Evaluation of the Falls Telephone:: An Automated System for Enduring Assessment of Falls

• Autores: Marjolein A. van der Marck, Sebastiaan Overeem, Philomène C. M. Klok, Bastiaan R. Bloem, Marten Munneke
• Localización: Journal of the American Geriatrics Society, ISSN 0002-8614, Vol. 59, Nº. 2, 2011, págs. 340-344
• Idioma: inglés
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• Resumen

  • OBJECTIVES: To evaluate the reliability and user experiences of an automated telephone system to monitor falls during a prolonged period of time.

    DESIGN: Prospective cohort study.

    SETTING: Four neurological outpatient clinics in the Netherlands.

    PARTICIPANTS: One hundred nineteen community-dwelling people with Parkinson's disease without dementia, because falls are common in this population.

    MEASUREMENTS: Clinical and demographic data were obtained. The Falls Telephone is a computerized telephone system through which participants can enter the number of falls during a particular period. During a follow-up of 1 to 40 weekly calls, 2,465 calls were made. In total, 173 no-fall entries and 115 fall entries were verified using personal telephone interviews. User experiences were evaluated in 90 of the 119 participants using structured telephone interviews.

    RESULTS: All no-fall entries and 78% of fall entries were confirmed to be correct. Sensitivity to detect falls was 100%, and specificity was 87%. Users regarded the Falls Telephone as a convenient tool to monitor falls.

    CONCLUSION: The Falls Telephone is a convenient and reliable instrument to monitor falls. The automated system has high specificity, obviating the need for time-consuming personal follow-up calls in the majority of nonfallers. As such, the Falls Telephone lends itself well to data collection in large trials with prolonged follow-up in participants with Parkinson's disease.