Assessment of an interactive voice response system for identifying falls in a statewide sample of older adults

Albert, Steven M.; King, Jennifer; Keene, Robert M.

doi:10.1016/j.ypmed.2014.12.006

Cited by 7 publications

(5 citation statements)

References 27 publications

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“…This item was rated on a 0–1 scale. We tested the validity of self-reported fall results based on a similar method used in the literature [ 18 ] which used self-reported balance performance for this test. For balance measurement, we used two methods: semi-tandem and full-tandem.…”

Section: Methodsmentioning

confidence: 99%

The association between depressive symptoms and fall accidents among middle-aged and elderly people in China

Ouyang

Sun

2018

Environ Health Prev Med

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BackgroundDepressive symptoms are a worldwide health problem. However, the research about the effect of depressive symptoms on the fall among the Chinese mid-aged and elderly people is lacking. Therefore, this study aims to investigate the association between depressive symptoms and fall accidents among middle-aged and elderly people in China.MethodsThis study was conducted based on 12,527 sets of data from China Health and Retirement Longitudinal Survey (CHARLS). The 2011 depressive symptoms data and the 2013 fall data were chosen for this study. The depressive symptom-related data was assessed by the Chinese version of Center for Epidemiologic Studies Depression scales (CES-D). Individuals were divided into subgroups according to gender (male or female), age (45–59, middle-aged or ≥ 60, elderly people), and residence (rural or urban). The odds ratios (ORs) were compared between subgroups using multivariable logistic regression analysis method.ResultsThe adjusted OR value (OR = 1.19 [95% CI 1.07–1.33]) shows there is a significant association between depressive symptoms and subsequent fall accidents. The ORs of the female, elderly people, rural, and urban subgroups are 1.31 (95% CI 1.11–1.55), 1.24 (95% CI 1.08–1.43), 1.17 (95% CI 1.02–1.33), and 1.25 (95% CI 1.04–1.49), respectively, which reveals that this association is also statistically significant in these subgroups.ConclusionsThis study shows that there is a significant association between depressive symptoms and their subsequent fall accidents among the Chinese middle-aged and elderly people.

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Section: Methodsmentioning

confidence: 99%

The association between depressive symptoms and fall accidents among middle-aged and elderly people in China

Ouyang

Sun

2018

Environ Health Prev Med

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“…During the automated call, participants were asked if they had fallen (ie, "landed on the floor or the ground and could not stop yourself"), were admitted to the hospital for at least one night for any reason, and visited the ED for any reason in the previous month (ie, yes/no). The interactive voice response system has been found to be reliable, valid, and acceptable by community-dwelling older adults (20). The number of months in which a participant experienced a fall, hospitalization, or ED visit in the year following the intervention were counted (0 = no months, 12 = every month).…”

Section: Falls Hospitalization and Ed Visitation Measuresmentioning

confidence: 99%

“…In addition, obtaining and analyzing health record information is burdensome and costly. Automated phone calling has been found to be reliable, valid, and acceptable by older adults to capture these outcomes (20), and it is ideal for studies wherein they are not the central focus.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Development and Validation of Person-Centered Cut-Points for the Figure-of-8-Walk Test of Mobility in Community-Dwelling Older Adults

