Korean Journal of Adult Nursing (성인간호학회지)

Korean Society of Adult Nursing (한국성인간호학회)
권호 표지
DOI QR코드

DOI QR Code

Development of a Knowledge Scale of Fall Risk Factors for Community-dwelling Older Adults

재가노인의 낙상위험요인 지식 측정도구 개발

  • Received : 2012.02.01
  • Accepted : 2012.06.16
  • Published : 2012.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of the study was to develop a knowledge scale of risk factors for fall among community-dwelling older adults. Further, the validity and reliability of the scale was developed. Methods: A preliminary scale was developed through content validity by five experts and targeted subjects using the CVI (Content Validity Index). Following the establishment of content validity, the scale was used with 359 community-dwelling older adults to further establish both validity and reliability of the scale. Specifically, construct validity using known-group comparison technique, and reliability using Cronbach's ${\alpha}$ were established. Results: After content validity testing, 44 preliminary items were selected. Construct validity was established by known group-comparison, in which scores between the fall and no fall groups were compared. The Cronbach's ${\alpha}$ of the final scale was .83. Conclusion: Reliability and validity of the scale were confirmed. This tool may be used for measuring knowledge of fall risk factor for the community-dwelling older adults.

Keywords

References

  1. Bac, B. N. (2007). Effects of the tailored exercise program on health and life satisfaction in college students. Journal of the Korean Society of Health Information and Health Statistics, 32 (1), 49-69.
  2. Braun, B. (1998). Knowledge and perception of fall-related risk factors and fall-reduction techniques among communitydwelling elderly individuals. Physical Therapy, 78 (12), 1262- 1276. https://doi.org/10.1093/ptj/78.12.1262
  3. Centers for Disease Control and Prevention (CDC)(2006). Ten leading causes of death and injury. Retrieved 15 August 2011, from http://www.cdc.gov/injury/wisqars/LeadingCauses. html
  4. DeVellis, R. F. (2003). Scale development: Theory and applications (2nd ed.). California: Sage Publications.
  5. Hakim, R. M., Roginski, A., & Walker, J. (2007). Comparison of fall risk education methods for primary prevention with community-dwelling older adults in a senior center setting. Journal of Geriatric Physical Therapy, 30 (2), 60-68. https://doi.org/10.1519/00139143-200708000-00005
  6. Hill, A. M., Hoffmann, T., Beer, C., McPhail, S., Hill, K. D., Oliver, D., et al. (2011). Falls after discharge from hospital: Is there a gap between older peoples' knowledge about falls prevention strategies and the research evidence? The Gerontologist, 51 (5), 653-662. https://doi.org/10.1093/geront/gnr052
  7. Hong, C. M. (2011). Development of perception measurement of fall risk for the community-dwelling elderly. Unpublished doctoral dissertation, Ewha Womans University, Seoul.
  8. Hook, M. L. (2007). Using the Common Sense Model to describe representations of fall risk in high-risk community dwelling older adults and to explore the relationships among representations, threat of falling, fall prevention behaviors, and falling. Unpublished doctoral dissertation. The University of Wisconsin-Madison, Madison, USA.
  9. Hyeon, I. S., Park, M., Park, K. M., & Kim, C. N. (2010). The effects of a fall prevention program on the low-income elderly at risk of falls. Journal of Korean Academy of Community Health Nursing, 21 (2), 200-209. https://doi.org/10.12799/jkachn.2010.21.2.200
  10. Jakovljevic, M. (2009). Predictive validity of a modified fall assessment tool in nursing homes: Experience from Slovenia. Nursing & Health Sciences, 11 (4), 430-435. https://doi.org/10.1111/j.1442-2018.2009.00471.x
  11. Jang, J., Park, O., & Yun, T. (2010). Free radicals, physical performance, aging and antioxidants. The Korean Journal of Ideal Body & Beauty, 2 (1), 19-27.
  12. Jung, D., Shin, K., Kang, Y., Kang, J., & Kim, K. (2007). A study on the falls, fear of falling, depression, and perceived health status among the older adults. Korean Journal of Adult Nursing, 20 (1), 91-101.
