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The Tasmanian electronic falls ascertainment tool-A pilot study.

Saliu A Balogun1,2, James E Sharman1, Michele L Callisaya1,3

  • 1Menzies Institute for Medical Research, University of Tasmania, Hobart, Tasmania, Australia.

Australasian Journal on Ageing
|February 11, 2021
PubMed
Summary

The electronic tool for ascertaining falls (TASeFALL) is a feasible and cost-effective method for older adults. It demonstrates similar fall detection and adherence rates compared to paper questionnaires but at a lower cost.

Keywords:
accidental fallsfallsquestionnairessurveys

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Area of Science:

  • Gerontology and Geriatric Medicine
  • Digital Health and Technology
  • Public Health and Epidemiology

Background:

  • Falls are a significant health concern for individuals over 60, impacting morbidity and mortality.
  • Accurate ascertainment of falls and their circumstances is crucial for developing effective prevention strategies.
  • Traditional paper-based methods for data collection can be resource-intensive and costly.

Purpose of the Study:

  • To develop and evaluate the feasibility of an electronic tool, TASeFALL (Tool for Ascertaining Falls), for collecting data on falls in older adults.
  • To compare the effectiveness and cost-efficiency of the electronic TASeFALL method against traditional paper-based questionnaires.

Main Methods:

  • A 12-month prospective study involving 40 participants aged over 60, randomized into two groups.
  • The intervention group (n=21) used the TASeFALL electronic tool delivered via email and LimeSurvey software.
  • The control group (n=19) received monthly paper-based questionnaires. Feasibility, fall incidence, adherence, and cost were primary outcomes.

Main Results:

  • Both TASeFALL and paper-based methods showed similar fall incidence and participant adherence over 12 months.
  • The electronic TASeFALL approach was 45% more cost-effective than the monthly paper-based questionnaire method.
  • Feasibility of enrolment was successfully demonstrated for the electronic tool.

Conclusions:

  • The TASeFALL electronic tool is a feasible and cost-effective method for falls ascertainment in older adults with email access.
  • This digital approach offers a promising alternative for large-scale research on falls in aging populations.
  • The findings support the wider adoption of electronic data capture in geriatric fall research.