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Expanding assessment of of fear of falling among older adults with an intellectual disability

Creator:

MC CARRON, MARY;

Subject Keywords: Geriatrics;
Topic: Mental Health
Catalogue: Research and Evaluation
Report
Type: Article
Region: Republic of Ireland
Description:

Fear of falling (FOF) has emerged as an important health concern in older adults, yet it has rarely been investigated in
people with intellectual disabilities (ID). Valid and reliable measurement approaches are a particular challenge. Scales that have
been developed to measure FOF have not been validated for use with older people with ID and are not routinely used with
proxy respondents. Method. 63 people comprised purposeful samples of 3 groups, people with ID ( = 21), their nominated
key workers ( = 21), and additional support workers ( = 21). Test-retest reliability and interrater reliability were assessed
for using a dichotomous, single-item FOF screening measure. The degree of FOF and activity restriction due to FOF were also
investigated. Results. Inter-rater reliability was found to be moderate to excellent with Kappa = 0.77 on ratings of the FOF item.
Test-retest reliability for each group of reviewers for the FOF item were also found to be excellent (0.95). Conclusion. The global
item is a suitable screening measure for FOF in older adults with ID and can assist in identification of individuals requiring further
assessment. Proxies, if carefully selected, can provide consistent and reliable reports of the presence of FOF in people with ID.

Rights: © Public
Suggested citation:

MC CARRON, MARY; . () Expanding assessment of of fear of falling among older adults with an intellectual disability [Online]. Available from: http://publichealthwell.ie/node/720705 [Accessed: 18th June 2019].

  

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