Systematic review of the scales for risk of falls perception in the elderly based on COSMIN Guidelines
10.3969/j.issn.1671-8283.2024.07.005
- VernacularTitle:基于COSMIN指南的老年人跌倒风险感知量表的系统评价
- Author:
Pei YANG
1
;
Jinfeng TIAN
;
Weile WU
;
Yaru WANG
;
Qin YANG
Author Information
1. 宁夏医科大学总医院内分泌科,宁夏 银川,750003
- Publication Type:Journal Article
- Keywords:
the elderly;
risk of falls perception;
assessment tool;
measurement property;
consensus-based standards for the selection of health measurement instruments;
systematic assessment
- From:
Modern Clinical Nursing
2025;24(7):34-43
- CountryChina
- Language:Chinese
-
Abstract:
Objective To systematically evaluate the methodological quality and the measurement attributes of the assessment tools for risk of falls perception in the elderly,therefore to provide evidence-based references for medical staff to select a proper assessment tool.Methods Literature on studies of the assessment tools for risk of falls perception in the elderly was retrieved across databases and websites including Medline,Embase,PubMed,Web of Science,CINAHL,China National Knowledge Infrastructure(CNKI),Wanfang Data,VIP and China Biology Medicine(CBM).The retrieval period was from the inception of the databases to 1st June,2024.Two researchers independently screened the retrieved literature and extracted the data.The bias risk list and quality standards of the consensus-based standards for the selection of health measurement instruments(COSMIN)were used to systematically evaluate the attributes of the assessment tools.Results A total of 22 studies were included,covering 21 scales for the risk of falls perception in the elderly.All the scales had certain risks of bias,and none of them reported cross-cultural validity/measurement equivalence and measurement error.The fall risk questionnaire(FRQ)was rated as Class C recommendation due to the high-quality evidences indicated its"inadequate"internal consistency and responsiveness.The remaining scales were rated as Class B recommendation due to their uncertainty in content validity.Conclusion In comparison with the assessment tools for risk of falls perception in the elderly,the self-awareness of falls in elderly scale(SAFE,a primary choice)and the fall risk perception scale for the elderly in community(FRPSE,the secondary choice)are recommended for their comprehensive structure of measurement and relatively complete evaluation of measurement.However,further studies are required to validate the clinical applicability and measurement attributes of the SAFE and FRPSE.
