A two-question tool to assess the risk of repeated falls in the elderly
Older adults' perception of their own risk of fall has never been included into screening tools. The goal of this study was to evaluate the predictive validity of questions on subjects' self-perception of their own risk of fall. This prospective study was conducted on a probabilistic sampl...
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| Veröffentlicht in: | PloS one 2017-05, Vol.12 (5), p.e0176703-e0176703 |
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| creator | Rodríguez-Molinero, Alejandro Gálvez-Barrón, César Narvaiza, Leire Miñarro, Antonio Ruiz, Jorge Valldosera, Esther Gonzalo, Natalia Ng, Thalia Sanguino, María Jesús Yuste, Antonio |
| description | Older adults' perception of their own risk of fall has never been included into screening tools. The goal of this study was to evaluate the predictive validity of questions on subjects' self-perception of their own risk of fall.
This prospective study was conducted on a probabilistic sample of 772 Spanish community-dwelling older adults, who were followed-up for a one year period. At a baseline visit, subjects were asked about their recent history of falls (question 1: "Have you fallen in the last 6 months?"), as well as on their perception of their own risk of fall by using two questions (question 2: "Do you think you may fall in the next few months?" possible answers: yes/no; question 3: "What is the probability that you fall in the next few months?" possible answers: low/intermediate/high). The follow-up consisted of quarterly telephone calls, where the number of falls occurred in that period was recorded.
A short questionnaire built with questions 1 and 3 showed 70% sensitivity (95% CI: 56%-84%), 72% specificity (95% CI: 68%-76%) and 0.74 area under the ROC curve (95% CI: 0.66-0.82) for prediction of repeated falls in the subsequent year.
The estimation of one's own risk of fall has predictive validity for the occurrence of repeated falls in older adults. A short questionnaire including a question on perception of one's own risk of fall and a question on the recent history of falls had good predictive validity. |
| doi_str_mv | 10.1371/journal.pone.0176703 |
| format | Article |
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This prospective study was conducted on a probabilistic sample of 772 Spanish community-dwelling older adults, who were followed-up for a one year period. At a baseline visit, subjects were asked about their recent history of falls (question 1: "Have you fallen in the last 6 months?"), as well as on their perception of their own risk of fall by using two questions (question 2: "Do you think you may fall in the next few months?" possible answers: yes/no; question 3: "What is the probability that you fall in the next few months?" possible answers: low/intermediate/high). The follow-up consisted of quarterly telephone calls, where the number of falls occurred in that period was recorded.
A short questionnaire built with questions 1 and 3 showed 70% sensitivity (95% CI: 56%-84%), 72% specificity (95% CI: 68%-76%) and 0.74 area under the ROC curve (95% CI: 0.66-0.82) for prediction of repeated falls in the subsequent year.
The estimation of one's own risk of fall has predictive validity for the occurrence of repeated falls in older adults. A short questionnaire including a question on perception of one's own risk of fall and a question on the recent history of falls had good predictive validity.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0176703</identifier><identifier>PMID: 28489888</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Accidental falls ; Accidental Falls - prevention & control ; Activities of daily living ; Adults ; Aged ; Aged, 80 and over ; Analysis ; Biology and Life Sciences ; Caigudes (Accidents) ; Computer and Information Sciences ; Earth Sciences ; Elderly ; Engineering and Technology ; Falls ; Falls (Accidents) ; Female ; Frailty ; Geriatric Assessment - methods ; Geriatrics ; Health aspects ; Health risk assessment ; Health risks ; Humans ; Hypotheses ; Informatics ; Male ; Medical research ; Medicine and Health Sciences ; Older people ; People and Places ; Perception ; Persones grans ; Population ; Predictions ; Predictive Value of Tests ; Prospective Studies ; Psychological aspects ; Research and Analysis Methods ; Risk Assessment ; Risk Factors ; Risk perception ; Self Concept ; Self image ; Self perception ; Social Sciences ; Studies ; Surveys and Questionnaires ; Telephone calls ; Validity</subject><ispartof>PloS one, 2017-05, Vol.12 (5), p.e0176703-e0176703</ispartof><rights>COPYRIGHT 2017 Public Library of Science</rights><rights>2017 