Review
Cell Biology
Eleonora Gambaro, Carla Gramaglia, Danila Azzolina, Daiana Campani, Alberto Dal Molin, Patrizia Zeppegno
Summary: The study found that depressive symptoms in older people may lead to an increase in subsequent falls, but the meta-analysis results did not show a significant association between depression and falls. There seems to be a hypothesis of an interdependent association between FOF and the risk of falls. Therapeutic interventions aimed at reducing depressive symptoms and FOF could help decrease the rate of falls.
AGEING RESEARCH REVIEWS
(2022)
Article
Geriatrics & Gerontology
Supa Pengpid, Karl Peltzer
Summary: This study aimed to assess the tridirectional associations between probable depression (PD), fear of falling (FOF), and falls in a longitudinal study in Thailand. The results showed positive associations between PD, FOF, and falls, suggesting the importance of screening and managing older adults for PD, FOF, and fall history simultaneously.
ARCHIVES OF GERONTOLOGY AND GERIATRICS
(2023)
Editorial Material
Geriatrics & Gerontology
Toby Jack Ellmers, Ellen Freiberger, Klaus Hauer, David B. Hogan, Lisa McGarrigle, Mae Ling Lim, Chris Todd, Finbarr Martin, Kim Delbaere
Summary: Concerns about falling (CaF) are common in older adults and can be both adaptive and maladaptive with respect to falls risk. High CaF can lead to behaviors that increase the risk of falling and cause activity restriction (maladaptive CaF), but it can also encourage individuals to make modifications for safety (adaptive CaF). High CaF, regardless of its adaptivity, should be seen as a sign that something is not right and an opportunity for clinical engagement.
Article
Geriatrics & Gerontology
Jacqueline Giovanna De Roza, David Wei Liang Ng, Blessy Koottappal Mathew, Teena Jose, Ling Jia Goh, Chunyan Wang, Cindy Seok Chin Soh, Kar Cheng Goh
Summary: Fear of falling has significant implications for activity restriction, functional decline, and reduced quality of life in older adults. This study found that Malay ethnicity, marital status, use of walking aids, and frailty were significant factors associated with high levels of fear of falling.
Article
Nursing
Leila Kouchaki, Ali Darvishpoor Kakhki, Zahra Safavi Bayat, Hafiz T. A. Khan
Summary: This study examined the relationship between fear of falling and self-care behaviors in older people with hypertension. A cross-sectional study was conducted on 301 older people with hypertension in Tehran, Iran. The results showed that gender, educational level, and history of falling were significantly associated with fear of falling, while marital status, educational level, and income source were significantly associated with self-care behaviors.
Article
Geriatrics & Gerontology
Toby J. Ellmers, Mark R. Wilson, Meriel Norris, William R. Young
Summary: This study provides insight into the development and consequences of worries about falling in older people. It highlights the importance of considering an individual's perception of control in relation to worries about falling. Depending on whether the individual perceives control over the subject of their worries, worries can lead to either protective adaptations to behavior or unhelpful changes in behavior.
Article
Geriatrics & Gerontology
Jaquelini Betta Canever, Bruno de Souza Moreira, Ana Lucia Danielewicz, Nubia Carelli Pereira de Avelar
Summary: The presence of multimorbidity patterns is associated with a higher likelihood of reporting fear of falling in older adults. Public health programs aimed at preventing these multimorbidity patterns are essential to reduce adverse health outcomes.
Article
Geriatrics & Gerontology
Xuerong Shao, Zheng Wang, Lijiang Luan, Yilan Sheng, Ruoni Yu, Adrian Pranata, Roger Adams, Anren Zhang, Jia Han
Summary: The study aimed to develop a new device (AIDAW) to measure ankle inversion proprioceptive discrimination during walking in older people and investigate its relationship with fear of falling. The results showed that AIDAW is a reliable and valid device, older adults have impaired ankle inversion proprioceptive discrimination sensitivity, which is strongly associated with fear of falling.
FRONTIERS IN AGING NEUROSCIENCE
(2022)
Article
Geriatrics & Gerontology
Natalia Adamczewska, Samuel R. Nyman
Summary: The study provides a new theoretical understanding of the psychological response to falls in older adults, showing that falls efficacy is influenced by fear, dysphoria, and fear of falls. Dysphoria plays a central role in the constructs of falls efficacy and fear of falls, suggesting that fear of falls may not always be negative, but adaptive and protective.
