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Centre for Policy on Ageing | |
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Multifactorial and functional mobility assessment tools for fall risk among older adults in community, home-support, long-term and acute care settings | Author(s) | Vicky Scott, Kristine Votova, Andrea Scanlan |
Journal title | Age and Ageing, vol 36, no 2, March 2007 |
Pages | pp 130-139 |
Source | http://www.ageing.oupjournals.org |
Keywords | Mobility ; Falls ; At risk ; Living in the community ; Domiciliary services ; Care homes ; Nursing homes ; Hospital services ; Evaluation ; Literature reviews. |
Annotation | A systematic review of published studies testing the validity and reliability of fall-risk assessment tools for use with older people in community, home support, long-term and acute care settings was conducted. EbscoHost and MEDLINE were searched for studies in English published between January 1980 and July 2004, where the primary or secondary purpose was to test the predictive value of one or more fall assessment tools on people aged 65+. The tool must have had as its primary outcome fall, falls-related injury, or gait and balance. Only studies that used perspective validation were considered. 34 articles testing 38 different tools met the inclusion criteria. The community setting represents the largest number of studies (14) and tools (23) tested, followed by acute (12 studies and 18 tools), long-term care ((6 studies and 10 tools), and home support (4 studies and 4 tools). 11 of the 38 tools are multifactorial assessment tools (MAT) that cover a wide range of fall-risk factors and 27 are functional mobility assessment tools (FMA) that involve measures of physical activity related to gait, strength and balance. Fall risk assessment tools exist that show moderate to good validity and reliability in most areas of health service delivery. However, few tools were tested more than once or in more than one setting. Thus, no single tool can be recommended for implementation in all settings or far all sub-populations within each setting. (RH). |
Accession Number | CPA-070503204 A |
Classmark | C4: OLF: CA3: K4: N: KW: LHB: LD: 4C: 64A |
Data © Centre for Policy on Ageing |
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...from the Ageinfo database published by Centre for Policy on Ageing. |
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