Development and preliminary examination of the predictive validity of the Falls Risk Assessment Tool (FRAT) for use in primary care

Sudip Nandy, Suzanne Parsons, Colin Cryer, Martin Underwood, Elaine Rashbrook, Yvonne Carter, Sandra Eldridge, Dawn Skelton, Jacqueline Close

Research output: Contribution to journalArticle

Abstract

There is no validated assessment of an older person’s risk of falling that is easily applied in primary care. We aimed to develop a two-part tool for use in primary care or the community. Part 1 includes a rapid assessment of the individual’s risk of falling for administration by clinical or non-clinical staff. Part 2 (for clinical staff) includes guidance on further assessment, referral and interventions. We assessed the predictive validity of part 1. Five items were included in part 1: history of any fall in the previous year, four or more prescribed medications, diagnosis of stroke or Parkinson’s disease, reported problems with balance, inability to rise from a chair without using arms. The presence of three or more risk factors had a positive predictive value for a fall in the next 6 months of 0.57 (95 per cent confidence interval 0.43–0.69). Less than three risk factors had a negative predictive value of 0.86 (0.82–0.89), and a specificity of 0.92 (0.88–0.94). The tool may be useful for identifying people who would benefit from further assessment of their risk of falling and appropriate intervention.

Original languageEnglish
JournalJournal of Public Health
DOIs
Publication statusPublished - 1 Jun 2004

Keywords

  • the elderly
  • falls risk assessment tool
  • risk of falling

Fingerprint Dive into the research topics of 'Development and preliminary examination of the predictive validity of the Falls Risk Assessment Tool (FRAT) for use in primary care'. Together they form a unique fingerprint.

  • Cite this