201. Development and validation of a fall-related impulsive behaviour scale for residential care.
- Author
-
Whitney J, Jackson SH, Close JC, and Lord SR
- Subjects
- Age Factors, Aged, Aged, 80 and over, Aging psychology, Attention, Cognition, Cognition Disorders diagnosis, Cognition Disorders psychology, Female, Geriatric Assessment, Humans, Impulsive Behavior complications, Impulsive Behavior psychology, Male, Mental Health, Neuropsychological Tests, Predictive Value of Tests, Prospective Studies, Psychometrics, Reproducibility of Results, Risk Factors, Time Factors, Accidental Falls, Homes for the Aged, Impulsive Behavior diagnosis, Surveys and Questionnaires
- Abstract
Introduction: impulsivity in older people with cognitive impairment has yet to be examined rigorously as a risk factor for falls. The objective of this study was to evaluate the psychometric properties of a new fall-related impulsive behaviour scale (FIBS) for a cognitively impaired population living in residential care., Methods: one hundred and nine care home residents (84.5 ± 8.3 years) were assessed on the FIBS and a range of behavioural, physical and neuropsychological measures. Participants were then prospectively followed up for falls for 6 months., Results: the internal reliability (Cronbach's α = 0.77) and test-retest reliability (intra-class correlation coefficient = 0.93) of the FIBS were both good. Construct validity was supported by significant correlations between the FIBS and the neuropsychiatric inventory (r = 0.43, P < 0.001), wandering (r = 0.33, P = 0.001) and global cognition (r = -0.2, P = 0.04). Compared with residents with FIBS scores <1, those with FIBS scores of ≥ 1 were nearly three times more likely to fall in the following 6 months, AOR = 2.92 (95% CI: 1.03-8.29)., Conclusion: the FIBS is a simple, valid and reliable scale for assessing fall-related impulsivity in care home residents and can be recommended for use in this group for both research and clinical purposes.
- Published
- 2013
- Full Text
- View/download PDF