AGING & MENTAL HEALTH
(2022)
Article
Geriatrics & Gerontology
Francisco M. Martinez-Arnau, Lucia Prieto-Contreras, Pilar Perez-Ros
Summary: This study quantified the factors influencing fear of falling in older adults, finding that women, individuals living alone, those with a history of falls and depressive symptoms were more likely to experience this fear, while higher levels of independence in daily activities, good gait and balance were associated with lower levels of fear of falling. Screening for depressive symptoms and fear of falling in frail older adults could be beneficial in supporting preventive strategies.
Article
Geriatrics & Gerontology
Ellen Freiberger, Paolo Fabbietti, Andrea Corsonello, Fabrizia Lattanzio, Rada Artzi-Medvedik, Robert Kob, Itshak Melzer, Sabine Britting
Summary: This study aims to explore the characteristics of fear of falling (FoF) among older adults, identify clinical predictors for persistent or transient FoF, and compare the differences between persistent and transient FoF. The results indicate that risk factors such as female gender, osteoporosis, depression, living alone, impaired physical performance, BMI, and comorbidity are significantly associated with persistent or transient FoF among older fallers.
Article
Public, Environmental & Occupational Health
Kehan Liu, Wenting Peng, Song Ge, Chunxiao Li, Yu Zheng, Xiaoting Huang, Minhui Liu
Summary: This study found that falls and fear of falling are independent risk factors for functional limitations in older adults. Concurrent falls and fear of falling increase the risk of functional limitations. The moderating role of living alone or not in these associations is still unclear.
FRONTIERS IN PUBLIC HEALTH
(2023)
Article
Health Care Sciences & Services
Lucia Prieto-Contreras, Francisco M. Martinez-Arnau, David Sancho-Cantus, Laura Cubero-Plazas, Pilar Perez-Ros
Summary: This study aims to assess the prevalence of falls in community-dwelling frail older people aged 70 years and older, and identifies screening strategies based on comprehensive geriatric assessments to detect increased risk of falling and recurrent falling. The study found that among the 229 participants, 121 (54.9%) had fallen in the previous 12 months, and 20 of these (16.5%) were recurrent fallers (>= 2 falls). A score of 20 points or more on the Falls Efficacy Scale International is predictive of falling, with a sensitivity of 51.7% and a specificity of 73.9%. Polypharmacy, Short Physical Performance Battery score of 8 points or less, and Falls Efficacy Scale International score of 20 points or more can be used to screen for recurrent falling.
Article
Public, Environmental & Occupational Health
Liuqing You, Lihua Guo, Na Li, Jieming Zhong, Yuliang Er, Ming Zhao
Summary: This study investigates the association between multimorbidity and falls and fear of falling (FOF) in older adults in eastern China. The results show that multimorbidity is associated with an increased risk of falling in older adults and those with multimorbidity are more likely to report FOF compared to those without chronic diseases.
FRONTIERS IN PUBLIC HEALTH
(2023)
Article
Ergonomics
Carolyn G. DiGuiseppi, Hailey A. Hyde, Marian E. Betz, Kenneth A. Scott, David W. Eby, Linda L. Hill, Vanya C. Jones, Thelma J. Mielenz, Lisa J. Molnar, David Strogatz, Guohua Li, AAA LongROAD Res Team
Summary: Falls and fear of falling in older adults may affect driving habits, but these effects are mainly mediated by differences in health and medications. Falls and fear of falling may serve more as markers for increased crash risk and reduced community mobility due to age-related changes.
JOURNAL OF SAFETY RESEARCH
(2022)
Article
Rehabilitation
Hardeep Singh, Kristin Musselman, Tracey J. F. Colella, Katherine S. McGilton, Andrea Iaboni, Mark Bayley, Jose Zariffa
Summary: This study explored how data pertaining to a patient's health, function, and activity in their home/community are collected and used in outpatient rehabilitation, as well as the challenges clinicians face in managing outpatients based on this information. The results identified four main themes: nature of data collection, value of home/community data, perceived drawbacks of current methods, and the importance of improving data collection to understand patient trajectory. These findings can inform the development of solutions to bridge the gap between clinic and community in outpatient rehabilitation.