Coyle

Perera

Shuman

et al. 2020

The Journals of Gerontology: Series A

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Background The Figure-of-8-Walk test (F8WT) is a performance measure of the motor skill of walking. Unlike walking speed over a straight path, it captures curved path walking, which is essential to real-world activity, but meaningful cut-points have yet to be developed for the F8WT. Methods A secondary analysis of 421 community-dwelling older adults (mean age 80.7 ± 7.8), who participated in a community-based exercise clinical trial, was performed. Area under receiver operating characteristic curves (AUROCC) were calculated using baseline data, with F8WT performance discriminating different self-reported global mobility and balance dichotomies. Cut-points for the F8WT were chosen to optimize sensitivity and specificity. For validation, F8WT cut-points were applied to postintervention F8WT data. Participants were called monthly for 12 months after intervention completion to record self-reported incident falls, emergency department visits, and hospitalizations; risks of the outcomes were compared between those who performed well and poorly on the F8WT. Results F8WT performance times of ≤9.09 seconds and ≤9.27 seconds can discriminate those with excellent (sensitivity = 0.647; specificity = 0.654) and excellent/very good global mobility (sensitivity = 0.649; specificity = 0.648), respectively. A total number of steps ≤17 on the F8WT can discriminate those with excellent/very good/good global balance (sensitivity = 0.646; specificity = 0.608). Compared to those who performed poorly, those who performed well had a lower incidence of negative outcomes: F8WT time ≤9.09 seconds = 46%–59% lower; F8WT time ≤9.27 seconds = 46%–56% lower; F8WT steps ≤17 = 44%–50% lower. Conclusions Clinicians may consider these preliminary cut-points to aid in their clinical decision making, but further study is needed for definitive recommendations.

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“…Participants responded "yes" or "no" by pushing buttons on their phone. This method of obtaining regular follow-up data is reliable, valid, and acceptable to older adults [13].…”

Section: Falls Ed Visits and Hospitalization Measuresmentioning

confidence: 84%

“…After completing the intervention, participants were called monthly for 12 months, via an interactive voice response (IVR) automated system [13], to ascertain whether the participant had fallen, visited the ED, or was admitted to the hospital during the preceding month. Participants that withdrew or were lost to follow-up during the intervention did not receive the monthly follow-up phone calls.…”

Section: Falls Ed Visits and Hospitalization Measuresmentioning

confidence: 99%

Potential long-term impact of “On The Move” group-exercise program on falls and healthcare utilization in older adults: an exploratory analysis of a randomized controlled trial

et al. 2020

Self Cite

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Background: Wellness program participation may reduce the risk of falling, emergency department-use, and hospitalization among older adults. "On the Move" (OTM), a community-based group exercise program focused on the timing and coordination of walking, improved mobility in older adults, but its impact on falls, emergency department-use, and hospitalizations remains unclear. The aim of this preliminary study was to investigate the potential long-term effects that OTM may have on downstream, tertiary outcomes. Methods: We conducted a secondary analysis of a cluster-randomized, single-blind intervention trial, which compared two community-based, group exercise programs: OTM and a seated exercise program on strength, endurance, and flexibility (i.e. 'usual-care'). Program classes met for 50 min/session, 2 sessions/week, for 12 weeks. Older adults (≥65 years), with the ability to ambulate independently at ≥0.60 m/s were recruited. Self-reported incidence of falls, emergency department visitation, and hospitalization were assessed using automated monthly phone calls for the year following intervention completion. Participants with ≥1 completed phone call were included in the analyses. Incidence rate ratios (IRRs) and 95% confidence intervals (CIs) were calculated (reference = usual-care). Results: Participants (n = 248) were similar on baseline characteristics and number of monthly phone calls completed. Participants in the seated exercise program attended an average of 2.9 more classes (p = .017). Of note, all results were not statistically significant (i.e. 95% CI overlapped a null value of 1.0). However, point estimates suggest OTM participation resulted in a decreased incidence rate of hospitalization compared to usual-care (IRR = 0.88; 95% CI = 0.59-1.32), and the estimates strengthened when controlling for between-group differences in attendance (adjusted IRR = 0.82; 95% CI = 0.56-1.21). Falls and emergency department visit incidence rates were initially greater for OTM participants, but decreased after controlling for attendance (adjusted IRR = 1.08; 95% CI = 0.72-1.62 and adjusted IRR = 0.96; 95% CI = 0.55-1.66, respectively).

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Assessment of an interactive voice response system for identifying falls in a statewide sample of older adults

Cited by 7 publications

References 27 publications

The association between depressive symptoms and fall accidents among middle-aged and elderly people in China

The association between depressive symptoms and fall accidents among middle-aged and elderly people in China

Development and Validation of Person-Centered Cut-Points for the Figure-of-8-Walk Test of Mobility in Community-Dwelling Older Adults

Potential long-term impact of “On The Move” group-exercise program on falls and healthcare utilization in older adults: an exploratory analysis of a randomized controlled trial

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