| Doctoral
Thesis: A
functional model of fall risk
Supervisors:
Prof Julie Byles, Dr Lynette Mackenzie, A/Prof. Catherine
D’Este
University: Occupational
Therapy, School of Health Sciences, University of Newcastle.
This
project explored and applied the newly developed International
Classification of Functioning (ICF) developed by the
World Health Organisation to data collected as part
of a sub-study of the ALSWH. At Survey 4, 20% of the
sub-sample reported that they had experienced a fall
in the previous six months and more than half the respondents
stated they were afraid that they may fall and hurt
themselves in the next year. In logistic regression
models, falls were predicted by a large number of factors
that had been measured in previous ALSWH surveys.
Using
a step-wise approach, the ICF framework was applied
to identify those factors that were predictive of falls
in multivariable models. This approach revealed that
some factors from all domains of the ICF framework were
associated with falls (including general health, body
function, personal factors, activity and participation
and environmental factors).
This analysis is the first to assess and demonstrate
the appropriateness of the ICF as a model for understanding
falls risk. The project has also collected a large amount
of information on environmental hazards associated with
falls risk in and around the homes of older women. Common
hazards include unsecured mats, shiny floors, inaccessible
baths and showers, high cupboards, steps without rails,
and unsuitable chairs and bed heights.
Analysis has been completed and papers are in preparation.
Presentations from this project were made at the OT
AUSTRALIA 23rd National Conference & Exhibition
in Melbourne, 2008.
To
contact Afsoon:
Occupational Therapy, Hunter Building,
School of Health Sciences
University
of Newcastle.
Tel:02 49215690
Fax:02
49216998
E mail: afsoon.hassanimehraban@studentmail.newcastle.edu.au
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