Department of Physical Therapy, School of Allied Health Sciences, Walailak University, Nakhon Si Thammarat 80160, Thailand.
Movement Sciences and Exercise Research Center, Walailak University, Nakhon Si Thammarat 80160, Thailand.
Int J Environ Res Public Health. 2022 Apr 24;19(9):5187. doi: 10.3390/ijerph19095187.
The Thai-Home Fall Hazard Assessment Tool (Thai-HFHAT) was developed to identify the fall risk among the elderly arising from their home environment. However, it is more time consuming for large items. Therefore, this study developed a short-form of Thai-HFHAT (Thai-HFHAT-SF). In phase I, we developed the Thai-HFHAT-SF by performing a confirmatory factor analysis (CFA) of 450 rural elderly people. In phase II, a total of 105 participants; 50 elderly people, 50 caregivers, and 5 village health volunteers (VHV) were recruited to examine the reliability of the Thai-HFHAT-SF. Intra-class correlation coefficient (ICC) was used to analyze the inter-rater and test-retest reliability. Factor analysis selected 28 out of the 69 original Thai-HFHAT items in 4 components: indoor area, garage, outdoor areas, and risky spots/areas including pets. The factor loading was 0.67, 0.60, 0.32, and 0.31 in each component. The fitness index indicated that this model was fit (/df = 1.38, goodness-of-fit Index (GFI) = 0.988, adjusted goodness-of-fit index (AGFI) = 0.970, standardized root mean square residual (SRMR) = 0.030, and root mean square error of approximation (RMSEA) = 0.029). The inter-rater reliability of the Thai-HFHAT-SF was 0.82 (95% CI: 0.71-0.89). The test-retest reliability was 0.77 (95% CI: 0.60-0.87) for the older person group, 0.85 (95% CI: 0.73-0.91) for the caregiver group, and 0.60 (95% CI: 0.29-0.77) for the VHV group. The new 28-item scale focused on home fall hazards and can be conducted in 10-15 min. Thai-HFHAT-SF is suitable for home hazards assessment among elderly in Thailand.
泰国家庭跌倒危险评估工具（Thai-HFHAT）旨在评估老年人因家庭环境而产生的跌倒风险。然而，对于大型物品来说，它需要更多的时间。因此，本研究开发了泰国家庭跌倒危险评估工具的简表（Thai-HFHAT-SF）。在第一阶段，我们对 450 名农村老年人进行了验证性因子分析（CFA），以开发 Thai-HFHAT-SF。在第二阶段，共招募了 105 名参与者；50 名老年人、50 名照顾者和 5 名乡村卫生志愿者（VHV），以检验 Thai-HFHAT-SF 的可靠性。组内相关系数（ICC）用于分析评分者间信度和重测信度。因子分析从 69 个原始泰国家庭跌倒危险评估工具项目中选择了 28 个项目，分为 4 个部分：室内区域、车库、室外区域和包括宠物在内的危险点/区域。每个部分的因子负荷分别为 0.67、0.60、0.32 和 0.31。拟合指数表明，该模型拟合良好（/df = 1.38，拟合优度指数（GFI）= 0.988，调整拟合优度指数（AGFI）= 0.970，标准化均方根残差（SRMR）= 0.030，近似均方根误差（RMSEA）= 0.029）。Thai-HFHAT-SF 的评分者间信度为 0.82（95%CI：0.71-0.89）。老年人组的重测信度为 0.77（95%CI：0.60-0.87），照顾者组为 0.85（95%CI：0.73-0.91），VHV 组为 0.60（95%CI：0.29-0.77）。新的 28 项量表侧重于家庭跌倒危险，可在 10-15 分钟内完成。Thai-HFHAT-SF 适用于泰国老年人的家庭危险评估。
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