Delphi-based assessment of fall-related risk factors in acute rehabilitation settings according to the International Classification of Functioning, Disability and Health.
OBJECTIVE
To apply the International Classification of Functioning, Disability and Health (ICF) model to fall prevention by developing an ICF core set for fall risks in acute rehabilitation settings.


METHODS
Fall risk factors were identified based on a systematic review of the literature and linked to ICF categories. A consensus process was conducted using a Delphi-based evaluation technique.


METHODS
University-based hospital.


METHODS
Multidisciplinary participants (N=20) from different institutions.


METHODS
Not applicable.


METHODS
A 5-point Likert-type scale was used to weigh the importance of each risk category. The level of agreement for each consensus was assessed based on Spearman rho and semi-interquartile range indices. Categories with a mean score ≥4 in the third round of evaluation were included in this ICF core set.


RESULTS
The core set comprised 34 fall risk categories that were distributed as follows: 18 categories on body functions, 2 on body structures, 8 on activities and participation, 4 on environmental factors, and 2 categories on personal factors.


CONCLUSIONS
An ICF core set for falls in acute rehabilitation settings was developed in this study. Further validation is required.
Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, Taipei, Taiwan.
Tze-Hsun
TH
Yen
Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, Taipei, Taiwan.
Li-Fong
LF
Lin
Department of Physical Medicine and Rehabilitation, Changhua Christian Hospital, Changhua, Taiwan.
Ta-Sen
TS
Wei
Department of Physical Medicine and Rehabilitation, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.
Kwang-Hwa
KH
Chang
Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, National Taiwan University, Taipei, Taiwan.
Yen-Ho
YH
Wang
Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, Taipei, Taiwan; Institute of Injury Prevention and Control, Taipei Medical University, Taipei, Taiwan. Electronic address: peter_liou@s.tmu.edu.tw.
Tsan-Hon
TH
Liou
D000058:Accidental Falls / Q000706:statistics & numerical data*; D000203:Activities of Daily Living; D000367:Age Factors; D003697:Delphi Technique; D004777:Environment; D005260:Female; D006304:Health Status; D006305:Health Status Indicators; D006785:Hospitals, University; D006801:Humans; D064702:International Classification of Functioning, Disability and Health; D051346:Mobility Limitation; D012307:Risk Factors
Accidental falls; ICF; International Classification of Functioning, Disability and Health; Rehabilitation; SIQR; semi-interquartile range