Evaluation of the Missouri Alliance for Home Care Fall Risk Assessment Tool and Home-Based "Balanced Approach" Fall Reduction Initiative

A randomized, retrospective chart review of 228 patients referred to Catholic Home Care; January 1, 2009 to June 30, 2009, was conducted to determine concurrent based validity of the Missouri Alliance for Home Care Tool (MAHC-10) with the Performance Oriented Mobility Scale (Tinetti), and to determine the benefit of the "Balanced Approach" rehabilitation program. A weak but significant negative relationship between the MAHC-10 and pre- (r = -.21, p < .01) Tinetti scores was found. Significant differences in Tinetti scores pre and post intervention was found with mean improvement of 5.2 points (t = -19.60, df, 181, p < .001; 95% CI[-5.72, -4.67]). Results of this study indicate the effectiveness of the MAHC-10-driven interdisciplinary program in the identification and management of fallers in the home.