Background
While objective measures to assess risk of falls in older adults have been established; the value of patient self-reports in the context of falls is not known.
Objectives
To identify clinical correlates of patient centered fall risk awareness, and their validity for predicting falls.
Design
Prospective cohort study.
Setting and Participants
316 non-demented and ambulatory community-dwelling older adults (mean age 78 years, 55% women).
Measurements
Fall risk awareness was assessed with a two-item questionnaire, which asked participants about overall likelihood and personal risk of falling over the next 12 months. Incident falls were recorded over study follow-up.
Results
Fifty-three participants (16.8%) responded positively to the first fall risk awareness question about being likely to have a fall in the next 12 months, and 100 (31.6%) reported being at personal risk of falling over the next 12 months. There was only fair correlation (kappa 0.370) between responses on the two questions. Prior falls and depressive symptoms were associated with positive responses on both fall risk awareness questions. Age and other established fall risk factors were not associated with responses on both fall risk awareness questions. The fall risk awareness questionnaire did not predict incident falls or injurious falls.
Conclusion
Fall risk awareness is low in older adults. While patient centered fall risk awareness is not predictive of falls, subjective risk perceptions should be considered when designing fall preventive strategies as they may influence participation and behaviors.