreement with Cohen’s Kappa of 0.714 (p0.001). The mJH-FRAT is a simple and easy-to-use multi-factor fall risk assessment tool with promising sensitivity, specificity and inter-rater reliability for prospectively identifying patients at risk of falls with injury among community-dwelling elderly populations.

This prospective cohort study was conducted to evaluate the validity and reliability of the modified Johns Hopkins Fall Risk Assessment Tool (mJH-FRAT) among elderly patients receiving home health care visits. Out of 107 patients, 33 (30.8%) had one or more falls and seven (6.5%) experienced falls with injury. Receiver Operating Characteristics of the tool in predicting falls showed an AUC (Area Under Curve) of 0.66 (p =0.011) with sensitivity and specificity of 72.5% and 52.2% at the cutoff score of 14. For predicting falls with injury, the AUC was 0.82 (p =0.016) with sensitivity and specificity of 100% and 65.9 % at score of 17. Inter-rater reliability of the tool at cutoff score of 17 was 85.7% agreement with Cohen’s Kappa of 0.714 (p0.001). The mJH-FRAT is a simple and easy-to-use multi-factor fall risk assessment tool with promising sensitivity, specificity and inter-rater reliability for prospectively identifying patients at risk of falls with injury among community-dwelling elderly populations.