@article{ref1,
title="Predictive validity of three home fall hazard assessment tools for older adults in Thailand",
journal="PLoS one",
year="2020",
author="Lektip, Charupa and Lapmanee, Sarawut and Rattananupong, Thanapoom and Lohsoonthorn, Vitool and Vorayingyong, Arnond and Woratanarat, Thira and Sirisuk, Kitti-On and Suttanon, Plaiwan and Petsirasan, Rewwadee and Kitidumrongsuk, Parinya and Jiamjarasrangsi, Wiroj",
volume="15",
number="12",
pages="e0244729-e0244729",
abstract="This study aimed to examine the predictive validity of two internationally well-known instruments, the Modified Home Falls and Accidents Screening Tool  (Modified HOME FAST) and the Modified Home Falls and Accidents Screening Tool-Self  Report (Modified HOME FAST-SR), and the newly developed Thai Home Falls Hazard  Assessment Tool (Thai-HFHAT) (69 items) in predicting falls among older Thai adults. It also aimed to examine the predictive validity of the two abbreviated versions (44  and 27 items) of the Thai-HFHAT, which were developed post hoc to accommodate older  adults' limited literacy and poor vision and to facilitate the identification of  high-impact home fall hazards that are prevalent in the Thailand context. A  prospective cohort study was conducted among 450 participants aged 60 years and  above who were assessed by the aforementioned tools at baseline, for which data on  fall incidence were then collected during the one-year follow-up. The Cox  proportional hazard model was applied to estimate hazard ratios (HRs); then,  Harrell's C-statistics and receiver operating characteristic (ROC) analyses were  conducted to identify the best cutoff point, sensitivity and specificity for each  instrument. The results showed that the fall hazard rate was 2.04 times per 1,000  person-days. Taking into account both the predictive validity and applicability, the  Thai-HFHAT (44 items) was found to be the most suitable screening tool due to its  highest sensitivity and specificity (93% and 72%) at the cutoff score of 18. In  conclusion, our study showed that these internationally validated home fall hazard  assessment tools were quite applicable for Thailand, but further tailoring the tools  into a specific local context yielded even more highly valid tools in predicting  fall risk among older Thai adults. Although these findings were well reproducible by  inferring from the internal validation results, further external validation in the  independent population is necessary.<p /> <p>Language: en</p>",
language="en",
issn="1932-6203",
doi="10.1371/journal.pone.0244729",
url="http://dx.doi.org/10.1371/journal.pone.0244729"
}