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

Thesis
Description: 

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 (p<0.001). 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.

Tabs

WHDL ID: 
WHDL-00006119
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