DISABILITY AND REHABILITATION
(2022)
Article
Health Policy & Services
Shirin Vellani, Martine Puts, Andrea Iaboni, Katherine S. McGilton
Summary: This study aimed to evaluate the feasibility and efficacy of the Voice Your Values (VYV) intervention in identifying the values of persons living with dementia (PLwD) and their trusted individuals. The results showed that the intervention was feasible, but further research is needed to evaluate its efficacy.
PALLIATIVE & SUPPORTIVE CARE
(2022)
Article
Geriatrics & Gerontology
Anita Iacono, Michael A. Campitelli, Susan E. Bronskill, David B. Hogan, Andrea Iaboni, Laura C. Maclagan, Tara Gomes, Mina Tadrous, Charity Evans, Andrea Gruneir, Qi Guan, Thomas Hadjistavropoulos, Cecilia Cotton, Sudeep S. Gill, Dallas P. Seitz, Joanne Ho, Colleen J. Maxwell
Summary: This study investigated the prevalence and correlates of opioid use among older non-palliative long-term care residents, and explored variations in opioid use and correlates based on pain frequency and intensity.
Article
Multidisciplinary Sciences
Sina Mehdizadeh, Hoda Nabavi, Andrea Sabo, Twinkle Arora, Andrea Iaboni, Babak Taati
Summary: This study introduces a database of older adults' gait data, analyzes it using various human pose tracking models, and concludes that temporal gait variables have high correlations with clinical scores.
Article
Gerontology
Lynn Haslam-Larmer, Alisa Grigorovich, Hannah Quirt, Katia Engel, Steven Stewart, Kevin Rodrigues, Pia Kontos, Arlene Astell, Josephine McMurray, AnneMarie Levy, Kathleen S. Bingham, Alastair J. Flint, Colleen Maxwell, Andrea Iaboni
Summary: Healthcare providers in care homes experienced increased moral distress during the COVID-19 pandemic, leading to negative impacts on their well-being. Factors contributing to the distress included lack of activities and family visits, insufficient staffing, high turnover, and policies perceived to harm residents with dementia. The findings suggest the need for support and interventions to address moral distress in care home settings.
DEMENTIA-INTERNATIONAL JOURNAL OF SOCIAL RESEARCH AND PRACTICE
(2023)
Article
Engineering, Biomedical
Pratik K. Mishra, Andrea Iaboni, Bing Ye, Kristine Newman, Alex Mihailidis, Shehroz S. Khan
Summary: In this paper, two novel privacy-protecting video-based anomaly detection approaches are presented to detect behaviours of risks in people with dementia. Body pose information and semantic segmentation masks are used to replace multiple humans in the scene, differencing from appearance-based features, in order to protect privacy and reduce pixel-based noise. The results show the effectiveness of the approaches in detecting behaviours of risk and provide potential solutions to improve the safety and quality of life for individuals with dementia.
BIOMEDICAL ENGINEERING ONLINE
(2023)
Article
Health Care Sciences & Services
Daniel A. Harris, Laura C. Maclagan, Priscila Pequeno, Andrea Iaboni, Peter C. Austin, Laura C. Rosella, Jun Guan, Colleen J. Maxwell, Susan E. Bronskill
Summary: The use of inappropriate antipsychotic medications in nursing homes has decreased over the past decade, but concerns have been raised about the increase in documentation of relevant clinical indications and the use of other psychotropic medications. This study examined the variations in these trends across and within nursing homes, and found that greater reductions in inappropriate antipsychotic use were associated with increases in the indications used to define appropriate antipsychotic use.
Article
Computer Science, Information Systems
Laura C. C. Maclagan, Mohamed Abdalla, Daniel A. A. Harris, Therese A. A. Stukel, Branson Chen, Elisa Candido, Richard H. H. Swartz, Andrea Iaboni, R. Liisa Jaakkimainen, Susan E. E. Bronskill
Summary: Dementia and mild cognitive impairment are often overlooked in primary care practice and research. This study used natural language processing (NLP) to identify dementia-related features in electronic medical records (EMRs) and compared machine learning models for dementia detection. The findings suggest the need for further research to identify additional EMR components for early detection of dementia.
