Mobile health (mHealth) technologies for fall prevention among older adults in low-middle income countries: bibliometrics, network analysis and integrative review

IntroductionmHealth technologies offer promising solutions to reduce the incidence of falls among older adults. Unfortunately, publications on their application to Low-Middle Income Countries (LMIC) settings have not been collectively examined.MethodsA triadic research design involving bibliometrics...

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Main Authors: Michael Joseph Dino, Ladda Thiamwong, Rui Xie, Ma. Kristina Malacas, Rommel Hernandez, Patrick Tracy Balbin, Joseph Carlo Vital, Jenica Ana Rivero, Vivien Wu Xi
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-03-01
Series:Frontiers in Digital Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fdgth.2025.1559570/full
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author Michael Joseph Dino
Michael Joseph Dino
Ladda Thiamwong
Rui Xie
Ma. Kristina Malacas
Rommel Hernandez
Patrick Tracy Balbin
Joseph Carlo Vital
Jenica Ana Rivero
Jenica Ana Rivero
Vivien Wu Xi
author_facet Michael Joseph Dino
Michael Joseph Dino
Ladda Thiamwong
Rui Xie
Ma. Kristina Malacas
Rommel Hernandez
Patrick Tracy Balbin
Joseph Carlo Vital
Jenica Ana Rivero
Jenica Ana Rivero
Vivien Wu Xi
author_sort Michael Joseph Dino
collection DOAJ
description IntroductionmHealth technologies offer promising solutions to reduce the incidence of falls among older adults. Unfortunately, publications on their application to Low-Middle Income Countries (LMIC) settings have not been collectively examined.MethodsA triadic research design involving bibliometrics, network analysis, and model-based integrative review was conducted to process articles (n = 22) from 629 publications extracted from major databases using keywords related to mHealth, falls prevention, and LMIC. The web-based application Covidence and stand-alone VosViewer software were used to process data following previously published review standards.ResultsPublished articles in the field feature multidisciplinary authorships from multiple scholars in the domains of health and technology. Network analysis revealed the most prominent stakeholders and keyword clusters related to mHealth technology features and applications in healthcare. The papers predominantly focused on the development of mHealth technology, usability, and affordances and less on the physiologic and sociologic attributes of technology use. mHealth technologies in low and middle-income countries are mostly smartphone-based, static, and include features for home care settings with fall detection accuracy of 86%–99.62%. Mixed reality-based mobile applications have not yet been explored.ConclusionOverall, key findings and information from the articles highlight a gradually advancing research domain. Outcomes reinforce the need to expand the focus of mHealth investigations to include emerging technologies, update current technology models, create a more human-centered technology design, test mHealth technologies in the clinical setting, and encourage continued cooperation between and among researchers from various fields and environments.
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spelling doaj-art-3bb244f701444a62aaab7ee853f9fe9a2025-08-20T02:48:27ZengFrontiers Media S.A.Frontiers in Digital Health2673-253X2025-03-01710.3389/fdgth.2025.15595701559570Mobile health (mHealth) technologies for fall prevention among older adults in low-middle income countries: bibliometrics, network analysis and integrative reviewMichael Joseph Dino0Michael Joseph Dino1Ladda Thiamwong2Rui Xie3Ma. Kristina Malacas4Rommel Hernandez5Patrick Tracy Balbin6Joseph Carlo Vital7Jenica Ana Rivero8Jenica Ana Rivero9Vivien Wu Xi10College of Nursing, University of Central Florida, Orlando, FL, United StatesResearch Development and Innovation Center, Our Lady of Fatima University, Valenzuela, PhilippinesCollege of Nursing, University of Central Florida, Orlando, FL, United StatesCollege of Nursing, University of Central Florida, Orlando, FL, United StatesResearch Development and Innovation Center, Our Lady of Fatima University, Valenzuela, PhilippinesResearch Development and Innovation Center, Our Lady of Fatima University, Valenzuela, PhilippinesResearch Development and Innovation Center, Our Lady of Fatima University, Valenzuela, PhilippinesResearch Development and Innovation Center, Our Lady of Fatima University, Valenzuela, PhilippinesResearch Development and Innovation Center, Our Lady of Fatima University, Valenzuela, PhilippinesSchool of Nursing, Southern Institute of Technology, Invercargill, New ZealandAlice Lee Centre for Nursing Studies, National University of Singapore, SingaporeIntroductionmHealth technologies offer promising solutions to reduce the incidence of falls among older adults. Unfortunately, publications on their application to Low-Middle Income Countries (LMIC) settings have not been collectively examined.MethodsA triadic research design involving bibliometrics, network analysis, and model-based integrative review was conducted to process articles (n = 22) from 629 publications extracted from major databases using keywords related to mHealth, falls prevention, and LMIC. The web-based application Covidence and stand-alone VosViewer software were used to process data following previously published review standards.ResultsPublished articles in the field feature multidisciplinary authorships from multiple scholars in the domains of health and technology. Network analysis revealed the most prominent stakeholders and keyword clusters related to mHealth technology features and applications in healthcare. The papers predominantly focused on the development of mHealth technology, usability, and affordances and less on the physiologic and sociologic attributes of technology use. mHealth technologies in low and middle-income countries are mostly smartphone-based, static, and include features for home care settings with fall detection accuracy of 86%–99.62%. Mixed reality-based mobile applications have not yet been explored.ConclusionOverall, key findings and information from the articles highlight a gradually advancing research domain. Outcomes reinforce the need to expand the focus of mHealth investigations to include emerging technologies, update current technology models, create a more human-centered technology design, test mHealth technologies in the clinical setting, and encourage continued cooperation between and among researchers from various fields and environments.https://www.frontiersin.org/articles/10.3389/fdgth.2025.1559570/fullmHealthfall preventionfall riskolder adultslow-middle income countriesbibliometrics
spellingShingle Michael Joseph Dino
Michael Joseph Dino
Ladda Thiamwong
Rui Xie
Ma. Kristina Malacas
Rommel Hernandez
Patrick Tracy Balbin
Joseph Carlo Vital
Jenica Ana Rivero
Jenica Ana Rivero
Vivien Wu Xi
Mobile health (mHealth) technologies for fall prevention among older adults in low-middle income countries: bibliometrics, network analysis and integrative review
Frontiers in Digital Health
mHealth
fall prevention
fall risk
older adults
low-middle income countries
bibliometrics
title Mobile health (mHealth) technologies for fall prevention among older adults in low-middle income countries: bibliometrics, network analysis and integrative review
title_full Mobile health (mHealth) technologies for fall prevention among older adults in low-middle income countries: bibliometrics, network analysis and integrative review
title_fullStr Mobile health (mHealth) technologies for fall prevention among older adults in low-middle income countries: bibliometrics, network analysis and integrative review
title_full_unstemmed Mobile health (mHealth) technologies for fall prevention among older adults in low-middle income countries: bibliometrics, network analysis and integrative review
title_short Mobile health (mHealth) technologies for fall prevention among older adults in low-middle income countries: bibliometrics, network analysis and integrative review
title_sort mobile health mhealth technologies for fall prevention among older adults in low middle income countries bibliometrics network analysis and integrative review
topic mHealth
fall prevention
fall risk
older adults
low-middle income countries
bibliometrics
url https://www.frontiersin.org/articles/10.3389/fdgth.2025.1559570/full
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