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Wittayapun Y, Nawarat J, Lapmanee S, Mackenzie L, Lektip C. Reliability of the 44-question Home Fall Hazard Assessment Tool and personal characteristics associated with home hazards among the Thai elderly. F1000Res 2023; 12:8. [PMID: 37448858 PMCID: PMC10336358 DOI: 10.12688/f1000research.126690.3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 06/21/2023] [Indexed: 07/15/2023] Open
Abstract
Background: The 44-question Thai Home Fall Hazard Assessment Tool (Thai-HFHAT) was developed to assist healthcare professionals in identifying the risk of falls among community-dwelling older adults from their home environment. However, the reliability of this tool has not been studied. This study aimed to examine the reliability of the 44-question Thai-HFHAT and determine the demographic characteristics associated with home hazards. Methods: A descriptive cross-sectional study design was used to evaluate inter-rater reliability. The participants in this study were 51 older people from various types of Thai houses: a one-story elevated house, a one-story non-elevated house, and a house with two or more floors, 51 caregivers of older patients, and 5 village health volunteers (VHV). A prospective design was used to evaluate test-retest reliability with older people at different times in their homes. All participants answered 44 Thai-HFHAT questions to determine inter-rater and test-retest reliabilities. The reliabilities were analyzed using an intra-class correlation coefficient (ICC). Demographic characteristics including sex, occupation, and education were used to identify the factors affecting home hazards, and linear regression was used to analyze. Results: The ICC of inter-rater reliability of the 44-question Thai-HFHAT was 0.74 (95% CI: 0.57-0.84) and the test-retest reliability was 0.80 (95% CI: 0.64-0.88) for the older adults, 0.80 (95% CI: 0.65-0.89) for the caregivers and 0.70 (95% CI: 0.477-0.83) for the VHV. In demographic variables, personal business career and education level (grades 1-3) had significant relations with the total number of home hazards in the 44-questions Thai-HFHAT. Conclusions: The 44-question Thai-HFHAT is suitable for home hazard assessment among older adults in Thailand. Further studies are needed to investigate changes in the house environment after using the 44-question Thai-HFHAT to determine which changes can reduce fall risk.
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Affiliation(s)
- Yuwadee Wittayapun
- Department of Physical Therapy, School of Allied Health Sciences, Walailak University, Nakhon Si Thammarat, 8016, Thailand
- Movement Science and Exercise Research Center, Walailak University, Nakhon Si Thammarat, 80160, Thailand
| | - Jiraphat Nawarat
- Department of Physical Therapy, School of Allied Health Sciences, Walailak University, Nakhon Si Thammarat, 8016, Thailand
- Movement Science and Exercise Research Center, Walailak University, Nakhon Si Thammarat, 80160, Thailand
| | - Sarawut Lapmanee
- Department of Basic Medical Sciences, Faculty of Medicine, Siam University, Bangkok, 10160, Thailand
| | - Lynette Mackenzie
- Discipline of Occupational Therapy, School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, 2141, Australia
| | - Charupa Lektip
- Department of Physical Therapy, School of Allied Health Sciences, Walailak University, Nakhon Si Thammarat, 8016, Thailand
- Movement Science and Exercise Research Center, Walailak University, Nakhon Si Thammarat, 80160, Thailand
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Lektip C, Lapmanee S, Petsirasan R, Chaipinyo K, Lektip S, Nawarat J. Construction of the Short-Form Thai-Home Fall Hazard Assessment Tool (Thai-HFHAT-SF) and Testing Its Validity and Reliability in the Elderly. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19095187. [PMID: 35564581 PMCID: PMC9101228 DOI: 10.3390/ijerph19095187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/15/2022] [Revised: 04/21/2022] [Accepted: 04/22/2022] [Indexed: 12/04/2022]
Abstract
