Longitudinal study of the Home Falls and Accidents Screening Tool in identifying older people at increased risk of falls

Australas J Ageing. 2009 Jun;28(2):64-9. doi: 10.1111/j.1741-6612.2009.00361.x.


Aim: To evaluate the predictive validity and responsiveness of the Home Falls and Accidents Screening Tool (HOME FAST).

Methods: A prospective study of 727 community dwelling Veterans and war widows aged 70 years and over. The outcome was 6-month recall of any fall at 3-year follow-up. Baseline measurements were taken of common falls risk factors, and home hazards (using the HOME FAST). Changes in the prevalence of HOME FAST items were calculated and a logistic regression model was computed to determine predictors of falls at follow-up.

Results: Prevalence of 14 HOME FAST items was significantly reduced from baseline to follow-up (P <or= 0.05). Falls were significantly related to the baseline HOME FAST score (odds ratio (OR) 1.016, 95% confidence interval (CI) 1.004-1.098, P = 0.006), and a reduction in home hazards at follow-up (OR 0.984, 95% CI 0.973-0.996, P = 0.02).

Conclusion: The HOME FAST can predict falls in older people and is responsive to change.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Accidental Falls / prevention & control*
  • Accidental Falls / statistics & numerical data*
  • Accidents, Home / prevention & control*
  • Accidents, Home / statistics & numerical data*
  • Aged
  • Female
  • Follow-Up Studies
  • Household Articles
  • Humans
  • Logistic Models
  • Longitudinal Studies
  • Male
  • Mass Screening
  • Predictive Value of Tests
  • Prevalence
  • Prospective Studies
  • Risk Assessment / methods
  • Risk Factors