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

    Access Status
    Open access via publisher
    Authors
    Russell, M.
    Hill, Keith
    Blackberry, I.
    Day, L.
    Dharmage, S.
    Date
    2008
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Russell, M. and Hill, K. and Blackberry, I. and Day, L. and Dharmage, S. 2008. The reliability and predictive accuracy of the falls risk for older people in the community assessment (FROP-Com) tool. Age and Ageing. 37 (6): pp. 634-639.
    Source Title
    Age and Ageing
    DOI
    10.1093/ageing/afn129
    ISSN
    0002-0729
    School
    School of Physiotherapy and Exercise Science
    URI
    http://hdl.handle.net/20.500.11937/37735
    Collection
    • Curtin Research Publications
    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. © The Author 2008. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved.

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