Evaluation of Reliability and Validity of the Hendrich II Fall Risk Model in a Chinese Hospital Population

Abstract

To translate, validate and examine the reliability and validity of a Chinese version of the Hendrich II Fall risk Model (HFRM) in predicting falls in elderly inpatient. A sample of 989 Chinese elderly inpatients was recruited upon admission at the Peking Union Medical College Hospital. The inpatients were assessed for fall risk using the Chinese version of the HFRM at admission. The reliability of the Chinese version of the HFRM was determined using the internal consistency and test-rested methods. Validity was determined using construct validity and convergent validity. Receiver operating characteristic (ROC) curves were created to determine the sensitivity and specificity. The Chinese version of the HFRM showed excellent repeatability with an intra-class correlation coefficient (ICC) of 0.9950 (95% confidence interval (CI): 0.9923–0.9984). The inter-rater reliability was high with an ICC of 0.9950 (95%CI: 0.9923–0.9984). Cronbach’s alpha coefficient was 0.366. Content validity was excellent, with a content validity ratio of 0.9333. The Chinese version of the HFRM had a sensitivity of 72% and a specificity of 69% when using a cut-off of 5 points on the scale. The area under the curve (AUC) was 0.815 (P<0.001). The Chinese version of the HFRM showed good reliability and validity in assessing the risk of fall in Chinese elderly inpatients.

New predictive models for falls among inpatients using public ADL scale in Japan: A retrospective observational study of 7,858 patients in acute care setting

“…Furthermore, because MHLW bedriddenness rank is an ADL indicator used only in Japan, its recognition worldwide is not particularly high, so its correlations with other ADL indicators such as Berthel Index, Katz Index, and DASC-21 should be verified. Additionally, inter-rater reliability, for which HFRM [ 37 ] and TMT [ 38 ] had shown excellent results, was not assessed in our models. Finally, because the validity of our model was only assessed using the same population as was used in the multivariate analysis, the results could be different when using other groups, requiring assessment of the robustness of the model.…”

Development of an evidence‐based fall risk assessment tool and evaluation of interrater reliability and nurses’ perceptions of the tool's clarity and usability

“…Internal consistency would not be meaningful because the items that are included in fall risk assessment tools assess different aspects of the risk of a fall. Previous studies that examined the Hendrich II Fall Risk Model (Zhang, Wu, Lin, Jia, & Cao, ) and the Morse Fall Scale (Chow et al , ; Morse et al , ) reported poor internal consistency.…”

“…There has been a number of previous studies of interrater reliability of commonly used tools, including the Hendrich II Fall Risk Model (Ivziku, Matarese, & Pedone, ; Kim, Mordiffi, Bee, Devi, & Evans, ; Zhang et al , ), the Morse Fall Scale (Chow et al , ; Kim et al ), the modified Morse Fall Scale (Tang, Chow, & Koh, ), the STRATIFY (Barker, Kamar, Graco, Lawlor, & Hill, ; Kim et al ), and the modified STRATIFY (Barker et al ; Wong, Phillips, & Hill, ). Of these studies, all examined the total score, except Tang et al , who examined the interrater reliability of each item.…”

İTAKİ Düşme Riski Ölçeği'nin Psikometrik Özelliklerinin Değerlendirilmesi

“…Bu doğrultuda araştırmadan elde edilen sonuç İTAKİ Düşme Riski Ölçeği'nin güvenirliğinin düşük olduğunu göstermektedir. İTAKİ'nin geçerlik ve güvenirliği ile ilgili doğrudan yapılan başka araştırma sonucuna ulaşılamamakla birlikte alan yazında gerçekleştirilen birçok araştırmada düşme riski ölçeklerinin Cronbach alpha katsayıları düşük bulunmuştur (29)(30)(31). Ölçeğin güvenirliğinin düşük çıkmasına maddelerin birbirinden bağımsız olması, likert tipi bir ölçek olmaması ve maddelerin puan yükleri arasındaki farklılıkların yol açtığı düşünülebilir.…”