Journal article
Feasibility and Acceptability of a Technology Mediated Fall Risk Prevention Intervention for Older Adults with Mild Cognitive Impairment
The journals of gerontology. Series A, Biological sciences and medical sciences, v 80(6), glaf043
Jun 2025
PMID: 40037579
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Falls and fall-related injuries are significant public health issues for adults 65 years of age and older. The annual direct medical costs in the US as a result of falls are estimated to exceed $50 billion, and this estimate does not include the indirect costs of disability, dependence, and decreased quality of life. This project targets community dwelling older adults (OA) with mild cognitive impairment (MCI) who are socially vulnerable and thus at high risk for falling.
We have developed an innovative technology-supported nursing-driven intervention called Sense4Safety to 1) identify escalating risk for falls real-time through in-home passive sensor monitoring (including depth sensors); 2) employ machine learning to inform individualized alerts for fall risk; and 3) link 'at risk' socially vulnerable older adults with a coach who guides them in implementing evidence-based individualized plans to reduce fall-risk. The purpose of this study was to assess the feasibility and acceptability of the Sense4Safety intervention through participant interviews.
We recruited a cohort of 11 low-income OA with MCI who received the intervention for 3 months. Our study findings indicate overall feasibility of the intervention with most participants (n=9; 82%) having confidence in the passive monitoring system to effectively predict fall risk and generate actionable and tailored information that informs educational and exercise components.
Passive sensing technologies can introduce acceptable platforms for fall prevention for community dwelling older adults with MCI.
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Details
- Title
- Feasibility and Acceptability of a Technology Mediated Fall Risk Prevention Intervention for Older Adults with Mild Cognitive Impairment
- Creators
- George Demiris (Corresponding Author) - University of PennsylvaniaSean Harrison - University of PennsylvaniaJustine Sefcik - Drexel UniversityMarjorie Skubic - University of MissouriTherese Richmond - University of PennsylvaniaNancy Hodgson - University of Pennsylvania
- Publication Details
- The journals of gerontology. Series A, Biological sciences and medical sciences, v 80(6), glaf043
- Publisher
- Oxford University Press
- Number of pages
- 7
- Grant note
- National Institute on Aging of the National Institutes of Health: R03AG069793, P30AG073105
This work was supported by the National Institute on Aging of the National Institutes of Health (grant numbers R03AG069793 and P30AG073105).
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Doctoral Nursing
- Web of Science ID
- WOS:001485928000001
- Scopus ID
- 2-s2.0-105005198271
- Other Identifier
- 991022035263504721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Geriatrics & Gerontology
- Gerontology