Rasche Peter, Mertens Alexander, Bröhl Christina, Theis Sabine, Seinsch Tobias, Wille Matthias, Pape Hans-Christoph, Knobe Matthias
Chair and Institute of Industrial Engineering and Ergonomics of RWTH Aachen, Bergdriesch 27, 52072 Aachen, Germany.
Division of Orthopaedic Trauma, Department of Surgery, University Hospital Zurich, 8091 Zurich, Switzerland.
Patient Saf Surg. 2017 May 8;11:14. doi: 10.1186/s13037-017-0130-4. eCollection 2017.
Fall incidents are a major problem for patients and healthcare. The "Aachen Fall Prevention App" (AFPA) represents the first mobile Health (mHealth) application (app) empowering older patients (persons 50+ years) to self-assess and monitor their individual fall risk. Self-assessment is based on the "Aachen Fall Prevention Scale," which consists of three steps. First, patients answer ten standardized yes-no questions (positive criterion ≥ 5 "Yes" responses). Second, a ten-second test of free standing without compensatory movement is performed (positive criterion: compensatory movement). Finally, during the third step, patients rate their subjective fall risk on a 10-point Likert scale, based on the results of steps one and two. The purpose of this app is (1) to offer a low-threshold service through which individuals can independently monitor their individual fall risk and (2) to collect data about how a patient-centered mHealth app for fall risk assessment is used in the field.
The results represent the first year of an ongoing field study. From December 2015 to December 2016, 197 persons downloaded the AFPA (iOS and Android; free of charge). = 111 of these persons voluntarily shared their data and thereby participated in the field study. Data from a final number of = 79 persons were analyzed due to exclusion criteria (age, missing objective fall risk, missing self-assessment). The objective fall risk and the self-assessed subjective risk measured by the AFPA showed a significant positive relationship.
The "Aachen Fall Prevention App" (AFPA) is an mHealth app released for iOS and Android. This field study revealed the AFPA as a promising tool to raise older adults' awareness of their individual fall risk by means of a low-threshold patient-driven fall risk assessment tool.
跌倒事件对患者和医疗保健来说是一个重大问题。“亚琛跌倒预防应用程序”（AFPA）是首个移动健康（mHealth）应用程序，使老年患者（50岁及以上）能够自我评估和监测其个人跌倒风险。自我评估基于“亚琛跌倒预防量表”，该量表包括三个步骤。首先，患者回答十个标准化的是/否问题（阳性标准：≥5个“是”的回答）。其次，进行十秒钟的独立站立测试，无代偿性动作（阳性标准：有代偿性动作）。最后，在第三步中，患者根据第一步和第二步的结果，在10分制李克特量表上对其主观跌倒风险进行评分。该应用程序的目的是：（1）提供一种低门槛服务，使个人能够独立监测其个人跌倒风险；（2）收集有关以患者为中心的用于跌倒风险评估的移动健康应用程序在实际应用中的数据。
这些结果代表了一项正在进行的实地研究的第一年。从2015年12月到2016年12月，197人下载了AFPA（适用于iOS和安卓系统；免费）。其中111人自愿分享了他们的数据，从而参与了实地研究。由于排除标准（年龄、客观跌倒风险缺失、自我评估缺失），最终对79人的数据进行了分析。AFPA测量的客观跌倒风险和自我评估的主观风险呈显著正相关。
“亚琛跌倒预防应用程序”（AFPA）是一款发布于iOS和安卓系统的移动健康应用程序。这项实地研究表明，AFPA是一种很有前景的工具，可通过低门槛的患者驱动的跌倒风险评估工具，提高老年人对其个人跌倒风险的认识。
