scholarly journals International classification of function, disability and health framework for fall risk stratification in community dwelling older adults

2017 ◽  
Vol 3 (1) ◽  
Author(s):  
Majumi M. Noohu ◽  
Aparajit B. Dey ◽  
Shashi Sharma ◽  
Mohammed E. Hussain
Keyword(s):  
Older Adults ◽  
Risk Assessment ◽  
Odds Ratio ◽  
Fall Risk ◽  
Adjusted Odds Ratio ◽  
Community Dwelling ◽  
Disability And Health ◽  
Fall Risk Assessment ◽  
Community Dwelling Older Adults

Falls is an important cause for mortality and morbidity in older adults. The fall risk assessment is an integral component of fall prevention in older adults. The international classification of function, disability and health (ICF) can be an ideal comprehensive model for fall risk assessment. There is lack of information relating ICF and fall risk assessment in community dwelling older adults. In this study we tried to assess the fall risk using different domains of ICF using various clinical tools. A total of 255 subjects were recruited through convenient sampling method from geriatric clinic (OPD) of All India Institute of Medical Sciences, New Delhi. The study was single session cross-section design. The body mass index (BMI), grip strength, depression score (Geriatric depression scale:short form; GDS-S) and co morbidities were used to assess body function and structure domain, timed up and go (TUG), Berg balance scale (BBS) and elderly fall screening test (EFST) scores were used for activity domain, selfreported cause of fall, medications and uses of assistive device for environmental factors. Then the association of body function and structure, activity and environmental factors were determined with falls. There was an association of fall in analysis in subjects with no fall and one or more falls for, BMI, grip strength (kg), GDS-S score, no. of co morbidities, chronic pain, TUG, BBS, TUG (s), BBS, EFST, slip/trip, walking cane, hypoglycemic and antihypertensives medications (unadjusted and adjusted odds ratio).The diabetes, and hyper tension showed association for adjusted odds ratio only. In subjects with one fall and more than one fall, TUG, BBS, EFST, GDS-S score, NSAIDS and antidepressants use showed a significant association with fall (unadjusted and adjusted odds ratio). The ICF may be used in routine for fall risk assessment in community dwelling older adults.

The Reliability and Preliminary Validity of Game-Based Fall Risk Assessment in Community-Dwelling Older Adults

2011 ◽  
Vol 32 (3) ◽  
pp. 188-194 ◽  
Author(s):  
Minoru Yamada ◽  
Tomoki Aoyama ◽  
Masatoshi Nakamura ◽  
Buichi Tanaka ◽  
Koutatsu Nagai ◽  
...  
Keyword(s):  
Older Adults ◽  
Risk Assessment ◽  
Fall Risk ◽  
Community Dwelling ◽  
Fall Risk Assessment ◽  
Community Dwelling Older Adults

scholarly journals Reliability and construct validity of the stepping-forward affordance perception test for fall risk assessment in community-dwelling older adults

PLoS ONE ◽  
2019 ◽  
Vol 14 (11) ◽  
pp. e0225118 ◽  
Author(s):  
Gabriela Almeida ◽  
Jorge Bravo ◽  
Hugo Folgado ◽  
Hugo Rosado ◽  
Felismina Mendes ◽  
...  
Keyword(s):  
Older Adults ◽  
Risk Assessment ◽  
Construct Validity ◽  
Fall Risk ◽  
Community Dwelling ◽  
Fall Risk Assessment ◽  
Community Dwelling Older Adults

Agreement and predictive power of six fall risk assessment methods in community-dwelling older adults

2020 ◽  
Vol 87 ◽  
pp. 103975 ◽  
Author(s):  
Michele Menezes ◽  
Ney Armando de Mello Meziat-Filho ◽  
Camila Santos Araújo ◽  
Thiago Lemos ◽  
Arthur Sá Ferreira
Keyword(s):  
Older Adults ◽  
Risk Assessment ◽  
Fall Risk ◽  
Predictive Power ◽  
Community Dwelling ◽  
Assessment Methods ◽  
Fall Risk Assessment ◽  
Community Dwelling Older Adults

scholarly journals Laying the foundation for a core set of the International Classification of Functioning, Disability and Health for community-dwelling adults aged 75 years and above in general practice: a study protocol

