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Psychometric testing of the Fall Risks for Older People in the Community screening tool (FROP-Com screen) for community-dwelling people with stroke

OBJECTIVE: The Falls Risk for Older People in the Community assessment (FROP-Com) was originally developed using 13 risk factors to identify the fall risks of community-dwelling older people. To suit the practical use in busy clinical settings, a brief version adopting 3 most fall predictive risk fa...

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Autores principales: Ng, Shamay S. M., Liu, Tai-Wa, Kwong, Patrick W. H., Choy, Ho-Man, Fong, Terence Y. K., Lee, Justine Y. C., Tan, Yi-Li, Tong, Gary Y. H., Wong, Crystal C. Y., Lai, Cynthia Y. Y., Tse, Mimi M. Y.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7219754/
https://www.ncbi.nlm.nih.gov/pubmed/32401819
http://dx.doi.org/10.1371/journal.pone.0233045
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author Ng, Shamay S. M.
Liu, Tai-Wa
Kwong, Patrick W. H.
Choy, Ho-Man
Fong, Terence Y. K.
Lee, Justine Y. C.
Tan, Yi-Li
Tong, Gary Y. H.
Wong, Crystal C. Y.
Lai, Cynthia Y. Y.
Tse, Mimi M. Y.
author_facet Ng, Shamay S. M.
Liu, Tai-Wa
Kwong, Patrick W. H.
Choy, Ho-Man
Fong, Terence Y. K.
Lee, Justine Y. C.
Tan, Yi-Li
Tong, Gary Y. H.
Wong, Crystal C. Y.
Lai, Cynthia Y. Y.
Tse, Mimi M. Y.
author_sort Ng, Shamay S. M.
collection PubMed
description OBJECTIVE: The Falls Risk for Older People in the Community assessment (FROP-Com) was originally developed using 13 risk factors to identify the fall risks of community-dwelling older people. To suit the practical use in busy clinical settings, a brief version adopting 3 most fall predictive risk factors from the original FROP-Com, including the number of falls in the past 12 months, assistance required to perform domestic activities of daily living and observation of balance, was developed for screening purpose (FROP-Com screen). The objectives of this study were to investigate the inter-rater and test-retest reliability, concurrent and convergent validity, and minimum detectable change of the FROP-Com screen in community-dwelling people with stroke. PARTICIPANTS: Community-dwelling people with stroke (n = 48) were recruited from a local self-help group, and community-dwelling older people (n = 40) were recruited as control subjects. RESULTS: The FROP-Com screen exhibited moderate inter-rater (Intraclass correlation coefficient [ICC](2,1) = 0.79, 95% confidence interval [CI]: 0.65–0.87) and test-retest reliability (ICC(3,1) = 0.70, 95% CI: 0.46–0.83) and weak associations with two balance measures, the Berg Balance Scale (BBS) (rho = -0.38, p = 0.008) and the Timed “Up & Go” (TUG) test (rho = 0.35, p = 0.016). The screen also exhibited a moderate association with the Chinese version of the Activities-specific Balance Confidence Scale (ABC-C) (ABC-C; rho = -0.65, p<0.001), a measure of subjective balance confidence. CONCLUSIONS: The FROP-Com screen is a reliable clinical tool with convergent validity paralleled with subjective balance confidence measure that can be used in fall risk screening of community-dwelling people with stroke. However, one individual item, the observation of balance, will require additional refinement to improve the potential measurement error.
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spelling pubmed-72197542020-06-01 Psychometric testing of the Fall Risks for Older People in the Community screening tool (FROP-Com screen) for community-dwelling people with stroke Ng, Shamay S. M. Liu, Tai-Wa Kwong, Patrick W. H. Choy, Ho-Man Fong, Terence Y. K. Lee, Justine Y. C. Tan, Yi-Li Tong, Gary Y. H. Wong, Crystal C. Y. Lai, Cynthia Y. Y. Tse, Mimi M. Y. PLoS One Research Article OBJECTIVE: The Falls Risk for Older People in the Community assessment (FROP-Com) was originally developed using 13 risk factors to identify the fall risks of community-dwelling older people. To suit the practical use in busy clinical settings, a brief version adopting 3 most fall predictive risk factors from the original FROP-Com, including the number of falls in the past 12 months, assistance required to perform domestic activities of daily living and observation of balance, was developed for screening purpose (FROP-Com screen). The objectives of this study were to investigate the inter-rater and test-retest reliability, concurrent and convergent validity, and minimum detectable change of the FROP-Com screen in community-dwelling people with stroke. PARTICIPANTS: Community-dwelling people with stroke (n = 48) were recruited from a local self-help group, and community-dwelling older people (n = 40) were recruited as control subjects. RESULTS: The FROP-Com screen exhibited moderate inter-rater (Intraclass correlation coefficient [ICC](2,1) = 0.79, 95% confidence interval [CI]: 0.65–0.87) and test-retest reliability (ICC(3,1) = 0.70, 95% CI: 0.46–0.83) and weak associations with two balance measures, the Berg Balance Scale (BBS) (rho = -0.38, p = 0.008) and the Timed “Up & Go” (TUG) test (rho = 0.35, p = 0.016). The screen also exhibited a moderate association with the Chinese version of the Activities-specific Balance Confidence Scale (ABC-C) (ABC-C; rho = -0.65, p<0.001), a measure of subjective balance confidence. CONCLUSIONS: The FROP-Com screen is a reliable clinical tool with convergent validity paralleled with subjective balance confidence measure that can be used in fall risk screening of community-dwelling people with stroke. However, one individual item, the observation of balance, will require additional refinement to improve the potential measurement error. Public Library of Science 2020-05-13 /pmc/articles/PMC7219754/ /pubmed/32401819 http://dx.doi.org/10.1371/journal.pone.0233045 Text en © 2020 Ng et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Ng, Shamay S. M.
Liu, Tai-Wa
Kwong, Patrick W. H.
Choy, Ho-Man
Fong, Terence Y. K.
Lee, Justine Y. C.
Tan, Yi-Li
Tong, Gary Y. H.
Wong, Crystal C. Y.
Lai, Cynthia Y. Y.
Tse, Mimi M. Y.
Psychometric testing of the Fall Risks for Older People in the Community screening tool (FROP-Com screen) for community-dwelling people with stroke
title Psychometric testing of the Fall Risks for Older People in the Community screening tool (FROP-Com screen) for community-dwelling people with stroke
title_full Psychometric testing of the Fall Risks for Older People in the Community screening tool (FROP-Com screen) for community-dwelling people with stroke
title_fullStr Psychometric testing of the Fall Risks for Older People in the Community screening tool (FROP-Com screen) for community-dwelling people with stroke
title_full_unstemmed Psychometric testing of the Fall Risks for Older People in the Community screening tool (FROP-Com screen) for community-dwelling people with stroke
title_short Psychometric testing of the Fall Risks for Older People in the Community screening tool (FROP-Com screen) for community-dwelling people with stroke
title_sort psychometric testing of the fall risks for older people in the community screening tool (frop-com screen) for community-dwelling people with stroke
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7219754/
https://www.ncbi.nlm.nih.gov/pubmed/32401819
http://dx.doi.org/10.1371/journal.pone.0233045
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