Validation of the <scp>STRATIFY</scp> falls risk‐assessment tool for acute‐care hospital patients and nursing home residents: study protocol

Aranda-Gallardo, Marta; Luna-Rodríguez, Margarita Enríquez de; Canca-Sánchez, José Carlos; Moya-Suárez, Ana Belén; Morales-Asencio, José Miguel

doi:10.1111/jan.12651

Cited by 15 publications

(18 citation statements)

References 49 publications

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“…The risk factors we chose to stratify in the models are some of the most important documented risk factors for falls [36,[38][39]. Likewise, based on provider participant guidance, we only modeled six types of falls involving locations in which falls are most common in long-term care settings, that is, the bedroom and the bathroom during walking and transfers [26].…”

Section: Discussionmentioning

confidence: 99%

Sociotechnical probabilistic risk modeling to predict injurious falls in community living centers

Powell‐Cope¹,

Campbell²,

Hahm³

et al. 2016

J Rehabil Res Dev

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Abstract-The goal of this study was to apply sociotechnical probabilistic risk assessment to prioritize risks and prevention strategies for serious injurious falls of residents in nursing homes. Risk modeling teams consisted of 26 clinical and nonclinical staff from three Department of Veterans Affairs community living centers and one state Veterans' nursing home. Participants met in groups several times to identify and assign probabilities to provider and resident at-risk behaviors and equipment failures. They identified prevention strategies for the failures that accounted for the highest levels of risk. Six scenarios were modeled: (1) transferring from bed to wheelchair, (2) propelling from bedside to bathroom, (3) transferring from wheelchair to toilet, (4) transferring from toilet to wheelchair, (5) propelling from bathroom to bedside, and (6) transferring from wheelchair to bed. The greatest paths of risk were for residents with impaired mobility and high fragility. A 26% reduction in injurious falls could be achieved by (1) reducing the number of unassisted transfers through a modest improvement in response time to alarms, (2) installing automatic brake locks on 90% of wheelchairs, (3) making the wheelchair maintenance process highly reliable, and (4) decreasing improper transfer techniques by 10%.

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Section: Discussionmentioning

confidence: 99%

Sociotechnical probabilistic risk modeling to predict injurious falls in community living centers

Powell‐Cope¹,

Campbell²,

Hahm³

et al. 2016

J Rehabil Res Dev

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“…The STRATIFY scale, created by Oliver et al (1997), 33 has been validated in two languages: English, 34,35 and Spanish. 36 The STRATIFY scale assesses the risk of falling in hospitals. The evaluation is based on five questions asked of both the patient and the operator; administration time is 5-10 minutes.…”

Section: St Thomas Risk Assessment Tool (Stratify)mentioning

confidence: 99%

Validated Fall Risk Assessment Tools for Use with Older Adults: A Systematic Review

Ruggieri

Palmisano

Fratocchi

et al. 2018

Physical & Occupational Therapy In Geriatrics

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Aims: to find and describe, through a systematic review, validated assessment tool that evaluate the fall risk in older adults. Methods: MEDLINE, PEDro, CINAHL, and PsycINFO were consulted and no restrictions were applied to the year or country of publication but the searches were limited to studies published in English. Two authors independently identified eligible studies on the basis of inclusion criteria and extracted data. Results: Fifty-five eligible studies were identified, out of which 33 valued risk assessment tools emerged. The tools used the most were the Falls Efficacy Scale International and the Activities-specific Balance Confidence Scale with 15 and 6 studies respectively. Conclusions: The large number of tools reflects a strong tendency to create new instruments, with only a few of them recommended. To reach a gold standard, it would be good to try to validate the existing scales in more countries instead of creating new ones.

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“…Several studies have used STRATIFY recently [33][34][35][36][37][38][39][40], some studies favoring the use of the instrument [21,33], others with discussions about whether the instrument is suitable or not for some sectors [36,38,40].…”

Section: Introductionmentioning

confidence: 99%

Cross-cultural adaptation, reliability, and validity of the St. Thomas’s Falls Risk Assessment Tool in Older Adults (STRATIFY)

2019

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Introduction: Falls are an important adverse event among older adults. The St. Thomas’s Falls Risk Assessment Tool in Older Adults (STRATIFY) is a tool to assess the risk of falls; however, it is not translated and adapted to Portuguese. Objective: To translate and perform a cross-cultural adaptation of STRATIFY in Brazilian Portuguese, as well as to test the reliability and validity of the instrument. Method: The cross-cultural adaptation process was carried out in six stages: A) T1 and T2 translations; B) synthesis of translations (T12); C) T12 back translations (RT1 and RT2); D) expert committee review; E) pretesting of the version approved by the committee; F) adapted version of STRATIFY for Brazilian Portuguese. Inter-rater and test-retest reliability were performed using the intraclass correlation coefficient (ICC) and 95% confidence interval (CI). Validity was assessed by the Spearman’s correlation coefficient of the STRATIFY with the Morse Fall Scale (MFS). Data analysis was performed by the Microsoft Office Excel 2016 (translation and adaptation) and by the IBM SPSS Statistics 20.0 (reliability and validity). We used a level of significance of p<0.05. Results: Data were presented about the perception of 33 health professionals on the adapted version of STRATIFY. The following ICC and CI were found for inter-rater and test-retest reliability, respectively: ICC=0.729; CI=0.525-0.845 and ICC=0.876; CI=0.781-0.929. STRATIFY and MFS showed a moderate but significant correlation (ρ=0.50, p<0.001). Conclusion: The translated and adapted version of the STRATIFY presented moderate inter-rater reliability and good test-retest reliability, in addition to a moderate correlation to the MFS.

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

Cited by 15 publications

References 49 publications

Sociotechnical probabilistic risk modeling to predict injurious falls in community living centers

Sociotechnical probabilistic risk modeling to predict injurious falls in community living centers

Validated Fall Risk Assessment Tools for Use with Older Adults: A Systematic Review

Cross-cultural adaptation, reliability, and validity of the St. Thomas’s Falls Risk Assessment Tool in Older Adults (STRATIFY)

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