It Is Always on Your Mind: Experiences and Perceptions of Falling of Older People and Their Carers and the Potential of a Mobile Falls Detection Device

Background. Falls and fear of falling present a major risk to older people as both can affect their quality of life and independence. Mobile assistive technologies (AT) fall detection devices may maximise the potential for older people to live independently for as long as possible within their own homes by facilitating early detection of falls. Aims. To explore the experiences and perceptions of older people and their carers as to the potential of a mobile falls detection AT device. Methods. Nine focus groups with 47 participants including both older people with a range of health conditions and their carers. Interviews were audio recorded, transcribed verbatim, and thematically analysed. Results. Four key themes were identified relating to participants' experiences and perceptions of falling and the potential impact of a mobile falls detector: cause of falling, falling as everyday vulnerability, the environmental context of falling, and regaining confidence and independence by having a mobile falls detector. Conclusion. The perceived benefits of a mobile falls detector may differ between older people and their carers. The experience of falling has to be taken into account when designing mobile assistive technology devices as these may influence perceptions of such devices and how older people utilise them.

[1]  C. Brayne,et al.  Inability to get up after falling, subsequent time on floor, and summoning help: prospective cohort study in people over 90 , 2008, BMJ : British Medical Journal.

[2]  O. Wilder‐Smith,et al.  How dangerous are falls in old people at home? , 1981, British medical journal.

[3]  Alan F. Newell,et al.  Domesticating technology - In-home requirements gathering with frail older people , 2003, HCI.

[4]  Peter Mayer,et al.  ENABLE - A View on User's Needs , 2008, ICCHP.

[5]  E. Begley,et al.  "It gives me a sense of independence" Findings from Ireland on the use and usefulness of assistive technology for people with dementia , 2007 .

[6]  S. Merriam.  Qualitative Research in Practice , 2008 .

[7]  Suzanne Martin,et al.  Smart home technologies for health and social care support. , 2008, The Cochrane database of systematic reviews.

[8]  Gert Jan Wijlhuizen,et al.  Older persons afraid of falling reduce physical activity to prevent outdoor falls. , 2007, Preventive medicine.

[9]  Jane Seale,et al.  Older people as partners in assistive technology research: The use of focus groups in the design process , 2002 .

[10]  Len Gray,et al.  The application of telemedicine to geriatric medicine. , 2007, Age and ageing.

[11]  P Kannus,et al.  Prevention of hip fracture in elderly people with use of a hip protector. , 2000, The New England journal of medicine.

[12]  S. Bandinelli,et al.  Activity Restriction Induced by Fear of Falling and Objective and Subjective Measures of Physical Function: A Prospective Cohort Study , 2008, Journal of the American Geriatrics Society.

[13]  Duong Thuy Tran,et al.  Analysis of falls incidents: Nurse and patient preventive behaviours. , 2011, International journal of nursing practice.

[14]  L. Rubenstein.  Falls in older people: epidemiology, risk factors and strategies for prevention. , 2006, Age and ageing.

[15]  Paul P. Freddolino,et al.  Ageing and Technology: A Review of the Research Literature , 2009 .

[16]  Susanne Iwarsson,et al.  Fear of Moving Outdoors and Development of Outdoor Walking Difficulty in Older People , 2009, Journal of the American Geriatrics Society.

[17]  Kevin Barraclough,et al.  I and i , 2001, BMJ : British Medical Journal.

[18]  Simon Fielden,et al.  Fall detectors: a review of the literature , 2012 .

[19]  A. Drahota,et al.  Flooring as an intervention to reduce injuries from falls in healthcare settings: an overview , 2007 .

[20]  L. Yardley,et al.  Older people's views of advice about falls prevention: a qualitative study. , 2005, Health education research.

[21]  Raymond Y. W. Lee,et al.  Detection of falls using accelerometers and mobile phone technology. , 2011, Age and ageing.

[22]  J. Gatward.  Electronic assistive technology: Benefits for all? , 2004 .

[23]  Jacob O. Wobbrock,et al.  In the shadow of misperception: assistive technology use and social interactions , 2011, CHI.

[24]  K Doughty,et al.  Three Generations of Telecare of the Elderly , 1996, Journal of telemedicine and telecare.

[25]  A. Tinker.  Assistive technology and its role in housing policies for older people , 2003 .

[26]  A. P. Harvey,et al.  Wearable device to assist independent living , 2011 .

[27]  G. ÓLaighin,et al.  A proposal for the classification and evaluation of fall detectors Une proposition pour la classification et l'évaluation des détecteurs de chutes , 2008 .

[28]  Nick Goodwin,et al.  The State of Telehealth and Telecare in the UK: Prospects for Integrated Care , 2010 .

[29]  M. Hawley,et al.  Automatic fall detectors and the fear of falling , 2004, Journal of telemedicine and telecare.

[30]  Jeffrey M. Hausdorff,et al.  Evaluation of Accelerometer-Based Fall Detection Algorithms on Real-World Falls , 2012, PloS one.

[31]  Khim Horton,et al.  Falls in older people: the place of telemonitoring in rehabilitation. , 2008, Journal of rehabilitation research and development.

[32]  F. Miskelly,et al.  Assistive technology in elderly care. , 2001, Age and ageing.

[33]  Barbara Sternfeld,et al.  Outdoor falls among middle-aged and older adults: a neglected public health problem. , 2006, American journal of public health.

[34]  K Doughty,et al.  Safety and risk issues in using telecare , 2000, Journal of telemedicine and telecare.

[35]  W. Marsden.  I and J , 2012 .

[36]  Peter H. Millard,et al.  How dangerous are falls in old people at home? , 1981 .

[37]  A. Campbell,et al.  Rethinking individual and community fall prevention strategies: a meta-regression comparing single and multifactorial interventions. , 2007, Age and ageing.

[38]  Joan De Boeck,et al.  Computers Helping People with Special Needs , 2012, Lecture Notes in Computer Science.