Validation and Application of the Chinese Home Falls and Accidents Screening Tool (The Chinese Home FAST)

Frank Lai, Elaine Wai Hung Yan, Eric Chun wui Ho, Phyllis Lai-chu Tse, F.P.F. Chiu, Silvia Hiu Ue Fan, Alice Tsz kiu Lee, Jess Wan man Tsui, B.T.Y. So, Jonathan Chin-chun Cheung, T.H.M. Chan, Simon Kam-Man Wong

Research output: Contribution to conferenceAbstractpeer-review


Rationale / Objectives: About 40% of falls occurred in geriatric population are in the presence of home environment hazards. However, assessment and intervention of falls in literature have mainly focused on physical abilities related to fall. In addressing this gap, the Chinese Home Fall and Accident Screening Tool (Chinese Home FAST) was developed to measure potential home falls and
accident in geriatric population.
Methods: This is a prospective validation study. Purposeful sampling strategy was employed in collecting data from subjects with age from 65 or above. They completed self-report traditional Chinese Home FAST questionnaire.
Results: The Chinese Home FAST enjoyed excellent interrater reliability. The ICC ranged from .86 to .98 (with 95% CI= .91 to .94), with good-to-excellent test-retest reliability (ICC ranged from .86 to .95 and 95% CI= .90 to .94), and good-to-excellent internal consistency (ICC ranged from .88 to .96 and 95% CI= .85 to .93). A two-factor structure, comprising “Home Environment and Furniture” and “Activities of Daily Living with Use of Devices” was identified. In predicting hospital admission due to fall at home in the six-month interval, discriminant analysis showed high sensitivity of 83.3% and specificity of 80.0% for the group with more than seven environmental hazards in the Chinese Home FAST.
Conclusions: This is the first validation study of home-hazards assessment in a Chinese population. Our findings supported the reliability and validity of the traditional Chinese Home FAST. Further evaluation of the Chinese Home FAST in Mandarin-speaking subjects whom read simplified Chinese is recommended.
Original languageEnglish
Number of pages1
Publication statusPublished - 17 Nov 2018
Externally publishedYes
Event11th Pan-Pacific Conference on Rehabilitation - Hong Kong Polytechnic University, Hong Kong, Hong Kong
Duration: 17 Nov 201718 Nov 2017


Conference11th Pan-Pacific Conference on Rehabilitation
Abbreviated title11th PPCR
Country/TerritoryHong Kong
CityHong Kong
Internet address


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