The Thai-Home Fall Hazard Assessment Tool (Thai-HFHAT) was developed to identify the fall risk among the elderly arising from their home environment. However, it is more time consuming for large items. Therefore, this study developed a short-form of Thai-HFHAT (Thai-HFHAT-SF). In phase I, we developed the Thai-HFHAT-SF by performing a confirmatory factor analysis (CFA) of 450 rural elderly people. In phase II, a total of 105 participants; 50 elderly people, 50 caregivers, and 5 village health volunteers (VHV) were recruited to examine the reliability of the Thai-HFHAT-SF. Intra-class correlation coefficient (ICC) was used to analyze the inter-rater and test–retest reliability. Factor analysis selected 28 out of the 69 original Thai-HFHAT items in 4 components: indoor area, garage, outdoor areas, and risky spots/areas including pets. The factor loading was 0.67, 0.60, 0.32, and 0.31 in each component. The fitness index indicated that this model was fit (χ2/df = 1.38, goodness-of-fit Index (GFI) = 0.988, adjusted goodness-of-fit index (AGFI) = 0.970, standardized root mean square residual (SRMR) = 0.030, and root mean square error of approximation (RMSEA) = 0.029). The inter-rater reliability of the Thai-HFHAT-SF was 0.82 (95% CI: 0.71–0.89). The test–retest reliability was 0.77 (95% CI: 0.60–0.87) for the older person group, 0.85 (95% CI: 0.73–0.91) for the caregiver group, and 0.60 (95% CI: 0.29–0.77) for the VHV group. The new 28-item scale focused on home fall hazards and can be conducted in 10–15 min. Thai-HFHAT-SF is suitable for home hazards assessment among elderly in Thailand.
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Affiliation(s)
- Charupa Lektip
- Department of Physical Therapy, School of Allied Health Sciences, Walailak University, Nakhon Si Thammarat 80160, Thailand;
- Movement Sciences and Exercise Research Center, Walailak University, Nakhon Si Thammarat 80160, Thailand
| | - Sarawut Lapmanee
- Department of Basic Medical Sciences, Faculty of Medicine, Siam University, Bangkok 10160, Thailand;
| | | | - Kanda Chaipinyo
- Faculty of Physical Therapy, Srinakharinwirot University, Nakhonnayok 26120, Thailand;
| | | | - Jiraphat Nawarat
- Department of Physical Therapy, School of Allied Health Sciences, Walailak University, Nakhon Si Thammarat 80160, Thailand;
- Movement Sciences and Exercise Research Center, Walailak University, Nakhon Si Thammarat 80160, Thailand
- Correspondence: ; Tel.: +66-7567-2603
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Kim SC, Kong SY, Eom SY, Choe B, Hong SJ. Functional Assessment of Driving Capacity of Older Drivers Compared with Non-older Drivers Using Clinical Evaluations and Driving Simulations. Ann Geriatr Med Res 2021; 25:105-112. [PMID: 33975421 PMCID: PMC8272994 DOI: 10.4235/agmr.21.0027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2021] [Accepted: 05/07/2021] [Indexed: 11/08/2022] Open
Abstract
Background This study used various tools, including a self-assessment questionnaire, the Clinical Assessment of Driver-Related Skills (CADReS), and a driving simulation, to discriminate between older and non-older drivers. Methods We evaluated driving habits, driving-related health behaviors, and morbidities using a self-assessment questionnaire and examined visual, motor, and cognitive functions using the CADReS and a vehicle simulator of four junction scenarios that are typical of accidents involving older drivers. The areas under the receiver operating characteristic curves (AUCs) were calculated to compare the age-related discriminating ability of these tools between older (≥65 years) and non-older participants. Results Thirty of the 40 participants (75%) were older. Older drivers were slower than non-older drivers according to the rapid walking pace (8.0 vs. 6.1 seconds), and their cognitive function was poorer based on the trail-making test (117 vs. 51 seconds). While driving on the vehicle simulator, the rate of violating traffic rules was higher and the maximal velocity was slower in the older group than in the non-older group. The AUC values for CADReS and driving simulation outcomes ranged from 0.59 to 0.95, while the rapid walking pace, trail-making test, and velocity of the left turn at an acute junction in the dark showed high discriminatory power (AUC>0.9).Conclusions: The rapid walking pace and trail-making test in CADReS, as well as the driving simulation, were useful tools to discriminate between older and non-older drivers.
