Evaluation of a web-based app to assist home-hazard modification in falls prevention

Ward, Gillian; Walker-Clarke, Aimee; Holliday, Nikki

doi:10.1177/0308022617726243

Cited by 6 publications

(10 citation statements)

References 23 publications

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“…Of the 35 studies that were deemed relevant for full-text review, 27 articles were excluded for the following reasons: (i) ineligible study design (n=24) 13 , 14 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 and (ii) ineligible intervention: RCT (n=3). 11 , 56 , 57 …”

Section: Resultsmentioning

confidence: 99%

The Efficacy of Fall Hazards Identification on Fall Outcomes: A Systematic Review With Meta-analysis

Ziebart

Bobos

Furtado

et al. 2020

Archives of Rehabilitation Research and Clinical Translation

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Objective To investigate the efficacy of fall hazards identification programs when compared to no intervention or other fall prevention programs on number of falls, falls incidence, and identifying fall hazards in community-dwelling adults. Data Sources CINAHL, PubMed, EMBASE, Scopus, and PsychINFO were used to identify articles. Study Selection Studies were selected to compare fall hazards identification programs to a control group. Studies were eligible if they were randomized controlled trials and enrolled adults older than 50 years with the incidence rate of falls as an outcome. Data Extraction Study or authors, year, sample characteristics, intervention or comparison groups, number of falls, and number of hazards identified in the intervention and control groups, and follow-up were extracted. The risk of bias assessment was performed using the Cochrane Risk of Bias tool. Quality was evaluated with Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach per outcome. Data Synthesis A total of 8 studies (N=8) and 5177 participants were included. There was a high risk of bias across the studies mostly due to improper blinding of personnel of the outcome assessor. Pooled estimate effects from 5 studies assessing the incidence rate of falls from 3019 individuals indicated no difference between fall hazards identification programs and control (incidence rate ratio=0.98; 95% confidence interval, 0.87-1.10). Conclusions The current study suggests that there may be a benefit for fall hazards programs in reducing incident falls. However, because of a moderate GRADE rating, more large-scale studies with a higher number of falls events and more consistent control groups are required to determine the true effect.

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Section: Resultsmentioning

confidence: 99%

The Efficacy of Fall Hazards Identification on Fall Outcomes: A Systematic Review With Meta-analysis

Ziebart

Bobos

Furtado

et al. 2020

Archives of Rehabilitation Research and Clinical Translation

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“…The findings of this study highlight the pressing need of developing apps to address these areas of concern. Supporting this aim, many researchers have started to develop and test apps to assist in home-hazard modification in falls prevention (Ward, Walker-Clarke, & Holliday, 2017) and to help older adults self-assess and monitor their individual fall risk (Rasche et al, 2017). By supporting persons living with dementia and their family caregivers in these safety-related needs, it can reduce the risk of incidents which can ultimately improve outcomes for the dyad.…”

Section: Envisioning the Potential Of Mobile Appsmentioning

confidence: 99%

Using Mobile Applications in Caregiving: The User Experiences of Family Caregivers of Persons Living with Dementia

Wang¹

2023

Preprint

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To date, there is no research that explores the user experiences of family caregivers of persons living with dementia on using mobile applications to support caregiving activities. This is of particular concern given that limited understandings of the user experience in designing technology have often led to end-users experiencing barriers in technology adoption and use. Thus, the purpose of this qualitative descriptive study that used photo-elicitation interviewing was to explore the experiences of family caregivers of persons living with dementia on using mobile applications in their caregiving roles. The findings revealed how mobile applications played an important role in the lives of the caregiver, the care recipient, and both together as a dyad. This research advances our understanding of the impact of mobile application use in caregiving and provides direction for future research, policy, education, practice and application development.

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“…For the trial, participants were asked to use FallCheck over a two-week period, at least once or more, after which, the researcher sent a link to the survey (hosted via Online Surveys – Jisc, 2018). The survey was adapted from the 30-point USE Questionnaire, developed to assess Usefulness, Satisfaction and Ease of Use of consumer interfaces – metrics of user experience associated with acquisition and use decisions, and usability (Lund, 2001; ISO 9241, 2010) and used in a previous evaluation of the Web-app with health and social care professionals (Ward et al , 2017). Participants were asked to rate their agreement with statements in a Likert style questionnaire, from ‘Strongly Disagree’ to ‘Strongly Agree’ (Likert, 1932).…”

Section: Data Collectionmentioning

confidence: 99%

“…FallCheck is suitable for any Web-enabled device and can be downloaded from www.coventry.ac.uk/fallcheck. Testing of a beta version of FallCheck by health and social care professionals found good acceptability for use in practice or as a digital self-assessment tool by people at risk of falls, which may support environmental and behavioural change to reduce fall risk at home (Ward et al , 2017).…”

Section: Introductionmentioning

confidence: 99%

“…For successful behaviour change supported by technology, the technology must be accepted, so in addition to the required components described above, the FallCheck app must be perceived as useful and easy to use by the intended user as per the Technology Acceptance Model (Davis, 1989). Ward et al ’s (2017) study reported the iterative development process and evaluation of FallCheck with health and social care professionals; however. the perceived usability and ease of use of a system by the intended end-user is an important influence on user engagement (O’Brien and Toms, 2010; Davis, 1989).…”

Section: Introductionmentioning

confidence: 99%

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Web-based home-hazard modification app for falls prevention: the views of those at risk of falling and their carers

Holliday

Ward

Walker-Clarke

et al. 2020

JET

Self Cite

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Purpose The purpose of the study is to assess the usability and acceptability of FallCheck, a Web app that allows users to complete home-hazard assessments within their own home, with a group of people at risk of falling and their carers. Design/methodology/approach This mixed method study used an online survey followed by semi-structured telephone interviews to collect both qualitative and quantitative data. A Think-Aloud study was used to test usability of the Web app through structured tasks. Findings Findings showed that FallCheck was easy to use with few usability issues. The Web app was deemed appropriate to use by people at risk of falling (young or old) or by carers if appropriate. The depth of knowledge provision and breadth of content was acceptable, and many participants reported subsequently making changes to their home environment to reduce their risk of falling. Overall, the majority of participants reported feelings of improved confidence and safety with an increased awareness of fall risks and a reduction in fear of falling at home. Practical implications FallCheck has good acceptability and usability with people at risk of falling and their carers and has the potential to improve access to home-hazard assessment and affect behavioural change regarding fall risk hazards and behaviour. Originality/value This study describes successful use of an app that may be helpful in identifying home-hazards and making changes to reduce risk of falls, particularly in the absence of occupational therapy intervention and has the potential for integration into falls care pathways.

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Evaluation of a web-based app to assist home-hazard modification in falls prevention

Cited by 6 publications

References 23 publications

The Efficacy of Fall Hazards Identification on Fall Outcomes: A Systematic Review With Meta-analysis

The Efficacy of Fall Hazards Identification on Fall Outcomes: A Systematic Review With Meta-analysis

Using Mobile Applications in Caregiving: The User Experiences of Family Caregivers of Persons Living with Dementia

Web-based home-hazard modification app for falls prevention: the views of those at risk of falling and their carers

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