Comparison of retrospective and prospective falls reporting among community-dwelling older people: Findings from two cohort studies

Background: While prospective recording is considered as the gold standard, retrospective recall is widely utilized for falls outcomes due to its convenience. This brings about the concern on the validity of falls reporting in Southeast Asian countries, as the reliability of falls recall has not pre...

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Main Authors: Romli, Muhammad Hibatullah, Mackenzie, Lynette, Tan, Pey June, Chiew, Re On, Tan, Shun Herng, Tan, Maw Pin, Interv, Malaysian Falls Assessment, Longitudinal, Malaysian Elders
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Published: Frontiers Media Sa 2021
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Online Access:http://eprints.um.edu.my/28227/
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spelling my.um.eprints.282272022-03-14T04:16:51Z http://eprints.um.edu.my/28227/ Comparison of retrospective and prospective falls reporting among community-dwelling older people: Findings from two cohort studies Romli, Muhammad Hibatullah Mackenzie, Lynette Tan, Pey June Chiew, Re On Tan, Shun Herng Tan, Maw Pin Interv, Malaysian Falls Assessment Longitudinal, Malaysian Elders RA Public aspects of medicine Background: While prospective recording is considered as the gold standard, retrospective recall is widely utilized for falls outcomes due to its convenience. This brings about the concern on the validity of falls reporting in Southeast Asian countries, as the reliability of falls recall has not previously been studied. This study aimed to evaluate the reliability of retrospective falls recall compared to prospective falls recording. Methods: A secondary analysis of data from two prospective recording methods, falls diary and falls calendar, from two different research projects were obtained and analyzed. Retrospective falls recall was collected either through phone interview or follow-up clinic by asking the participants if they had fallen in the past 12 months. Results: Two-hundred-sixty-eight and 280 elderly participated in the diary and calendar groups, respectively. Moderate (46%) and poor (11%) return rates were found on completed diary and calendar recording. Under-(32%) and overreporting (24%) of falls were found in diary compared to only 4% of overreporting for the calendar. Retrospective recall method achieved 57% response rate for the diary group (followed up at clinic) and 89% for the calendar group (followed up via telephone interview). Agreement between retrospective and prospective reporting was moderate for the diary (kappa =0.44; p < 0.001) and strong for the calendar (kappa = 0.89; p < 0.001). Conclusion: Retrospective recall is reliable and acceptable in an observation study within healthy community older adults, while the combination of retrospective and prospective falls recording is the best for an intervention study with frailer older population. Telephone interview is convenient, low cost, and yielded a high response rate. Frontiers Media Sa 2021-03-12 Article PeerReviewed Romli, Muhammad Hibatullah and Mackenzie, Lynette and Tan, Pey June and Chiew, Re On and Tan, Shun Herng and Tan, Maw Pin and Interv, Malaysian Falls Assessment and Longitudinal, Malaysian Elders (2021) Comparison of retrospective and prospective falls reporting among community-dwelling older people: Findings from two cohort studies. Frontiers in Public Health, 9. ISSN 2296-2565, DOI https://doi.org/10.3389/fpubh.2021.612663 <https://doi.org/10.3389/fpubh.2021.612663>. 10.3389/fpubh.2021.612663
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic RA Public aspects of medicine
spellingShingle RA Public aspects of medicine
Romli, Muhammad Hibatullah
Mackenzie, Lynette
Tan, Pey June
Chiew, Re On
Tan, Shun Herng
Tan, Maw Pin
Interv, Malaysian Falls Assessment
Longitudinal, Malaysian Elders
Comparison of retrospective and prospective falls reporting among community-dwelling older people: Findings from two cohort studies
description Background: While prospective recording is considered as the gold standard, retrospective recall is widely utilized for falls outcomes due to its convenience. This brings about the concern on the validity of falls reporting in Southeast Asian countries, as the reliability of falls recall has not previously been studied. This study aimed to evaluate the reliability of retrospective falls recall compared to prospective falls recording. Methods: A secondary analysis of data from two prospective recording methods, falls diary and falls calendar, from two different research projects were obtained and analyzed. Retrospective falls recall was collected either through phone interview or follow-up clinic by asking the participants if they had fallen in the past 12 months. Results: Two-hundred-sixty-eight and 280 elderly participated in the diary and calendar groups, respectively. Moderate (46%) and poor (11%) return rates were found on completed diary and calendar recording. Under-(32%) and overreporting (24%) of falls were found in diary compared to only 4% of overreporting for the calendar. Retrospective recall method achieved 57% response rate for the diary group (followed up at clinic) and 89% for the calendar group (followed up via telephone interview). Agreement between retrospective and prospective reporting was moderate for the diary (kappa =0.44; p < 0.001) and strong for the calendar (kappa = 0.89; p < 0.001). Conclusion: Retrospective recall is reliable and acceptable in an observation study within healthy community older adults, while the combination of retrospective and prospective falls recording is the best for an intervention study with frailer older population. Telephone interview is convenient, low cost, and yielded a high response rate.
format Article
author Romli, Muhammad Hibatullah
Mackenzie, Lynette
Tan, Pey June
Chiew, Re On
Tan, Shun Herng
Tan, Maw Pin
Interv, Malaysian Falls Assessment
Longitudinal, Malaysian Elders
author_facet Romli, Muhammad Hibatullah
Mackenzie, Lynette
Tan, Pey June
Chiew, Re On
Tan, Shun Herng
Tan, Maw Pin
Interv, Malaysian Falls Assessment
Longitudinal, Malaysian Elders
author_sort Romli, Muhammad Hibatullah
title Comparison of retrospective and prospective falls reporting among community-dwelling older people: Findings from two cohort studies
title_short Comparison of retrospective and prospective falls reporting among community-dwelling older people: Findings from two cohort studies
title_full Comparison of retrospective and prospective falls reporting among community-dwelling older people: Findings from two cohort studies
title_fullStr Comparison of retrospective and prospective falls reporting among community-dwelling older people: Findings from two cohort studies
title_full_unstemmed Comparison of retrospective and prospective falls reporting among community-dwelling older people: Findings from two cohort studies
title_sort comparison of retrospective and prospective falls reporting among community-dwelling older people: findings from two cohort studies
publisher Frontiers Media Sa
publishDate 2021
url http://eprints.um.edu.my/28227/
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score 13.211869