Delphi-based assessment of fall-related risk factors in acute rehabilitation settings according to the international classification of functioning, disability and health

Tze Hsun Yen, Li Fong Lin, Ta Sen Wei, Kwang Hwa Chang, Yen Ho Wang, Tsan Hon Liou

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Objective: To apply the International Classification of Functioning, Disability and Health (ICF) model to fall prevention by developing an ICF core set for fall risks in acute rehabilitation settings. Design: Fall risk factors were identified based on a systematic review of the literature and linked to ICF categories. A consensus process was conducted using a Delphi-based evaluation technique. Setting: University-based hospital. Participants: Multidisciplinary participants (N=20) from different institutions. Interventions: Not applicable. Main Outcome Measures: A 5-point Likert-type scale was used to weigh the importance of each risk category. The level of agreement for each consensus was assessed based on Spearman rho and semi-interquartile range indices. Categories with a mean score ≥4 in the third round of evaluation were included in this ICF core set. Results: The core set comprised 34 fall risk categories that were distributed as follows: 18 categories on body functions, 2 on body structures, 8 on activities and participation, 4 on environmental factors, and 2 categories on personal factors. Conclusions: An ICF core set for falls in acute rehabilitation settings was developed in this study. Further validation is required.

Original languageEnglish
Pages (from-to)50-57
Number of pages8
JournalArchives of Physical Medicine and Rehabilitation
Volume95
Issue number1
DOIs
Publication statusPublished - Jan 2014

Fingerprint

International Classification of Functioning, Disability and Health
Rehabilitation
Outcome Assessment (Health Care)

Keywords

  • Accidental falls
  • Rehabilitation

ASJC Scopus subject areas

  • Rehabilitation
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

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abstract = "Objective: To apply the International Classification of Functioning, Disability and Health (ICF) model to fall prevention by developing an ICF core set for fall risks in acute rehabilitation settings. Design: Fall risk factors were identified based on a systematic review of the literature and linked to ICF categories. A consensus process was conducted using a Delphi-based evaluation technique. Setting: University-based hospital. Participants: Multidisciplinary participants (N=20) from different institutions. Interventions: Not applicable. Main Outcome Measures: A 5-point Likert-type scale was used to weigh the importance of each risk category. The level of agreement for each consensus was assessed based on Spearman rho and semi-interquartile range indices. Categories with a mean score ≥4 in the third round of evaluation were included in this ICF core set. Results: The core set comprised 34 fall risk categories that were distributed as follows: 18 categories on body functions, 2 on body structures, 8 on activities and participation, 4 on environmental factors, and 2 categories on personal factors. Conclusions: An ICF core set for falls in acute rehabilitation settings was developed in this study. Further validation is required.",
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AU - Wei, Ta Sen

AU - Chang, Kwang Hwa

AU - Wang, Yen Ho

AU - Liou, Tsan Hon

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N2 - Objective: To apply the International Classification of Functioning, Disability and Health (ICF) model to fall prevention by developing an ICF core set for fall risks in acute rehabilitation settings. Design: Fall risk factors were identified based on a systematic review of the literature and linked to ICF categories. A consensus process was conducted using a Delphi-based evaluation technique. Setting: University-based hospital. Participants: Multidisciplinary participants (N=20) from different institutions. Interventions: Not applicable. Main Outcome Measures: A 5-point Likert-type scale was used to weigh the importance of each risk category. The level of agreement for each consensus was assessed based on Spearman rho and semi-interquartile range indices. Categories with a mean score ≥4 in the third round of evaluation were included in this ICF core set. Results: The core set comprised 34 fall risk categories that were distributed as follows: 18 categories on body functions, 2 on body structures, 8 on activities and participation, 4 on environmental factors, and 2 categories on personal factors. Conclusions: An ICF core set for falls in acute rehabilitation settings was developed in this study. Further validation is required.

AB - Objective: To apply the International Classification of Functioning, Disability and Health (ICF) model to fall prevention by developing an ICF core set for fall risks in acute rehabilitation settings. Design: Fall risk factors were identified based on a systematic review of the literature and linked to ICF categories. A consensus process was conducted using a Delphi-based evaluation technique. Setting: University-based hospital. Participants: Multidisciplinary participants (N=20) from different institutions. Interventions: Not applicable. Main Outcome Measures: A 5-point Likert-type scale was used to weigh the importance of each risk category. The level of agreement for each consensus was assessed based on Spearman rho and semi-interquartile range indices. Categories with a mean score ≥4 in the third round of evaluation were included in this ICF core set. Results: The core set comprised 34 fall risk categories that were distributed as follows: 18 categories on body functions, 2 on body structures, 8 on activities and participation, 4 on environmental factors, and 2 categories on personal factors. Conclusions: An ICF core set for falls in acute rehabilitation settings was developed in this study. Further validation is required.

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