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Development and preliminary examination of the predictive validity of the Falls Risk Assessment Tool (FRAT) for use in primary care
Author(s)Sudip Nandy, Suzanne Parsons, Colin Cryer
Journal titleJournal of Public Health, vol 26, no 2, June 2004
Pagespp 138-143
Sourcehttp://www.jpubhealth.oupjournals.org
KeywordsFalls ; Evaluation ; General practice.
AnnotationThe aim was to develop a two-part tool for use in primary care or in the community. Part 1 includes a rapid assessment of the individual's risk of falling for administration by clinical or non-clinical staff. Part 2 (for clinical staff) includes guidance on further assessment, referral and interventions. The tool was developed by an expert panel following the updating of an existing systematic review of community-based prospective studies identifying risk factors for falling, and modified in accordance with the feedback from extensive piloting. Predictive validity was assessed by a questionnaire survey sent at baseline and 6 months to a random sample of 1000 people aged 65+ in one primary care group (PCG) area. Five items were included in Part 1: history of any fall in the previous year; 4 or more prescribed medications; diagnosis of stroke or Parkinson's disease; reported problems with balance; and inability to rise from a chair without using arms. The presence of three or more risk factors had a positive predictive value for a fall in the next 6 months of 0.57. The tool may be useful for identifying people who would benefit from further assessment of their risk of falling and appropriate intervention. (RH).
Accession NumberCPA-040812227 A
ClassmarkOLF: 4C: L5

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