Aging Clinical Trial
Official title:
Incidence of Near-falls and the Development of the Balance Recovery Falls-efficacy Scale (BRFES) for the Community-dwelling Older Adults.
The first phase of the study aims to study the incidence of near-falls. The second phase will be to develop a scale which operationalize balance recovery confidence in the older adults. This study will determine the incidence of near-falls in a sample of community-dwelling older adults and will develop the Balance Recovery Falls-Efficacy scale (BRFES) for the community-dwelling older adults using the COSMIN method. This scale will be used to measure the confidence level of the community-dwelling older adults in their ability to execute balance recovery maneuvers in common, everyday functional activities to prevent a fall.
This study will progress through two phases
The first phase will recruit 30 older adults from ages of 65 and older living in the
community. A study administrator will contact the participants daily over a 21-day period to
obtain frequency and type of event experienced e.g. no fall, fall, near fall (hand),
near-fall (leg) or near-fall (other). No other details of the event will be ascertained
because this preliminary study will be to determine the incidence of near-falls in a sample
of community-dwelling seniors.
The second phase will be to develop a scale which operationalize balance recovery confidence
in community-dwelling older adults. In the first stage of the study, twelve older adults will
be recruited to develop a comprehensive list of relevant items for the scale. Purposive
sampling will be used to invite participants from the earlier study. This approach will
ensure sample representativeness of the population and to include participants who have had
demonstrated an understanding of near-falls and balance recovery maneuvres in the previous
study to develop the scale. An exhaustive list of scale items will be generated from two
focus group formed by six participants using a nominal group technique. This consensus-based
technique ensures that all items in the scale are relevant and comprehensible to the
community-dwelling older adults to discriminate the confidence level in one's ability to
perform balance recovery maneuvres. The scale will then be sent to a panel of 50 experts
including healthcare professionals as well as a new group of community-dwelling older adults
to determine the appropriateness of items ensuring that the scale is relevant, comprehensive
and comprehensible. Delphi technique will be adopted as the method to obtain a consensus
among experts to finalize the Balance Recovery Falls-Efficacy Scale (BRFES).
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