Falls risk screening tools intended to reduce fall risk among independent community-dwelling older adults: A systematic review

Aims The aim of this study is to evaluate an evidence-based fall risk screening tool to predict the risk of falls suitable for independent community-dwelling older adults guided by the World Health Organization's International Classification of Functioning, Disability and Health (WHO-ICF) comp...

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Main Authors: Mei, Fong Ong, Kim, Lam Soh, Saimon, Rosalia, Myint, Wai Wai, Pawi, Saloma, Saidi, Hasni Idayu
Format: Article
Published: Wiley 2022
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author Mei, Fong Ong
Kim, Lam Soh
Saimon, Rosalia
Myint, Wai Wai
Pawi, Saloma
Saidi, Hasni Idayu
author_facet Mei, Fong Ong
Kim, Lam Soh
Saimon, Rosalia
Myint, Wai Wai
Pawi, Saloma
Saidi, Hasni Idayu
author_sort Mei, Fong Ong
collection UPM
description Aims The aim of this study is to evaluate an evidence-based fall risk screening tool to predict the risk of falls suitable for independent community-dwelling older adults guided by the World Health Organization's International Classification of Functioning, Disability and Health (WHO-ICF) components, and to examine the reliability and validity of the fall risk screening tool to predict fall risks, and to examine the feasibility of tools among independent community-dwelling older adults. Methods A systematic literature search guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement was performed using the EBSCOHost® platform, ScienceDirect, Scopus and Google Scholar between July and August 2021. Studies from January 2010 to January 2021 were eligible for review. Nine articles were eligible and included in this systematic review. The risk of bias assessment used the National Institutes of Health quality assessment tool for observational cohort and cross-sectional studies. The WHO-ICF helped to guide the categorization of fall risk factors. Results Seven screening tools adequately predicted fall risk among community-dwelling older adults. Six screening tools covered most of the components of the WHO-ICF, and three screening tools omitted the environmental factors. The modified 18-item Stay Independent Brochure demonstrated most of the predictive values in predicting fall risk. All tools are brief and easy to use in community or outpatient settings. Conclusion The review explores the literature evaluating fall risk screening tools for nurses and other healthcare providers to assess fall risk among independent community-dwelling older adults. A fall risk screening tool consisting of risk factors alone might be able to predict fall risk. However, further refinements and validations of the tools before use are recommended.
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spelling upm.eprints-1079802024-09-26T04:27:51Z http://psasir.upm.edu.my/id/eprint/107980/ Falls risk screening tools intended to reduce fall risk among independent community-dwelling older adults: A systematic review Mei, Fong Ong Kim, Lam Soh Saimon, Rosalia Myint, Wai Wai Pawi, Saloma Saidi, Hasni Idayu Aims The aim of this study is to evaluate an evidence-based fall risk screening tool to predict the risk of falls suitable for independent community-dwelling older adults guided by the World Health Organization's International Classification of Functioning, Disability and Health (WHO-ICF) components, and to examine the reliability and validity of the fall risk screening tool to predict fall risks, and to examine the feasibility of tools among independent community-dwelling older adults. Methods A systematic literature search guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement was performed using the EBSCOHost® platform, ScienceDirect, Scopus and Google Scholar between July and August 2021. Studies from January 2010 to January 2021 were eligible for review. Nine articles were eligible and included in this systematic review. The risk of bias assessment used the National Institutes of Health quality assessment tool for observational cohort and cross-sectional studies. The WHO-ICF helped to guide the categorization of fall risk factors. Results Seven screening tools adequately predicted fall risk among community-dwelling older adults. Six screening tools covered most of the components of the WHO-ICF, and three screening tools omitted the environmental factors. The modified 18-item Stay Independent Brochure demonstrated most of the predictive values in predicting fall risk. All tools are brief and easy to use in community or outpatient settings. Conclusion The review explores the literature evaluating fall risk screening tools for nurses and other healthcare providers to assess fall risk among independent community-dwelling older adults. A fall risk screening tool consisting of risk factors alone might be able to predict fall risk. However, further refinements and validations of the tools before use are recommended. Wiley 2022 Article PeerReviewed Mei, Fong Ong and Kim, Lam Soh and Saimon, Rosalia and Myint, Wai Wai and Pawi, Saloma and Saidi, Hasni Idayu (2022) Falls risk screening tools intended to reduce fall risk among independent community-dwelling older adults: A systematic review. International Journal of Nursing Practice, 29 (4). art. no. e13083. pp. 1-24. ISSN 1322-7114; ESSN: 1440-172X https://onlinelibrary.wiley.com/doi/10.1111/ijn.13083 10.1111/ijn.13083
spellingShingle Mei, Fong Ong
Kim, Lam Soh
Saimon, Rosalia
Myint, Wai Wai
Pawi, Saloma
Saidi, Hasni Idayu
Falls risk screening tools intended to reduce fall risk among independent community-dwelling older adults: A systematic review
title Falls risk screening tools intended to reduce fall risk among independent community-dwelling older adults: A systematic review
title_full Falls risk screening tools intended to reduce fall risk among independent community-dwelling older adults: A systematic review
title_fullStr Falls risk screening tools intended to reduce fall risk among independent community-dwelling older adults: A systematic review
title_full_unstemmed Falls risk screening tools intended to reduce fall risk among independent community-dwelling older adults: A systematic review
title_short Falls risk screening tools intended to reduce fall risk among independent community-dwelling older adults: A systematic review
title_sort falls risk screening tools intended to reduce fall risk among independent community dwelling older adults a systematic review
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