Comparison of Fall Risk Assessment Tools for Older Indonesian Adults in the Elderly Home and the Community

Authors

  • Indri Hapsari Susilowati
    indri.susilowati@gmail.com
    Department of Occupational Health and Safety, Faculty of Public Health, Universitas Indonesia Depok, Indonesia, Indonesia
  • Susiana Nugraha Center for Family and Ageing Studies, University of Respati Indonesia, Indonesia
  • Sabarinah Sabarinah Department of Biostatistics and Population Studies, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia, Indonesia
  • Bonardo Prayogo Hasiholan Department of Occupational Health and Safety, Faculty of Public Health, Universitas Indonesia Depok, Indonesia, Indonesia
  • Supa Pengpid ASEAN Institute for Health Development, Mahidol University, Salaya, Thailand, Thailand
  • Karl Peltzer Department for Management of Science and Technology Development, Ton Duc Thang University, Ho Chi Minh City, Vietnam Faculty of Pharmacy, Ton Duc Thang University, Ho Chi Minh City, Vietnam, Viet Nam

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Introduction: One of the causes of disability among elderly is falling. The ability to predict the risk of falls among this group is important so that the appropriate treatment can be provided to reduce the risk. The objective of this study was to compare the Stopping Elderly Accidents, Deaths, & Injuries (STEADI) Initiative from the Centers for Disease Control and Prevention (CDC) and The Johns Hopkins Fall Risk Assessment Tool (JHFRAT) from the Johns Hopkins University. Methods: This study used the STEADI tool, JHFRAT, Activities-Specific Balance Confidence Scale (ABC), and The Geriatric Depression Scale (GDS). The study areas were in community and elderly home in both public and private sectors and the samples were 427 after cleaning. Results: The results for the STEADI and JHFRAT tools were similar where the respondents at highest risk of falling among women (STEADI: 49%; JHFRAT: 3.4%), in Bandung area (63.5%; 5.4%), in private homes (63.3%; 4.4%), non-schools (54.6%; 6.2%), aged 80 or older (64.8%; 6.7%) and not working (48.9%;3.3%). The regression analysis indicated that there was a significant relationship between the risk factors for falls in the elderly determined by the JHFRAT and STEADI tools: namely, region, type of home, age, disease history, total GDS and ABC averages. Conclusion: Despite the similarity in the risk factors obtained through these assessments, there was a significant difference between the results for the STEADI tool and the JHFRAT. The test strength was 43%. However, STEADI is more sensitive to detect fall risk smong elderly than JHFRAT

Keywords: Activities-Specific Balance Confidence scale, elderly, fall risk,

The Johns Hopkins Fall Risk Assessment Tool, the Stopping Elderly Accidents, Deaths, & Injuries