487 Going digital: Uptake of a digital standardised fall risk screening tool. (20th November 2022)

• Record Type: Journal Article
• Authors: Loton, Carolyn; Mackenzie, Lynette
• Is Part Of: Injury prevention. Volume 28(2022)Supplement 2
• Page Start: A74
• Page End: A74
• Publication Date: 2022-11-20
• Subjects: Children's accidents -- Prevention -- Periodicals; Accidents -- Prevention -- Periodicals; 617.1
• DOI: 10.1136/injuryprev-2022-safety2022.220
• Languages: English
• ISSNs: 1353-8047

Abstract

Abstract : Context: One in three Australians aged over 65 experience a fall each year. 1 Of these, one third will not return to live at home. Identifying and addressing home hazards can reduce fall risk. 2 Sustainable Development Goal 3: Health and wellbeing The well validated and researched Home Falls and Accidents Screening Tool (HomeFAST) is designed to identify fall risk in home environments for older people. Its reach was limited by its availability only in paper-based form. Process: In 2019 the HomeFAST was digitalised as a decision tool using conditional logic and hosted on a dedicated website (available in English and Simplified Chinese languages). Upon completion the individualised risk assessment and notes can be saved or downloaded (PDF). Analysis: The digital screener has been completed over 450 times since launch. Of 256 self-report completions, 31% (79) users scored 9 or less, identifying them as high risk. Of 192 health professional completions, 41% (78) assessments scored the client as high risk. 34 health professionals completions included detailed individualised comments. Commonly identified risks include loose mats, slippery surfaces, stairs and cluttered walkways. Feedback from health professionals and older people has further improved usability. The tool has been successfully used in undergraduate teaching. Outcomes: By translating a validated screening tool into user-friendly digital format, access has been significantly widened, including to less advantaged groups and to both health professionals and consumers in developing countries. References: AIHW National Hospital Morbidity Database. Australia 2019 National Institute for Health and Care Excellence. Clinical Guideline CG161 2013