Transcultural adaptation of the Johns Hopkins Fall Risk Assessment Tool

Abstract

Objective: to perform the transcultural adaptation and content validity analysis of the Johns Hopkins Fall Risk Assessment Tool to assess both fall risk and fall-related injury risk for hospitalized elderly in Brazil. Method: the transcultural adaptation consisted of translating the scale to Portuguese (Brazil), back-translating it into its language of origin, establishing a consensus version, and having an expert committee verify its transcultural equivalence. Content assessment was conducted by a committee of judges, ending with the calculation of the items and scales' content validity index. Nurses tested the tool. Results: the scale's translated version went through two evaluation rounds by the judges, based on which, the items with unsatisfactory performance were changed. The content validity index for the items was ≥80.0% and the global index 97.1%. The experimental application showed the scale is user-friendly. Conclusion: the scale presents valid content for the assessment of fall risk and risk of fall-related injuries and is easy to use, with the potential to contribute to the proper identification of risks and the establishment of care actions.

A predictive model for fall risk in hospitalized adults: A case–control study

“…However, there have been several weaknesses in the development methods of these models, including not establishing the necessary criteria to closely match cases to their controls (Oliver et al., ); using the same weight for different risk factors in the final model despite the heterogeneity and imprecision of the estimates; large confidence intervals (Oliver et al., ); lack of detail about how the odds ratios (ORs) were converted to scores (Hendrich et al., ) and important variations in sensitivity and specificity values among studies that have tested models (Ang, Mordiffi, Wong, Devi, & Evans, ; Costa, Rutjes, Mendy, Freund‐Heritage, & Vieira, ). There are also operational difficulties, considering that a scale should be inexpensive and easy to apply (Martinez et al., ).…”

<b> Quedas em pacientes psiquiátricos: uma revisão integrativa/ Psychiatric patients’ falls: an integrative review

“…A literatura aponta instrumentos de avaliações potenciais para uso na saúde, embora, cada um deles foque em propriedades específicas relacionadas ao perfil da pessoa cuidada, tais como: O Fall-related Impulsive Behaviour Scale (FIBS) (16) ; Health of the Nation Outcome Scale scores for people over the age of 65 (HoNOS65+) (17) ; National Prevalence Measurement of care problems (LPZ-International) (18) ; Ferramenta de Avaliação de Risco de Saint Thomas em Quedas de Pacientes Idosos (STRATIFY) (19) ; EasyCare Risk ofFalls-(ECRF) (20) ; Health Care Task Difficulty-(HCTD) (21) ; Morse (Morse Falls Scale) (22) e a Falls Risk Assessment Tool (FRAT) (23) .…”

“…Outras escalas já comumente consagradas no contexto nacional e internacional são as Morse (Morse Falls Scale) (22) e a Falls Risk Assessment Tool (FRAT) (23) , reconhecidas pelas suas propriedades preditivas, mas insuficientes para avaliar a complexidade das quedas em pacientes de saúde mental. Nesse sentido, escalas que avaliem quedas em pacientes psiquiátricos precisam incorporar elementos objetivos (numéricos) com elementos subjetivos e descritivos (23) , uma vez que esses sujeitos muitas vezes apresentam problemas de comportamento e fazem grande uso de medicamentos.…”

“…Em outra pesquisa, propôs-se validar uma ferramenta utilizada pelo Sistema de Avaliação Europeu, intitulada como Easy Care Standard (ECS), e adaptá-la para prever a incidência de quedas em idosos em sofrimento psíquico (23) . Deste modo, foi desenvolvida a Easy Care Standard Risk of Falls (ECRF).…”

Validade e confiabilidade da versão brasileira da Johns Hopkins Fall Risk Assessment Tool para avaliação do risco de quedas

“…Falls that occur with hospitalized patients are adverse events with negative repercussions for patients and institutions [1][2][3][4][5] , whose prevention should adopt evidence-based practices such as having the call bell within the patient's reach, hospital bed in low position and treatment of the causes of mental confusion 2,3,[6][7][8] . Among the recommended practices is the use of scales that identify risk conditions for the occurrence of falls, either in the form of specific risks or in risk stratification, directing interventions compatible with the identified needs [2][3][4]7,8 .…”