BMJ Open ◽  
2018 ◽  
Vol 8 (8) ◽  
pp. e024274
Author(s):  
Johanna Tomandl ◽  
Stephanie Book ◽  
Susann Gotthardt ◽  
Stefan Heinmueller ◽  
Elmar Graessel ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Community Dwelling ◽  
International Classification ◽  
Functional Health ◽  
International Classification Of Functioning ◽  
Disability And Health ◽  
Core Set ◽  
Community Dwelling Older Adults

IntroductionWith the medical focus on disease, the problem of overdiagnosis inevitably increases with ageing. Considering the functional health of patients might help to discriminate between necessary and unnecessary medicine. The International Classification of Functioning, Disability and Health (ICF) is an internationally recognised tool for describing functional health. However, it is too detailed to be used in primary care practices. Consequently, the aim of this study is to identify relevant codes for an ICF core set for community-dwelling older adults (75 years and above) in primary care.Methods and analysisThe study will follow the methodology proposed by the ICF Research Branch to identify relevant concepts from different perspectives: (1) Research perspective: A systematic review of studies focusing on functional health in old age will be conducted in different databases. Relevant concepts will be extracted from the publications. (2) Patients’ perspective: Relevant areas of functioning and disability will be identified conducting qualitative interviews and focus groups with community-dwelling older persons. The interviews will be transcribed verbatim and analysed using the documentary method of interpretation. (3) Experts’ perspective: An online survey with open-ended questions will be conducted. Answers will be analysed using the qualitative content analysis of Mayring. (4) Clinical perspective: A cross-sectional empirical study will be performed to assess the health status of community-dwelling older adults using the extended ICF checklist and other measurement tools.Relevant concepts identified in each study will be linked to ICF categories resulting in four preliminary core sets.Ethics and disseminationEthical approval for the study was obtained (90_17B). All participants will provide written informed consent. Data will be pseudonymised for analysis. Results will be disseminated by conference presentations and journal publications.Trial registration numberProjektdatenbank Versorgungsforschung Deutschland: VfD_17_003833,Clinicaltrials.gov:NCT03384732and PROSPERO: CRD42017067784.

scholarly journals Contextual factors associated with life-space mobility in community-dwelling older adults based on International Classification of Functioning, Disability and Health: protocol for a systematic review

BMJ Open ◽  
2018 ◽  
Vol 8 (10) ◽  
pp. e023468 ◽  
Author(s):  
Heloisa Maria Jácome Sousa Britto ◽  
Bruna Silva Oliveira ◽  
Cristiano Santos Gomes ◽  
Juliana Martins Pinto ◽  
Ricardo Oliveira Guerra
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Contextual Factors ◽  
Community Dwelling ◽  
International Classification Of Functioning ◽  
Disability And Health ◽  
Life Space ◽  
Factors Associated ◽  
Community Dwelling Older Adults

IntroductionMobility decline compromises functionality and quality of life in old age. Life-Space Assessment (LSA) evaluates mobility considering interaction between person and environment. The International Classification of Functioning, Disability and Health (ICF) is a reference to identify and categorise the personal and environmental contextual factors associated to the LSA. Our objective is identifying contextual factors that may influence life-space mobility of older community-dwelling adults based on ICF.Methods and analysisA systematic review of literature will be performed to identify studies published between 1 January 2001 and 10 May 2017 which investigates life-space mobility among older adults. Keywords will be entered into the electronic databases of MEDLINE (PubMed), EMBASE (OVID), CINHAL (EBSCO), Cochrane Central Register of Controlled Trials Cochrane Central (OVID), PsycINFO (EBSCO) and COCH (OVID). Five investigators will work on search databases and standardised screening of the articles. Mobility predictors will be separated into personal and environmental aspects, according to the ICF model. The results will be reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement, and then a meta-analysis will be performed, if applicable.DiscussionKnowledge about life-space mobility in community-dwelling older adults by examining related risk and protective aspects may help practitioners better approach older adults’ mobility and prevent their decline in old age. Furthermore, researchers will have more clues for investigations into factors related to life-space mobility.Trial registration numberCRD42017064552.

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