# Fall risk screening: Audiologists’ perceived knowledge, views and reported practice

## TL;DR

South African audiologists feel underprepared to screen older adults for fall risk, but see value in doing so and want more training.

## Contribution

The study reveals audiologists' limited knowledge and practice of fall risk screening and highlights the need for education and collaboration.

## Key findings

- Most audiologists use case history and vestibular assessments for fall risk screening.
- Only 11% had prior knowledge of FRS, and 69–74% felt their knowledge was insufficient.
- 80% cited insufficient training as a barrier, but 98% wanted to learn more about FRS.

## Abstract

Falls among older adults are a major public health issue. In South Africa, where the elderly population is expected to quadruple within the next three decades, fall prevention is critical.

This study evaluated South African audiologists’ perceived knowledge, views and reported practices regarding fall risk screening (FRS) in older adults. A quantitative online survey was conducted using an adapted questionnaire designed to assess various aspects of FRS practice. Data were analysed using descriptive and inferential statistics.

The survey received responses from 106 audiologists. Most respondents reported using familiar tools, such as case history and vestibular assessments, to conduct FRS, with fewer utilising functional balance measures. Only 11% of audiologists reported prior knowledge of FRS, while 69% – 74% perceived their knowledge as insufficient to screen or counsel older adults. While 58% recognised FRS as part of the audiologist’s scope, only 21% felt comfortable conducting it. Key barriers included insufficient training (80%) and time constraints (48%). Despite this, 98% expressed interest in learning about FRS and 90% believed FRS could enhance the profession.

The findings underscore the need for improved clinical guidelines, educational initiatives and practice standards to better equip audiologists in fall prevention efforts and a collaborative approach to fall risk management for older adults.

This study emphasises the importance of incorporating FRS into undergraduate audiology curricula and continuous professional development programmes and encourages the use of a biopsychosocial approach and collaboration among multidisciplinary teams in fall risk management for older adults.