The asociation of falls with instability: an analysis of perception and expectation towards the use of fall detection devices among older adults in Malaysia

Background: Falls are a significant incident among older adults affecting one in every three individuals aged 65 and over. Fall risk increases with age and other factors, namely instability. Recent studies on the use of fall detection devices in the Malaysian community are scarce, despite the necess...

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Main Authors: Abdul Rahman, Kawthar, Ahmad, Siti Anom, Che Soh, Azura, Ashari, Asmidawati, Wada, Chikamune, Gopalai, Alpha Agape
Format: Article
Published: Frontiers Research Foundation 2021
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author Abdul Rahman, Kawthar
Ahmad, Siti Anom
Che Soh, Azura
Ashari, Asmidawati
Wada, Chikamune
Gopalai, Alpha Agape
author_facet Abdul Rahman, Kawthar
Ahmad, Siti Anom
Che Soh, Azura
Ashari, Asmidawati
Wada, Chikamune
Gopalai, Alpha Agape
author_sort Abdul Rahman, Kawthar
collection UPM
description Background: Falls are a significant incident among older adults affecting one in every three individuals aged 65 and over. Fall risk increases with age and other factors, namely instability. Recent studies on the use of fall detection devices in the Malaysian community are scarce, despite the necessity to use them. Therefore, this study aimed to investigate the association between the prevalence of falls with instability. This study also presents a survey that explores older adults' perceptions and expectations toward fall detection devices. Methods: A cross-sectional survey was conducted involving 336 community-dwelling older adults aged 50 years and older; based on randomly selected participants. Data were analyzed using quantitative descriptive analysis. Chi-square test was conducted to investigate the associations between self-reported falls with instability, demographic and walking characteristics. Additionally, older adults' perceptions and expectations concerning the use of fall detection devices in their daily lives were explored. Results: The prevalence of falls was 28.9%, where one-quarter of older adults fell at least once in the past 6 months. Participants aged 70 years and older have a higher fall percentage than other groups. The prevalence of falls was significantly associated with instability, age, and walking characteristics. Around 70% of the participants reported having instability issues, of which over half of them fell at least once within 6 months. Almost 65% of the participants have a definite interest in using a fall detection device. Survey results revealed that the most expected features for a fall detection device include: user-friendly, followed by affordably priced, and accurate. Conclusions: The prevalence of falls in community-dwelling older adults is significantly associated with instability. Positive perceptions and informative expectations will be used to develop an enhanced fall detection incorporating balance monitoring system. Our findings demonstrate the need to extend the fall detection device features aiming for fall prevention intervention.
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spelling upm.eprints-953392023-04-06T08:02:00Z http://psasir.upm.edu.my/id/eprint/95339/ The asociation of falls with instability: an analysis of perception and expectation towards the use of fall detection devices among older adults in Malaysia Abdul Rahman, Kawthar Ahmad, Siti Anom Che Soh, Azura Ashari, Asmidawati Wada, Chikamune Gopalai, Alpha Agape Background: Falls are a significant incident among older adults affecting one in every three individuals aged 65 and over. Fall risk increases with age and other factors, namely instability. Recent studies on the use of fall detection devices in the Malaysian community are scarce, despite the necessity to use them. Therefore, this study aimed to investigate the association between the prevalence of falls with instability. This study also presents a survey that explores older adults' perceptions and expectations toward fall detection devices. Methods: A cross-sectional survey was conducted involving 336 community-dwelling older adults aged 50 years and older; based on randomly selected participants. Data were analyzed using quantitative descriptive analysis. Chi-square test was conducted to investigate the associations between self-reported falls with instability, demographic and walking characteristics. Additionally, older adults' perceptions and expectations concerning the use of fall detection devices in their daily lives were explored. Results: The prevalence of falls was 28.9%, where one-quarter of older adults fell at least once in the past 6 months. Participants aged 70 years and older have a higher fall percentage than other groups. The prevalence of falls was significantly associated with instability, age, and walking characteristics. Around 70% of the participants reported having instability issues, of which over half of them fell at least once within 6 months. Almost 65% of the participants have a definite interest in using a fall detection device. Survey results revealed that the most expected features for a fall detection device include: user-friendly, followed by affordably priced, and accurate. Conclusions: The prevalence of falls in community-dwelling older adults is significantly associated with instability. Positive perceptions and informative expectations will be used to develop an enhanced fall detection incorporating balance monitoring system. Our findings demonstrate the need to extend the fall detection device features aiming for fall prevention intervention. Frontiers Research Foundation 2021-02-12 Article PeerReviewed Abdul Rahman, Kawthar and Ahmad, Siti Anom and Che Soh, Azura and Ashari, Asmidawati and Wada, Chikamune and Gopalai, Alpha Agape (2021) The asociation of falls with instability: an analysis of perception and expectation towards the use of fall detection devices among older adults in Malaysia. Frontiers in Public Health, 9. pp. 1-11. ISSN 2296-2565 https://www.frontiersin.org/articles/10.3389/fpubh.2021.612538/full 10.3389/fpubh.2021.612538
spellingShingle Abdul Rahman, Kawthar
Ahmad, Siti Anom
Che Soh, Azura
Ashari, Asmidawati
Wada, Chikamune
Gopalai, Alpha Agape
The asociation of falls with instability: an analysis of perception and expectation towards the use of fall detection devices among older adults in Malaysia
title The asociation of falls with instability: an analysis of perception and expectation towards the use of fall detection devices among older adults in Malaysia
title_full The asociation of falls with instability: an analysis of perception and expectation towards the use of fall detection devices among older adults in Malaysia
title_fullStr The asociation of falls with instability: an analysis of perception and expectation towards the use of fall detection devices among older adults in Malaysia
title_full_unstemmed The asociation of falls with instability: an analysis of perception and expectation towards the use of fall detection devices among older adults in Malaysia
title_short The asociation of falls with instability: an analysis of perception and expectation towards the use of fall detection devices among older adults in Malaysia
title_sort asociation of falls with instability an analysis of perception and expectation towards the use of fall detection devices among older adults in malaysia
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