Purpose: To investigate the concurrent validity of the Saskatoon Falls Prevention Consortium's Falls Screening and Referral Algorithm (FSRA). Method: A total of 29 older adults (mean [SD] age 77.7 [4.0] y) living in an independent-living senior's complex who met inclusion criteria completed a demographic questionnaire and the components of the FSRA and Berg Balance Scale (BBS). The FSRA consists of the Elderly Fall Screening Test (EFST) and the Multi-factor Falls Questionnaire (MFQ); it is designed to categorize individuals into low, moderate, or high fall-risk categories to determine appropriate management pathways. A predictive model for probability of fall risk, based on previous research, was used to determine concurrent validity of the FRSA. Results: The FSRA placed 79% of participants into the low-risk category, whereas the predictive model found the probability of fall risk to range from 0.04 to 0.74, with a mean (SD) of 0.35 (0.25). No statistically significant correlation was found between the FSRA and the predictive model for probability of fall risk (Spearman's ρ=0.35, p=0.06). Conclusion: The FSRA lacks concurrent validity relative to to a previously established model of fall risk and appears to over-categorize individuals into the low-risk group. Further research on the FSRA as an adequate tool to screen community-dwelling older adults for fall risk is recommended.
- Content Type Journal Article
- Category Advance Online Article
- Pages 1-10
- DOI 10.3138/ptc.2011-17
- Authors
- Sara Nicole Lawson, Shuya & Associates Integrative Sports Rehab and Wellness, Regina, Sask.
- Neal Zaluski, Craven SPORT Services
- Amanda Petrie, North 49 Balance & Dizziness Centre
- Cathy Arnold, School of Physical Therapy, University of Saskatchewan
- Jenny Basran, Geriatric Evaluation and Management Program, Saskatoon City Hospital, Saskatoon, Sask.
- Vanina Dal Bello-Haas, School of Rehabilitation Science, McMaster University Institute of Applied Health Sciences, Hamilton, Ont.
- Journal Physiotherapy Canada
- Online ISSN 1708-8313
- Print ISSN 0300-0508
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