Abstract
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.
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 language | English |
|---|---|
| Pages | 18108 |
| Number of pages | 1 |
| Publication status | Published - 17 Nov 2018 |
| Externally published | Yes |
| Event | 11th Pan-Pacific Conference on Rehabilitation - Hong Kong Polytechnic University, Hong Kong, Hong Kong Duration: 17 Nov 2017 → 18 Nov 2017 http://www6.rs.polyu.edu.hk/ppcr2018/ |
Conference
| Conference | 11th Pan-Pacific Conference on Rehabilitation |
|---|---|
| Abbreviated title | 11th PPCR |
| Country/Territory | Hong Kong |
| City | Hong Kong |
| Period | 17/11/17 → 18/11/17 |
| Internet address |
Keywords
- Hazards in Home Environmental
- Validation of Instrument
- Discriminant Model