The Development and Evaluation of the Application for Assessing the Fall Risk Factors and the Suggestion to Prevent Falls in Older Adults

محفوظ في:
التفاصيل البيبلوغرافية
الحاوية / القاعدة:Informatics vol. 12, no. 2 (2025), p. 53-71
المؤلف الرئيسي: Charupa, Lektip
مؤلفون آخرون: Jiamjarasrangsi Wiroj, Kaewrat Charlee, Jiraphat, Nawarat, Chadapa, Rungruangbaiyok, Mackenzie, Lynette, Voravuth, Somsak, Wannaprom Nipaporn
منشور في:
MDPI AG
الموضوعات:
الوصول للمادة أونلاين:Citation/Abstract
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022 |a 2227-9709 
024 7 |a 10.3390/informatics12020053  |2 doi 
035 |a 3223909364 
045 2 |b d20250401  |b d20250630 
084 |a 231473  |2 nlm 
100 1 |a Charupa, Lektip  |u Department of Physical Therapy, School of Allied Health Sciences, Walailak University, Nakhon Si Thammarat 80160, Thailand; charupa.le@wu.ac.th (C.L.); nsuparoe@wu.ac.th (J.N.); chadapa.bn@wu.ac.th (C.R.) 
245 1 |a The Development and Evaluation of the Application for Assessing the Fall Risk Factors and the Suggestion to Prevent Falls in Older Adults 
260 |b MDPI AG  |c 2025 
513 |a Journal Article 
520 3 |a Falls are a major health concern for older adults, often leading to injuries and reduced independence. This study develops and evaluates a mobile application integrating two validated fall-risk assessment tools—the Stay Independent Brochure (SIB) and the 44-question Thai Home Falls Hazards Assessment Tool (Thai-HFHAT). The app utilizes a cloud-based architecture with a relational database for real-time analytics and user tracking. In Phase 1, 30 healthcare professionals assessed the app’s technical performance and user experience using a modified System Usability Scale (SUS), achieving a high usability score of 85.2. In Phase 2, 67 older adults used the app for self-assessment, with test–retest reliability evaluated over one week. The app showed strong reliability, with intraclass correlation coefficients (ICCs) of 0.80 for the SIB (Thai-version) and 0.77 for the Thai-HFHAT. Cloud-hosted analytics revealed significant correlations between fall occurrences and both SIB (r = 0.657, p < 0.001) and Thai-HFHAT scores (r = 0.709, p < 0.001), demonstrating the app’s predictive validity. The findings confirm the app’s effectiveness as a self-assessment tool for fall-risk screening among older adults, combining clinical validity with high usability. The integration of culturally adapted tools into a cloud-supported platform demonstrates the value of informatics in geriatric care. Future studies should focus on expanding the app’s reach, incorporating AI-driven risk prediction, enhancing interoperability with electronic health records (EHRs), and improving long-term user engagement to maximize its impact in community settings. 
651 4 |a Thailand 
653 |a Falls 
653 |a Applications programs 
653 |a Telemedicine 
653 |a Environmental risk 
653 |a User satisfaction 
653 |a Mobile communications networks 
653 |a Medical personnel 
653 |a Risk factors 
653 |a Mobile computing 
653 |a User experience 
653 |a Hazard assessment 
653 |a Brochures 
653 |a Older people 
653 |a Access control 
653 |a Correlation coefficients 
653 |a Electronic health records 
653 |a Validation studies 
653 |a Risk assessment 
653 |a Data integrity 
653 |a Validity 
653 |a Internet access 
653 |a Aging 
653 |a Prevention 
653 |a Reliability 
653 |a Cloud computing 
653 |a Self assessment 
653 |a Adults 
653 |a Public health 
653 |a Access to information 
653 |a Professionals 
653 |a Real time 
653 |a Relational data bases 
700 1 |a Jiamjarasrangsi Wiroj  |u Department of Preventive and Social Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand; wjiamja@gmail.com 
700 1 |a Kaewrat Charlee  |u Informatics Innovation Center of Excellence (IICE), School of Informatics, Walailak University, Nakhon Si Thammarat 80160, Thailand; charlee.ke@wu.ac.th 
700 1 |a Jiraphat, Nawarat  |u Department of Physical Therapy, School of Allied Health Sciences, Walailak University, Nakhon Si Thammarat 80160, Thailand; charupa.le@wu.ac.th (C.L.); nsuparoe@wu.ac.th (J.N.); chadapa.bn@wu.ac.th (C.R.) 
700 1 |a Chadapa, Rungruangbaiyok  |u Department of Physical Therapy, School of Allied Health Sciences, Walailak University, Nakhon Si Thammarat 80160, Thailand; charupa.le@wu.ac.th (C.L.); nsuparoe@wu.ac.th (J.N.); chadapa.bn@wu.ac.th (C.R.) 
700 1 |a Mackenzie, Lynette  |u Discipline of Occupational Therapy, School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2141, Australia; lynette.mackenzie@sydney.edu.au 
700 1 |a Voravuth, Somsak  |u Department of Medical Technology, School of Allied Health Sciences, Walailak University, Nakhon Si Thammarat 80160, Thailand; voravuth.so@wu.ac.th 
700 1 |a Wannaprom Nipaporn  |u Department of Physical Therapy, School of Allied Health Sciences, University of Phayao, Phayao 56000, Thailand 
773 0 |t Informatics  |g vol. 12, no. 2 (2025), p. 53-71 
786 0 |d ProQuest  |t Advanced Technologies & Aerospace Database 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3223909364/abstract/embedded/H09TXR3UUZB2ISDL?source=fedsrch 
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856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3223909364/fulltextPDF/embedded/H09TXR3UUZB2ISDL?source=fedsrch