TY - JOUR PY - 2013// TI - Validity and reliability of the modified John Hopkins Fall Risk Assessment Tool for elderly patients in home health care JO - Geriatric nursing A1 - Hnizdo, Sandra A1 - Archuleta, Raquel A. A1 - Taylor, Barbara A1 - Kim, Son Chae SP - 423 EP - 427 VL - 34 IS - 5 N2 - 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 Area Under Curve (AUC) 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 the cutoff score of 17. Inter-rater reliability of the tool 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.

Language: en

LA - en SN - 0197-4572 UR - http://dx.doi.org/10.1016/j.gerinurse.2013.05.011 ID - ref1 ER -