The Development and Evaluation of the Application for Assessing the Fall Risk Factors and the Suggestion to Prevent Falls in Older Adults

Abstract

Falls are a major health concern for older adults, often leading to injuries and reduced independence. This study develops and evaluates a mobile application integrating two validated fall-risk assessment tools—the Stay Independent Brochure (SIB) and the 44-question Thai Home Falls Hazards Assessment Tool (Thai-HFHAT). The app utilizes a cloud-based architecture with a relational database for real-time analytics and user tracking. In Phase 1, 30 healthcare professionals assessed the app’s technical performance and user experience using a modified System Usability Scale (SUS), achieving a high usability score of 85.2. In Phase 2, 67 older adults used the app for self-assessment, with test–retest reliability evaluated over one week. The app showed strong reliability, with intraclass correlation coefficients (ICCs) of 0.80 for the SIB (Thai-version) and 0.77 for the Thai-HFHAT. Cloud-hosted analytics revealed significant correlations between fall occurrences and both SIB (r = 0.657, p < 0.001) and Thai-HFHAT scores (r = 0.709, p < 0.001), demonstrating the app’s predictive validity. The findings confirm the app’s effectiveness as a self-assessment tool for fall-risk screening among older adults, combining clinical validity with high usability. The integration of culturally adapted tools into a cloud-supported platform demonstrates the value of informatics in geriatric care. Future studies should focus on expanding the app’s reach, incorporating AI-driven risk prediction, enhancing interoperability with electronic health records (EHRs), and improving long-term user engagement to maximize its impact in community settings.