Validation of the STRATIFY falls risk-assessment tool for acute-care hospital patients and nursing home residents: study protocol

Journal of Advanced Nursing
Marta Aranda-GallardoJosé Miguel Morales-Asencio

Abstract

To evaluate the accuracy of the STRATIFY tool in detecting and predicting fall risk in acute-care hospitals and nursing homes for the older people. Falls are the predominant cause of injury in people aged over 65 years. Testing the falls risk-assessment tools in settings other than those for which they were originally developed obtained conflicting results and has highlighted difficulties in their adoption for widespread use. Current guidelines for practice call into question the appropriateness of using these instruments. Two-stage study: a cross-cultural adaptation and psychometric validation; and a longitudinal, prospective follow-up of the cohort of patients recruited. A cross-cultural adaptation of STRATIFY, followed by its empirical validation will be performed, on a total sample of 2097 patients. The diagnostic validity will be assessed by calculating the sensitivity, specificity, positive and negative predictive values and the ratios of positive and negative probability. Data for statistical reliability and the internal consistency of the instrument will be calculated; construct validity will be assessed by factor analysis and criterion validity determined according to the Downton index. The incidence and the hazard rat...Continue Reading

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Citations

Apr 23, 2016·Journal of Advanced Nursing·Duncan McKechnieMurray J Fisher
Aug 21, 2019·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Sina MehdizadehAndrea Iaboni
Jan 1, 2016·Journal of Rehabilitation Research and Development·Gail Powell-CopeJohn Westphal
Sep 10, 2020·Journal of the American Medical Directors Association·Sina MehdizadehAndrea Iaboni

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