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Affiliation(s)
- Sang Chul Kim
- Department of Emergency Medicine, Chungbuk National University College of Medicine, Cheongju, Korea.,Department of Emergency Medicine, Chungbuk National University Hospital, Cheongju, Korea
| | - So Yeon Kong
- Strategic Research, Laerdal Medical, Stavanger, Norway
| | - Sang-Yong Eom
- Department of Preventive Medicine, Chungbuk National University College of Medicine, Cheongju, Korea.,Office of Public Healthcare Service, Chungbuk National University Hospital, Cheongju, Korea
| | - Byongho Choe
- Korea Transportation Safety Authority, Hwaseong, Korea
| | - Seung Jun Hong
- Department of Smart Mechanical Automotive Engineering, Changwon Moonsung University, Changwon, Korea
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Park WC, Kim M, Kim S, Yoo J, Kim BS, Chon J, Jeong SJ, Won CW. Introduction of Fall Risk Assessment (FRA) System and Cross-Sectional Validation Among Community-Dwelling Older Adults. Ann Rehabil Med 2019; 43:87-95. [PMID: 30852875 PMCID: PMC6409653 DOI: 10.5535/arm.2019.43.1.87] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2018] [Accepted: 09/07/2018] [Indexed: 11/20/2022] Open
Abstract
OBJECTIVE To predict the risk of falls, Fall Risk Assessment (FRA) system has been newly developed to measure multi-systemic balance control among community-dwelling older adults. The aim of this study was to examine the association between FRA and fall-related physical performance tests. METHODS A total of 289 community-dwelling adults aged 65 years and older participated in this cross-sectional study. All participants underwent FRA test and physical performance tests such as Short Physical Performance Battery (SPPB), Berg Balance Scale (BBS), and Timed Up and Go Test (TUG). RESULTS Participants who were younger, male, highly educated, living with family members, having high body mass index, having high appendicular lean mass index, and having no irritative lower urinary tract syndrome were more likely to have higher FRA scores. SPPB (β=1.012), BBS (β=0.481), and TUG (β=-0.831) were significantly associated with FRA score after adjusting for the variables (all p<0.001). CONCLUSION FRA composite score was closely correlated with SPPB, BBS, and TUG, suggesting that FRA is a promising candidate as a screening tool to predict falls among community-dwelling elderly people.
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Affiliation(s)
- Woo-Chul Park
- Department of Family Medicine, Kyung Hee University Medical Center, Seoul, Korea
| | - Miji Kim
- Department of Biomedical Science and Technology, Graduate School of Kyung Hee University, Seoul, Korea
- East-West Medical Research Institute, Kyung Hee University Medical Center, Seoul, Korea
| | - Sunyoung Kim
- Department of Family Medicine, Kyung Hee University Medical Center, Seoul, Korea
| | - Jinho Yoo
- Department of Family Medicine, Kyung Hee University Medical Center, Seoul, Korea
| | - Byung Sung Kim
- Department of Family Medicine, Kyung Hee University Medical Center, Seoul, Korea
| | - Jinmann Chon
- Department of Physical Medicine and Rehabilitation, Kyung Hee University Medical Center, Seoul, Korea
| | - Su Jin Jeong
- Statistics Support Department, Medical Science Research Institute, Kyung Hee University Medical Center, Seoul, Korea
| | - Chang Won Won
- Department of Family Medicine, Kyung Hee University Medical Center, Seoul, Korea
- Elderly Frailty Research Center, Kyung Hee University Medical Center, Seoul, Korea
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