Older persons’ experiences with wearable sensor-based fall risk screening in free-living conditions - a qualitative study

Abstract Background Falls are common among older persons and can have a major impact on their lives. Wearable sensors used in free-living conditions (moving naturally in one’s daily living environment) can be used to predict falls and fall risks. To understand if using the wearable sensors is an acc...

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Main Authors: Madelene Törnblom, Kari Rönkkö, Kerstin Ådahl, Staffan Karlsson, Ulrika Olsson Möller, Anna Nivestam
Format: Article
Language:English
Published: BMC 2025-06-01
Series:BMC Geriatrics
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Online Access:https://doi.org/10.1186/s12877-025-06100-7
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author Madelene Törnblom
Kari Rönkkö
Kerstin Ådahl
Staffan Karlsson
Ulrika Olsson Möller
Anna Nivestam
author_facet Madelene Törnblom
Kari Rönkkö
Kerstin Ådahl
Staffan Karlsson
Ulrika Olsson Möller
Anna Nivestam
author_sort Madelene Törnblom
collection DOAJ
description Abstract Background Falls are common among older persons and can have a major impact on their lives. Wearable sensors used in free-living conditions (moving naturally in one’s daily living environment) can be used to predict falls and fall risks. To understand if using the wearable sensors is an acceptable way for older persons to be screened for fall risks, it is important to have knowledge of older persons’ experiences using wearable sensor-based technologies for fall risk assessment in free-living conditions Therefore, this study aimed to describe older persons’ experiences of using such technology. Methods A qualitative study using individual interviews was conducted with 21 community-dwelling older persons (aged 77–81) in Sweden between April and September 2024. The older persons wore a thigh-mounted wearable sensor for one week to screen for fall risks in free-living conditions. Interviews were conducted 9–89 days (median 15 days) after sensor use and were analysed using conventional qualitative content analysis. Results Older persons’ experiences with wearable sensor-based fall risk screening were described using the overarching theme ‘Being an older person in a fall screening process’ containing five categories: ‘Seeing a need for a fall risk sensor but imagining it as an unattainable ideal’, ‘Utilising a wearable sensor can be uncomplicated and fun’, ‘Having worries and experiencing problems’, ‘Thinking about what the wearable sensor has registered about me’, and ‘Reflecting on how I can benefit from the screening’. Conclusions The older persons had various experiences with the wearable sensor-based screening for fall risks in free-living conditions. The wearable sensor was easy to use, although problems could occur while wearing it, such as losing the sensor or developing skin problems. The older persons wanted to benefit from the screening and improve their health based on the results. Further research could focus on the accuracy of fall predictors used in free-living conditions for assessing fall risks in older persons, since the wearable sensor was perceived as acceptable to use.
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spelling doaj-art-73c8d14458844d14aafc7bdcd141a2772025-08-20T03:22:54ZengBMCBMC Geriatrics1471-23182025-06-0125111110.1186/s12877-025-06100-7Older persons’ experiences with wearable sensor-based fall risk screening in free-living conditions - a qualitative studyMadelene Törnblom0Kari Rönkkö1Kerstin Ådahl2Staffan Karlsson3Ulrika Olsson Möller4Anna Nivestam5Faculty of Health Sciences, Kristianstad UniversityFaculty of Business, Kristianstad UniversityFaculty of Business, Kristianstad UniversityFaculty of Health Sciences, Kristianstad UniversityFaculty of Health Sciences, Kristianstad UniversityFaculty of Health Sciences, Kristianstad UniversityAbstract Background Falls are common among older persons and can have a major impact on their lives. Wearable sensors used in free-living conditions (moving naturally in one’s daily living environment) can be used to predict falls and fall risks. To understand if using the wearable sensors is an acceptable way for older persons to be screened for fall risks, it is important to have knowledge of older persons’ experiences using wearable sensor-based technologies for fall risk assessment in free-living conditions Therefore, this study aimed to describe older persons’ experiences of using such technology. Methods A qualitative study using individual interviews was conducted with 21 community-dwelling older persons (aged 77–81) in Sweden between April and September 2024. The older persons wore a thigh-mounted wearable sensor for one week to screen for fall risks in free-living conditions. Interviews were conducted 9–89 days (median 15 days) after sensor use and were analysed using conventional qualitative content analysis. Results Older persons’ experiences with wearable sensor-based fall risk screening were described using the overarching theme ‘Being an older person in a fall screening process’ containing five categories: ‘Seeing a need for a fall risk sensor but imagining it as an unattainable ideal’, ‘Utilising a wearable sensor can be uncomplicated and fun’, ‘Having worries and experiencing problems’, ‘Thinking about what the wearable sensor has registered about me’, and ‘Reflecting on how I can benefit from the screening’. Conclusions The older persons had various experiences with the wearable sensor-based screening for fall risks in free-living conditions. The wearable sensor was easy to use, although problems could occur while wearing it, such as losing the sensor or developing skin problems. The older persons wanted to benefit from the screening and improve their health based on the results. Further research could focus on the accuracy of fall predictors used in free-living conditions for assessing fall risks in older persons, since the wearable sensor was perceived as acceptable to use.https://doi.org/10.1186/s12877-025-06100-7AgedBalanceCommunity-dwellingFall risk assessmentFallsInterviews
spellingShingle Madelene Törnblom
Kari Rönkkö
Kerstin Ådahl
Staffan Karlsson
Ulrika Olsson Möller
Anna Nivestam
Older persons’ experiences with wearable sensor-based fall risk screening in free-living conditions - a qualitative study
BMC Geriatrics
Aged
Balance
Community-dwelling
Fall risk assessment
Falls
Interviews
title Older persons’ experiences with wearable sensor-based fall risk screening in free-living conditions - a qualitative study
title_full Older persons’ experiences with wearable sensor-based fall risk screening in free-living conditions - a qualitative study
title_fullStr Older persons’ experiences with wearable sensor-based fall risk screening in free-living conditions - a qualitative study
title_full_unstemmed Older persons’ experiences with wearable sensor-based fall risk screening in free-living conditions - a qualitative study
title_short Older persons’ experiences with wearable sensor-based fall risk screening in free-living conditions - a qualitative study
title_sort older persons experiences with wearable sensor based fall risk screening in free living conditions a qualitative study
topic Aged
Balance
Community-dwelling
Fall risk assessment
Falls
Interviews
url https://doi.org/10.1186/s12877-025-06100-7
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