Mobile Technology for Falls Prevention in Older Adults

Author:

Hsieh Katherine L1,Chen Lingjun2,Sosnoff Jacob J2

Affiliation:

1. Department of Internal Medicine, Section of Gerontology and Geriatric Medicine, Wake Forest School of Medicine , Winston-Salem, North Carolina , USA

2. Department of Physical Therapy, Rehabilitation Science, and Athletic Training, University of Kansas Medical Center , Kansas City, Kansas , USA

Abstract

Abstract Falls are the leading cause of accidental death in older adults that result from a complex interplay of risk factors. Recently, the need for person-centered approach utilizing personalization, prediction, prevention, and participation, known as the P4 model, in fall prevention has been highlighted. Features of mobile technology make it a suitable technological infrastructure to employ such an approach. This narrative review aims to review the evidence for using mobile technology for personalized fall risk assessment and prevention since 2017 in older adults. We aim to identify lessons learned and future directions for using mobile technology as a fall risk assessment and prevention tool. Articles were searched in PubMed and Web of Science with search terms related to older adults, mobile technology, and falls prevention. A total of 23 articles were included. Articles were identified as those examining aspects of the P4 model including prediction (measurement of fall risk), personalization (usability), prevention, and participation. Mobile technology appears to be comparable to gold-standard technology in measuring well-known fall risk factors including static and dynamic balance. Seven applications were developed to measure different fall risk factors and tested for personalization, and/or participation aspects, and 4 were integrated into a falls prevention program. Mobile health technology offers an innovative solution to provide tailored fall risk screening, prediction, and participation. Future studies should incorporate multiple, objective fall risk measures and implement them in community settings to determine if mobile technology can offer tailored and scalable interventions.

Funder

National Institutes of Health

NIH

National Institute on Disability, Independent Living, and Rehabilitation Research

National Multiple Sclerosis Society

Publisher

Oxford University Press (OUP)

Subject

Geriatrics and Gerontology,Aging

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