(15) Morrison-Fokken and Dunne identified a lack of a structured approach to falls risk assessment in optometric practice and established that optometrists would welcome a falls risk assessment tool
. (16) The College of Optometrists has provided a useful check list to help identify patients at risk of falls, (17) which includes age over 75 years, polypharmacy and history of previous falls, but does not include advice regarding grading of frailty.
Confidence during activities of daily living was assessed with the Falls Efficacy Scale (FES) (Tinetti, Richman, & Powell, 1990) and falls risk was measured using the Falls Risk Assessment Tool (FRAT) (Stapleton et al., 2009).
7 54 Balance-Fit 5 38 Both 1 8 Assistive Devices Walker 2 15 Walking stick 2 15 None 9 69 Table 2: Results--Means, Standard deviations (SD) of T1 and T2 measures Outcome Mean and SD T1 SD T2 SD Timed Up and Go (s) 19.9 13.6 15.7 9.1 30 second sit to stand (reps) 9.4 6.7 10.4 6.2 4 Stage Balance Test (s) 30.5 9.2 31.1 0.6 Outcome T1 T2 Falls Efficacy Scale 87.5 25.9 86.5 30.5 Falls Risk Assessment Tool 9.5 3.3 9.6 3.4 Outcome Mean Significance difference (P *) Timed Up and Go (s) -4.2 0.05 * 30 second sit to stand (reps) 1.0 0.2 4 Stage Balance Test (s) 0.6 0.8 Outcome (P **) Falls Efficacy Scale -0.9 0.2 Falls Risk Assessment Tool 0.2 - Notes: T1, measurement time point 1; T2, measurement time point 2; SD, standard deviation; *, Paired t-test; **, Wilcoxon Rank Sum
Development and preliminary examination of the predictive validity of the Falls Risk Assessment Tool
(FRAT) for use in primary care.
Elaine Graf, developer of the GRAF-PIF falls risk assessment tool
, and Dr.
The Falls Risk Assessment Tool (FRAT) was by far the commonest, with smaller numbers using the Tinetti POMA, TUG test, Falls Risk Assessment Score for the Elderly (FRASE) , and Berg Balance Scale.
Validation of a falls risk assessment tool in the subacute hospital setting: A pilot study.