@article{ref1,
title="Utilization of a screening tool to identify homebound older adults at risk for falls: validity and reliability",
journal="Home health care services quarterly",
year="2006",
author="Flemming, Patricia J.",
volume="25",
number="3-4",
pages="1-26",
abstract="<i>Purpose</i>. This study examined the reliability and validity of a Falls Risk Assessment (FRA) tool developed to identify risk factors associated with falls in homebound older adults. <i>Design and Methods</i>. FRA scores of 307 Medicare-eligible adults over 65 admitted sequentially to a home health agency (HHA) were analyzed retrospectively using a case-control design. A total of 18 subjects participated prospectively in assessment of criterion-related validity and rater reliability. <i>Results</i>. Mean FRA scores of <i>fallers</i> were significantly higher than <i>non-fallers</i> (10.13, 7.2, respectively; p < 0.05). The FRA and Performance-Oriented Mobility Assessment (POMA) demonstrated a strong negative correlation (r =-0.74), utilizing a Pearson correlation. Using percent agreement, FRA scores of nine raters yielded 94.74% agreement. Kuder-Richardson (KR)-20 analysis yielded internal consistency of 0.98, 0.97, and 0.98 within subjects scored, indicating high consistency among raters. An intraclass correlation coefficient (Model 3,1) of 0.83 supports intra-rater reliability. <i>History of recurrent falls</i> was the only significant predictor in logistic regression (p = 0.027, odds ratio: 2.83). <i>Implications</i>. Data support use of the FRA in screening for fall-related risk factors in homebound older adults.<p /> <p>Language: en</p>",
language="en",
issn="0162-1424",
doi="",
url="http://dx.doi.org/"
}