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    Falls risk assessment outcomes and factors associated with falls for older Indigenous Australians

    Access Status
    Open access via publisher
    Authors
    Hill, Keith
    Flicker, L.
    Logiudice, D.
    Smith, K.
    Atkinson, D.
    Hyde, Z.
    Fenner, S.
    Skeaf, L.
    Malay, R.
    Boyle, E.
    Date
    2016
    Type
    Journal Article
    
    Metadata
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    Citation
    Hill, K. and Flicker, L. and Logiudice, D. and Smith, K. and Atkinson, D. and Hyde, Z. and Fenner, S. et al. 2016. Falls risk assessment outcomes and factors associated with falls for older Indigenous Australians. Australian and New Zealand Journal of Public Health. 40 (6): pp. 553-558.
    Source Title
    Australian and New Zealand Journal of Public Health
    DOI
    10.1111/1753-6405.12569
    ISSN
    1326-0200
    School
    School of Physiotherapy and Exercise Science
    URI
    http://hdl.handle.net/20.500.11937/45205
    Collection
    • Curtin Research Publications
    Abstract

    Objective: To describe the prevalence of falls and associated risk factors in older Indigenous Australians, and compare the accuracy of validated falls risk screening and assessment tools in this population in classifying fall status. Method: Cross-sectional study of 289 Indigenous Australians aged =45 years from the Kimberley region of Western Australia who had a detailed assessment including self-reported falls in the past year (n=289), the adapted Elderly Falls Screening Tool (EFST; n=255), and the Falls Risk for Older People-Community (FROP-Com) screening tool (3 items, n=74) and FROP-Com falls assessment tool (n=74). Results: 32% of participants had =1 fall in the preceding year, and 37.3% were classified high falls risk using the EFST (cut-off =2). In contrast, for the 74 participants assessed with the FROP-Com, only 14.9% were rated high risk, 35.8% moderate risk, and 49.3% low risk. The FROP-Com screen and assessment tools had the highest classification accuracy for identifying fallers in the preceding year (area under curve >0.85), with sensitivity/specificity highest for the FROP-Com assessment (cut-off =12), sensitivity=0.84 and specificity=0.73. Conclusions: Falls are common in older Indigenous Australians. The FROP-Com falls risk assessment tool appears useful in this population, and this research suggests changes that may improve its utility further.

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    • Validity of the Falls Risk for Older People in the Community (FROP-Com) tool to predict falls and fall injuries for older people presenting to the emergency department after falling
      Mascarenhas, M.; Hill, Keith; Barker, A.; Burton, Elissa (2019)
      © 2019, Springer Nature B.V. The aims of this study were to (1) externally validate the accuracy of the Falls Risk for Older People in the Community (FROP-Com) falls risk assessment tool in predicting falls and (2) undertake ...
    • Development of the falls risk for older people in the community (FROP-Com) screening tool
      Russell, M.; Hill, Keith; Day, L.; Blackberry, I.; Gurrin, L.; Dharmage, S. (2009)
      Background: The aim of this study was to develop a brief screening tool for use in the emergency department (ED), to identify people who require further assessment and management. Methods: This prospective study included ...
    • The reliability and predictive accuracy of the falls risk for older people in the community assessment (FROP-Com) tool
      Russell, M.; Hill, Keith; Blackberry, I.; Day, L.; Dharmage, S. (2008)
      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 ...
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