Evidence map›Paper›PMID 40037579›Full record

ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2025

Feasibility and Acceptability of a Technology-Mediated Fall Risk Prevention Intervention for Older Adults With Mild Cognitive Impairment.

George Demiris, Sean Harrison, Justine Sefcik, Marjorie Skubic, Therese S Richmond, Nancy A Hodgson

Abstract read
In one paragraph

Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Article
  5. Review
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

6 authors.

George DemirisDepartment of Biobehavioral Health Sciences, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-6318-5829
Sean HarrisonDepartment of Biobehavioral Health Sciences, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Justine SefcikCollege of Nursing and Health Professions, Drexel University, Philadelphia, Pennsylvania, USA.ORCID 0000-0003-1691-7836
Marjorie SkubicElectrical Engineering and Computer Science, College of Engineering, University of Missouri, Columbia, Missouri, USA.
Therese S RichmondDepartment of Biobehavioral Health Sciences, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Nancy A HodgsonDepartment of Biobehavioral Health Sciences, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0000-0001-8862-9986

Funding

Technology Identification and Training CoreP30AG073105 · NIA · UNIVERSITY OF PENNSYLVANIA · PI DEMIRIS, GEORGE, KARLAWISH, JASON H · 2021 to 2025
$21.2M
Sense4Safety: Supporting socially vulnerable older adultsR03AG069793 · NIA · UNIVERSITY OF PENNSYLVANIA · PI DEMIRIS, GEORGE · 2020 to 2021
$162k
National Institute on Aging of the National Institutes of Health R03AG069793NIA NIH HHS P30 AG073105NIA NIH HHS R03 AG069793
6 · The paper itself

Abstract

backgroundFalls and fall-related injuries are significant public health issues for adults 65 years of age and older. The annual direct medical costs in the United States 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.

methodsWe have developed an innovative technology-supported nursing-driven intervention called Sense4Safety to (a) identify escalating risk for falls real time through in-home passive sensor monitoring (including depth sensors); (b) employ machine learning to inform individualized alerts for fall risk; and (c) link "at risk" socially vulnerable OA 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.

resultsWe recruited a cohort of 11 low-income OA with MCI who received the intervention for 3 months. Our study findings indicate the 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.

conclusionsPassive sensing technologies can introduce acceptable platforms for fall prevention for community-dwelling OA with MCI.

Indexed as

Accidental FallsCognitive DysfunctionAgedAged, 80 and overFeasibility StudiesFemaleHumansIndependent LivingMachine LearningMaleRisk AssessmentDepth sensorsFall interventionFall preventionFall riskGait speed

Identifiers

PMID40037579
PMCPMC12340378

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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.