A comparative study on the application of the fall risk self-assessment scale on the community-dwelling older adults
10.3969/j.issn.1001-1242.2025.06.011
- VernacularTitle:老年人居家跌倒风险自评量表在社区老年人中的比较应用研究
- Author:
Aixin GUO
1
;
Li GU
1
;
Yanyan YANG
1
Author Information
1. 北京大学第三医院康复医学科,北京市,100191
- Publication Type:Journal Article
- Keywords:
fall;
risk assessment;
scale;
older adult;
community
- From:
Chinese Journal of Rehabilitation Medicine
2025;40(6):875-879,886
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the value of the fall risk self-assessment scale(FRSAS)and the modified falls efficacy scale(MFES)in the fall risk assessment of community-dwelling older adults.Method:A total of 1710 respondents aged 65 and above were recruited from four community health service centers in Beijing through convenient sampling.The general information questionnaire,FRSAS scale and MFES scale were used for data collection,and the fall incidence was obtained through telephone follow-up six months later.Result:Total 1686 subjects completed survey,1670 subjects received telephone follow-up,152 subjects report-ed falls.The total score of MFES was(127.77±24.39),with the full score accounting for 55.3％.Cronbach's α coefficient of MFES was 0.975.The total score of FRSAS was(9.62±5.01),Cronbach's α coefficient was 0.80.The correlation coefficient r of the two scales was-0.563,showing a moderate negative correlation.The AUC under the curve of MFES and FRSAS were 0.615 and 0.739,respectively.The diagnostic accuracy of FRSAS was better than MFES.When the cut off value of MFES was 134,Youdon index,sensitivity,specific-ity,positive predictive value,negative predictive value were 0.195,49.3％,70.2％,14.2％,93.3％,respectively.When the cut off value of FRSAS was 10,Youdon index,sensitivity,specificity,positive predictive value,negative predictive value were 0.399,80.9％,59.0％,16.5％,96.9％,respectively.The prediction accuracy of FR-SAS was better than that of MFES for individuals without falls.Conclusion:Compared with MFES,FRSAS has no ceiling effect and has more predictive value.It can be used as a fall risk screening tool for the elderly in the community.