Rodríguez-Molinero et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>cc-by (c) Rodríguez-Molinero, Alejandro et al., 2017 info:eu-repo/semantics/openAccess <a href="http://creativecommons.org/licenses/by/3.0/es">http://creativecommons.org/licenses/by/3.0/es</a></rights><rights>2017 Rodríguez-Molinero et al 2017 Rodríguez-Molinero et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5423-1da3218a273b098214abc7cad2dffa078747c01afe795647d089a419050f67b63</citedby><cites>FETCH-LOGICAL-c5423-1da3218a273b098214abc7cad2dffa078747c01afe795647d089a419050f67b63</cites><orcidid>0000-0002-9678-2654</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5425174/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5425174/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,26951,27901,27902,53766,53768,79569,79570</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28489888$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rodríguez-Molinero, Alejandro</creatorcontrib><creatorcontrib>Gálvez-Barrón, César</creatorcontrib><creatorcontrib>Narvaiza, Leire</creatorcontrib><creatorcontrib>Miñarro, Antonio</creatorcontrib><creatorcontrib>Ruiz, Jorge</creatorcontrib><creatorcontrib>Valldosera, Esther</creatorcontrib><creatorcontrib>Gonzalo, Natalia</creatorcontrib><creatorcontrib>Ng, Thalia</creatorcontrib><creatorcontrib>Sanguino, María Jesús</creatorcontrib><creatorcontrib>Yuste, Antonio</creatorcontrib><title>A two-question tool to assess the risk of repeated falls in the elderly</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Older adults' perception of their own risk of fall has never been included into screening tools. The goal of this study was to evaluate the predictive validity of questions on subjects' self-perception of their own risk of fall.
This prospective study was conducted on a probabilistic sample of 772 Spanish community-dwelling older adults, who were followed-up for a one year period. At a baseline visit, subjects were asked about their recent history of falls (question 1: "Have you fallen in the last 6 months?"), as well as on their perception of their own risk of fall by using two questions (question 2: "Do you think you may fall in the next few months?" possible answers: yes/no; question 3: "What is the probability that you fall in the next few months?" possible answers: low/intermediate/high). The follow-up consisted of quarterly telephone calls, where the number of falls occurred in that period was recorded.
A short questionnaire built with questions 1 and 3 showed 70% sensitivity (95% CI: 56%-84%), 72% specificity (95% CI: 68%-76%) and 0.74 area under the ROC curve (95% CI: 0.66-0.82) for prediction of repeated falls in the subsequent year.
The estimation of one's own risk of fall has predictive validity for the occurrence of repeated falls in older adults. A short questionnaire including a question on perception of one's own risk of fall and a question on the recent history of falls had good predictive validity.</description><subject>Accidental falls</subject><subject>Accidental Falls - prevention & control</subject><subject>Activities of daily living</subject><subject>Adults</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Analysis</subject><subject>Biology and Life Sciences</subject><subject>Caigudes (Accidents)</subject><subject>Computer and Information Sciences</subject><subject>Earth Sciences</subject><subject>Elderly</subject><subject>Engineering and Technology</subject><subject>Falls</subject><subject>Falls (Accidents)</subject><subject>Female</subject><subject>Frailty</subject><subject>Geriatric Assessment - methods</subject><subject>Geriatrics</subject><subject>Health aspects</subject><subject>Health risk assessment</subject><subject>Health risks</subject><subject>Humans</subject><subject>Hypotheses</subject><subject>Informatics</subject><subject>Male</subject><subject>Medical research</subject><subject>Medicine and Health Sciences</subject><subject>Older people</subject><subject>People and Places</subject><subject>Perception</subject><subject>Persones grans</subject><subject>Population</subject><subject>Predictions</subject><subject>Predictive Value of Tests</subject><subject>Prospective Studies</subject><subject>Psychological aspects</subject><subject>Research and Analysis Methods</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Risk perception</subject><subject>Self Concept</subject><subject>Self image</subject><subject>Self perception</subject><subject>Social Sciences</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><subject>Telephone 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two-question tool to assess the risk of repeated falls in the elderly</title><author>Rodríguez-Molinero, Alejandro ; Gálvez-Barrón, César ; Narvaiza, Leire ; Miñarro, Antonio ; Ruiz, Jorge ; Valldosera, Esther ; Gonzalo, Natalia ; Ng, Thalia ; Sanguino, María Jesús ; Yuste, Antonio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5423-1da3218a273b098214abc7cad2dffa078747c01afe795647d089a419050f67b63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Accidental falls</topic><topic>Accidental Falls - prevention & control</topic><topic>Activities of daily living</topic><topic>Adults</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Analysis</topic><topic>Biology and Life Sciences</topic><topic>Caigudes (Accidents)</topic><topic>Computer and Information Sciences</topic><topic>Earth Sciences</topic><topic>Elderly</topic><topic>Engineering and 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Antonio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A two-question tool to assess the risk of repeated falls in the elderly</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2017-05-10</date><risdate>2017</risdate><volume>12</volume><issue>5</issue><spage>e0176703</spage><epage>e0176703</epage><pages>e0176703-e0176703</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Older adults' perception of their own risk of fall has never been included into screening tools. The goal of this study was to evaluate the predictive validity of questions on subjects' self-perception of their own risk of fall.
This prospective study was conducted on a probabilistic sample of 772 Spanish community-dwelling older adults, who were followed-up for a one year period. At a baseline visit, subjects were asked about their recent history of falls (question 1: "Have you fallen in the last 6 months?"), as well as on their perception of their own risk of fall by using two questions (question 2: "Do you think you may fall in the next few months?" possible answers: yes/no; question 3: "What is the probability that you fall in the next few months?" possible answers: low/intermediate/high). The follow-up consisted of quarterly telephone calls, where the number of falls occurred in that period was recorded.
A short questionnaire built with questions 1 and 3 showed 70% sensitivity (95% CI: 56%-84%), 72% specificity (95% CI: 68%-76%) and 0.74 area under the ROC curve (95% CI: 0.66-0.82) for prediction of repeated falls in the subsequent year.
The estimation of one's own risk of fall has predictive validity for the occurrence of repeated falls in older adults. A short questionnaire including a question on perception of one's own risk of fall and a question on the recent history of falls had good predictive validity.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>28489888</pmid><doi>10.1371/journal.pone.0176703</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-9678-2654</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2017-05, Vol.12 (5), p.e0176703-e0176703 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_1897668493 |
| source | Public Library of Science (PLoS) Journals Open Access; MEDLINE; DOAJ Directory of Open Access Journals; Recercat; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Accidental falls Accidental Falls - prevention & control Activities of daily living Adults Aged Aged, 80 and over Analysis Biology and Life Sciences Caigudes (Accidents) Computer and Information Sciences Earth Sciences Elderly Engineering and Technology Falls Falls (Accidents) Female Frailty Geriatric Assessment - methods Geriatrics Health aspects Health risk assessment Health risks Humans Hypotheses Informatics Male Medical research Medicine and Health Sciences Older people People and Places Perception Persones grans Population Predictions Predictive Value of Tests Prospective Studies Psychological aspects Research and Analysis Methods Risk Assessment Risk Factors Risk perception Self Concept Self image Self perception Social Sciences Studies Surveys and Questionnaires Telephone calls Validity |
| title | A two-question tool to assess the risk of repeated falls in the elderly |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-19T01%3A03%3A42IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20two-question%20tool%20to%20assess%20the%20risk%20of%20repeated%20falls%20in%20the%20elderly&rft.jtitle=PloS%20one&rft.au=Rodr%C3%ADguez-Molinero,%20Alejandro&rft.date=2017-05-10&rft.volume=12&rft.issue=5&rft.spage=e0176703&rft.epage=e0176703&rft.pages=e0176703-e0176703&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0176703&rft_dat=%3Cgale_plos_%3EA491464738%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1897668493&rft_id=info:pmid/28489888&rft_galeid=A491464738&rft_doaj_id=oai_doaj_org_article_d0ac1ad6b0b44d2a93cc1ea1e0face26&rfr_iscdi=true |