  13. Kato, M., Izumi, K., Shirai, S., Kondo, K., Kanda, M., Watanabe, I., et al. (2008). Development of a fall prevention program for elderly Japanese people. Nursing & Health Sciences, 10 (4), 281-290. https://doi.org/10.1111/j.1442-2018.2008.00404.x
  14. Kim, C. (2011). Nurses' knowledge and attitude toward fall in hospitalized patients. Journal of Industrial Science Researches, 28 (2), 275-281.
  15. Kim, J., Kim, S., & Jung, H. (2009). The effects of tailored life style improvement program for the hypertensive workers provided by occupational health nurse. Korean Journal of Occupational Health Nursing, 18 (2), 242-251.
  16. Kim, J. Y., Lee, Y. W., & Ham, O. (2009). Factors related to fall in elderly patients with osteoporosis. Korean Journal of Adult Nursing, 21 (2), 257-267.
  17. Lee, S. H. (2001). Physical aging and health. Social Research, 16, 89-115.
  18. Lim, J., Park, W., Oh, M., Kang, E. K., & Paik, N. (2010). Falls in a proportional region population in Korean elderly: Incidence, consequences, and risk factors. Journal of Korean Geriatric Society, 14 (1), 8-17. https://doi.org/10.4235/jkgs.2010.14.1.8
  19. Lynn, M. R. (1986). Determination and quantification of content validity. Nursing Research, 35 (6), 382-385.
  20. Menant, J. C., Steele, J. R., Menz, H. B., Munro, B. J., & Lord, S. R. (2008). Optimizing footwear for older people at risk of falls. Journal of Rehabilitation Research & Development, 45 (8), 1167-1181. https://doi.org/10.1682/JRRD.2007.10.0168
  21. Oliveria, S. A., Christos, P. J., Talley, N. J., & Dannenberg, A. J. (1999). Heartburn risk factors, knowledge, and prevention strategies: A population-based survey of individuals with heartburn. Archives of Internal Medicine, 159 (14), 1592- 1598. https://doi.org/10.1001/archinte.159.14.1592
  22. Park, Y., & Moon, J. (2005). Home environmental hazards of falling accident in the elderly. Journal of Korean Society for Health Education and Promotion, 22 (4), 203-213.
  23. Rubenstein, L. Z., & Josephson, K. R. (2006). Falls and their prevention in elderly people: What does the evidence show? The Medical Clinics of North America, 90 (5), 807- 824. https://doi.org/10.1016/j.mcna.2006.05.013
  24. Russell, M. A., Hill, K. D., Day, L. M., Blackberry, I., Gurrin, L. C., & Dharmage, S. C. (2009). Development of the falls risk for older people in the community(FROP-Com) screening tool. Age and Ageing, 38 (1), 40-46.
  25. Ryu, Y. M., Roche, J. P., & Brunton, M. (2009). Patient and family education for fall prevention: Involving patients and families in a fall prevention program on a neuroscience unit. Journal of Nursing Care Quality, 24 (3), 243-9249. https://doi.org/10.1097/NCQ.0b013e318194fd7c
  26. Shin, M. K., & Shin, S. J. (2008). Effects of group exercise program tailored by physical fitness on perceived health status, physical strength, depression and cognitive function of the elderly. Korean Journal of Adult Nursing, 20 (4), 613-625.
  27. Stevens, J. A., Noonan, R. K., & Rubenstein, L. Z. (2010). Older adult fall prevention: Perceptions, beliefs, and behaviors. American Journal of Lifestyle Medicine, 4 (1), 16-20. https://doi.org/10.1177/1559827609348350
  28. Sung, Y. H., Kwon, I. G., & Kim, K. H. (2006). Factors influencing falls in inpatients. Journal of Korean Academy of Fundamental Nursing, 13 (2), 200-207.
  29. Tromp, A. M., Pluijm, S. M., Smit, J. H., Deeg, D. J., Bouter, L. M., & Lips, P. (2001). fall-risk screening test: A prospective study on predictors for falls in community-dwelling elderly. Journal of Clinical Epidemiology, 54 (8), 837-844. https://doi.org/10.1016/S0895-4356(01)00349-3

Cited by

  1. A Structural Equation Model of Fall Prevention Behavior among Community-dwelling Older Adults with Osteoarthritis vol.27, pp.6, 2015, https://doi.org/10.7475/kjan.2015.27.6.684
  2. Effects of a Fall Prevention Program on Physical Fitness, Fall Efficacy and Fall Prevention Behavior among Community-dwelling Older Adults vol.20, pp.1, 2017, https://doi.org/10.7587/kjrehn.2017.22
  3. 뇌졸중 환자의 낙상 예측을 위한 평가도구 비교 vol.21, pp.2, 2012, https://doi.org/10.12674/ptk.2014.21.2.037
  4. 한국 노인의 넘어짐과 연계된 인체손상에 대한 이해와 예방: 체계적 문헌 고찰 vol.26, pp.2, 2012, https://doi.org/10.12674/ptk.2019.26.2.034