JOURNAL OF HEALTHCARE INFORMATICS RESEARCH
(2023)
Article
Geriatrics & Gerontology
David B. B. Hogan, Michael A. A. Campitelli, Susan E. E. Bronskill, Andrea Iaboni, Heather E. E. Barry, Carmel M. M. Hughes, Sudeep S. S. Gill, Colleen J. J. Maxwell
Summary: The concurrent use of opioids and benzodiazepines or gabapentinoids in Canadian nursing home residents is common, but the pattern of co-use has changed over time. Covariates of concurrent use in 2019/20 suggest distinct but overlapping resident populations requiring consideration of the relative risks versus benefits of this co-use and monitoring for potential harm.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
Review
Health Care Sciences & Services
Yashoda Sharma, Lovisa Cheung, Kara K. Patterson, Andrea Iaboni
Summary: This scoping review aims to facilitate the clinical adoption of quantitative gait technologies by synthesizing literature on their clinical efficacy and clinician perspectives. The review protocol follows established methodology, including comprehensive search strategies and content analysis. The findings will be presented at conferences and published in a peer-reviewed journal.
JMIR RESEARCH PROTOCOLS
(2023)
Article
Computer Science, Information Systems
Vida Adeli, Navid Korhani, Andrea Sabo, Sina Mehdizadeh, Avril Mansfield, Alastair Flint, Andrea Iaboni, Babak Taati
Summary: Machine learning models were used to accurately predict the risk of falls in older adults with dementia in long-term care settings over a four-week period, based on clinical assessments, ambient gait analysis, and daily medication intake. The best model achieved a sensitivity and specificity of 72.8 and 73.2, respectively, with an area under the receiver operating characteristic curve (AUROC) of 76.2.
IEEE JOURNAL OF BIOMEDICAL AND HEALTH INFORMATICS
(2023)
Article
Health Care Sciences & Services
Susan E. Bronskill, Laura C. Maclagan, Colleen J. Maxwell, Andrea Iaboni, R. Liisa Jaakkimainen, Connie Marras, Xuesong Wang, Jun Guan, Daniel A. Harris, Abby Emdin, Aaron Jones, Nadia Sourial, Claire Godard-Sebillotte, Isabelle Vedel, Peter C. Austin, Richard H. Swartz
Summary: This study examines the impact of the COVID-19 pandemic on health service use and mortality among community-dwelling individuals with dementia and Parkinson disease. The findings show that there were significant declines in hospital use and nursing home admissions during the first wave of the pandemic, while virtual physician visits increased. After the first wave, most services returned to historical levels, except for virtual physician visits. The study highlights the need for continued support for virtual care to ensure optimal health outcomes.
Review
Public, Environmental & Occupational Health
Sara Clemens, Katelynn Aelick, Jessica Babineau, Monica Bretzlaff, Cathleen Edwards, Josie-Lee Gibson, Debbie Hewitt Colborne, Andrea Iaboni, Dee Lender, Denise Schon, Ellen Snowball, Katherine S. McGilton, Jennifer Bethell
Summary: This scoping review examined the relationship between nursing home and community characteristics and resident social connection. It identified several predictors of social connection, but found no consensus on the best measurement approach. Further research is needed to understand the impact of these factors on residents' social connection.
HEALTH SCIENCE REPORTS
(2022)
Article
Engineering, Biomedical
A. N. D. R. E. A. SABO, C. A. R. O. L. I. N. A. GORODETSKY, A. L. F. O. N. S. O. FASANO, A. N. D. R. E. A. IABONI, B. A. B. A. K. TAATI
Summary: This study aimed to calculate gait features using 2D and 3D pose-estimation libraries and compare them with features extracted from a Zeno instrumented walkway. The results showed moderate to strong positive correlations between gait features calculated from 2D pose-estimation libraries and those from Zeno. However, the automated heel-strike annotation method struggled to identify short steps. This indicates that videos processed with 2D pose-estimation libraries can be effectively used for longitudinal gait monitoring in individuals with Parkinson's disease.
IEEE JOURNAL OF TRANSLATIONAL ENGINEERING IN HEALTH AND MEDICINE
(2022)
Article
Clinical Neurology
Andrea Iaboni, Sofija Spasojevic, Kristine Newman, Lori Schindel Martin, Angel Wang, Bing Ye, Alex Mihailidis, Shehroz S. Khan
Summary: This study aimed to develop personalized machine learning models using wearable multimodal sensors to detect individual patterns of BPSD. The results showed that behavioral events were rare, and personalized models were able to accurately classify behavioral symptoms.
ALZHEIMER'S & DEMENTIA: DIAGNOSIS, ASSESSMENT & DISEASE MONITORING
(2022)
