A self-report home environment screening tool identified older women at risk of falls

J Clin Epidemiol. 2011 Feb;64(2):191-9. doi: 10.1016/j.jclinepi.2010.02.013. Epub 2010 Jun 15.


Objective: To evaluate a self-report version of the Home Falls and Accidents Screening Tool (HOME FAST-SR).

Study design and setting: The HOME FAST-SR was designed using expert review, pretesting and piloting. Agreement of self-reported home hazard ratings and ratings by health professionals was evaluated using the kappa statistic. The HOME FAST-SR was validated in a cross-sectional survey of 568 older community-living Australian women using endorsement rates for HOME FAST-SR items and the association of scores with self-reported falls.

Results: The 87-item HOME FAST-SR was constructed, and a scoring system was devised to calculate equivalent scores for the health professional version of the HOME FAST (HOME FAST-HP). Endorsement rates demonstrated that no items needed to be removed. Agreement between self-reported and professional ratings was moderate with therapists under-reporting hazards compared with older people. The mean HOME FAST score for the 568 cross-sectional participants was 9.39 (95% confidence interval: 9.1, 9.7) with a range from 2 to 23 out of a possible 25. Fallers had a significantly higher HOME FAST score (P=0.02).

Conclusion: The HOME FAST-SR is a viable alternative to the HOME FAST-HP, and scores were associated with falls experienced by older women in a cross-sectional study.

Publication types

  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Accidental Falls / prevention & control*
  • Accidents, Home / prevention & control*
  • Aged
  • Aged, 80 and over
  • Cross-Sectional Studies
  • Female
  • Geriatric Assessment / methods*
  • Humans
  • Interior Design and Furnishings
  • Reproducibility of Results
  • Risk Assessment
  • Risk Factors
  • Self Report
  • Surveys and Questionnaires