Evidence map›Paper›PMID 33792553›Full record

ArticleJMIR research protocols2021

The Geriatric Acute and Post-Acute Fall Prevention Intervention (GAPcare) II to Assess the Use of the Apple Watch in Older Emergency Department Patients With Falls: Protocol for a Mixed Methods Study.

Daniel H Strauss, Natalie M Davoodi, Margaret Healy, Christopher L Metts, Roland C Merchant, Swechya Banskota, Elizabeth M Goldberg

Registry-linked trialAbstract read
In one paragraph

Article in JMIR research protocols, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04304495 (GAPcare II), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04304495 nacompletednot on this map

GAPcare II: The Geriatric Acute & Post-acute Care Coordination Program for Fall Prevention in the Emergency Department

TypeinterventionalSponsorUniversity of Colorado, DenverRan2021 to 2025Enrolled197ConditionsFallArmsFall Prevention
3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Review
  5. Article
  6. Review
  7. Inclusion of older adults in emergency department clinical research: Strategies to achieve a critical goal.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2022
    Article
  8. Article
  9. Review
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Daniel H StraussAlpert Medical School of Brown University, Providence, RI, United States.ORCID https://orcid.org/0000-0002-7972-5906
Natalie M DavoodiBrown University School of Public Health, Providence, RI, United States.ORCID https://orcid.org/0000-0002-6532-8088
Margaret HealyRhode Island Hospital, Providence, RI, United States.ORCID https://orcid.org/0000-0002-1073-1486
Christopher L MettsDepartment of Pathology and Laboratory Medicine, Medical University of South Carolina, Charleston, SC, United States.ORCID https://orcid.org/0000-0003-4944-8845
Roland C MerchantDepartment of Emergency Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States.ORCID https://orcid.org/0000-0001-7571-1294
Swechya BanskotaAlpert Medical School of Brown University, Providence, RI, United States.ORCID https://orcid.org/0000-0002-1365-9619
Elizabeth M GoldbergDepartment of Emergency Medicine, Alpert Medical School of Brown University, Providence, RI, United States.ORCID https://orcid.org/0000-0003-1817-0705

Funding

GAPcare II: The Geriatric Acute & Post-acute Care Coordination Program for Fall Prevention in the Emergency DepartmentK76AG059983 · NIA · UNIVERSITY OF COLORADO DENVER · PI GOLDBERG, ELIZABETH · 2019 to 2024
$1.5M
Greater Boston Medical Student Training in Aging ResearchT35AG038027 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI DRIVER, JANE A, MCLAUGHLIN-GAVIN, CARA · 2010 to 2024
$991k
NIA NIH HHS K76 AG059983NIA NIH HHS T35 AG038027
6 · The paper itself

Abstract

backgroundFalls are a common problem among older adults that lead to injury, emergency department (ED) visits, and institutionalization. The Apple Watch can detect falls and alert caregivers and clinicians that help is needed; the device could also be used to objectively collect data on gait, fitness, and falls as part of clinical trials. However, little is known about the ease of use of this technology among older adult ED patients, a population at high risk of recurrent falls.

objectiveThe goal of this study-the Geriatric Acute and Post-Acute Fall Prevention Intervention (GAPcare) II-is to examine the feasibility, acceptability, and usability of the Apple Watch Series 4 paired with the iPhone and our research app Rhode Island FitTest (RIFitTest) among older adult ED patients seeking care for falls.

methodsWe will conduct field-testing with older adult ED patients (n=25) who sustained a fall and their caregivers (n=5) to determine whether they can use the Apple Watch, iPhone, and app either (1) continuously or (2) periodically, with or without telephone assistance from the research staff, to assess gait, fitness, and/or falls over time. During the initial encounter, participants will receive training in the Apple Watch, iPhone, and our research app. They will receive an illustrated training manual and a number to call if they have questions about the research protocol or device usage. Participants will complete surveys and cognitive and motor assessments on the app during the study period. At the conclusion of the study, we will solicit participant feedback through semistructured interviews. Qualitative data will be summarized using framework matrix analyses. Sensor and survey response data will be analyzed using descriptive statistics.

resultsRecruitment began in December 2019 and was on pause from April 2020 until September 2020 due to the COVID-19 pandemic. Study recruitment will continue until 30 participants are enrolled. This study has been approved by the Rhode Island Hospital Institutional Review Board (approval 1400781-16).

conclusionsGAPcare II will provide insights into the feasibility, acceptability, and usability of the Apple Watch, iPhone, and the RIFitTest app in the population most likely to benefit from the technology: older adults at high risk of recurrent falls. In the future, wearables could be used as part of fall prevention interventions to prevent injury before it occurs.

trial registrationClinicalTrials.gov NCT04304495; https://clinicaltrials.gov/ct2/show/NCT04304495. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/24455.

Indexed as

Apple Watchfall interventiongeriatric carewearable technology

Identifiers

PMID33792553
PMCPMC8050745

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.