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Improving Prediction of Falls and Cognitive Impairment in Parkinson Disease: Protocol for a Decentralized Observational Study

Improving Prediction of Falls and Cognitive Impairment in Parkinson Disease: Protocol for a Decentralized Observational Study

The early identification of individuals at risk for falls and cognitive decline is critical to enable appropriate intervention, which may take the form of home modifications, medication changes, or other adjustments, and to improve long-term outcomes. While many PD-specific and nonspecific risk factors for falls have been identified, the single best predictor for falls remains a prior history of falls, and new, more accurate models for fall prediction are needed [9-11].

Audrey Hoyt, Casey Dorney, Peggy Auinger, Kathryn Murphy, Michelle Porto, Katrina Schmier, Renee Wilson, James C Beck, Stephanie Benvengo, Kevin Biglan, E Ray Dorsey, Alberto J Espay, Eric A Macklin, Mariana HG Monje, Dan Novak, David Oakes, Larsson Omberg, Michael A Schwarzschild, Solveig K Sieberts, Tanya Simuni, Caroline M Tanner, Daniel Weintraub, Ruth B Schneider

JMIR Res Protoc 2025;14:e71955


Balance Improvement and Fall Risk Reduction in Stroke Survivors After Treatment With a Wearable Home-Use Gait Device: Single-Arm Longitudinal Study With 1-Year Follow-Up

Balance Improvement and Fall Risk Reduction in Stroke Survivors After Treatment With a Wearable Home-Use Gait Device: Single-Arm Longitudinal Study With 1-Year Follow-Up

Falls are a common and serious problem after stroke. In the first year following a stroke, approximately 70% of individuals fall [1-3], and the risk of falls remains substantially elevated throughout the stroke survivor’s lifespan [2]. The physical consequences of falls can be devastating, often leading to hospitalizations, serious injuries, and even death [4].

Brianne Darcy, Lauren Rashford, David Huizenga, Kyle B Reed, Stacy J M Bamberg

JMIR Form Res 2025;9:e67297


The Impact of Vision Impairment on Self-Reported Falls Among Older US Adults: Cross-Sectional and Longitudinal Study

The Impact of Vision Impairment on Self-Reported Falls Among Older US Adults: Cross-Sectional and Longitudinal Study

Approximately 1 in 10 falls in older adults results in serious injury, such as hip fracture or traumatic brain injury, and the annual cost of falls in the United States is more than US $50 billion [4-6]. Globally, falls are the 13th leading cause of death, and the prevalence of falls is increasing as the population gets older [7].

Kasem Seresirikachorn, Rachasak Somyanonthanakul, Matthew Johnson, Panisa Singhanetr, Jiraporn Gatedee, David Friedman, Nazlee Zebardast

JMIR Aging 2025;8:e68771


Smart Wearable Technologies for Balance Rehabilitation in Older Adults at Risk of Falls: Scoping Review and Comparative Analysis

Smart Wearable Technologies for Balance Rehabilitation in Older Adults at Risk of Falls: Scoping Review and Comparative Analysis

The impact of falls and balance disorders extends beyond individual health, affecting families, communities, and health care systems. Individuals who experience falls often face prolonged recovery periods, reduced independence, and heightened fear of falling again, which can lead to social isolation and decreased physical activity [1,2,5,6].

Brooke Nairn, Vassilios Tsakanikas, Becky Gordon, Efterpi Karapintzou, Diego Kaski, Dimitrios I Fotiadis, Doris-Eva Bamiou

JMIR Rehabil Assist Technol 2025;12:e69589


Testing an Innovative Gait Training Program in Immersive Virtual Reality for Healthy Older Adults: Protocol for a Randomized Controlled Trial

Testing an Innovative Gait Training Program in Immersive Virtual Reality for Healthy Older Adults: Protocol for a Randomized Controlled Trial

Falls are a significant health issue because they lead to severe injuries, hospitalizations, and death [1,2]. They also lead to serious physical and psychological restrictions after the fall, with a decline in social activities and a reduced quality of life [3]. Repeated falls often occur after a first fall [4]. Given that fall history is the strongest predictor of future falls [5], gait training programs must also be offered to healthy older adults with no fall history.

Nicolas Mascret, Lisa Delbes, Cédric Goulon, Gilles Montagne

JMIR Res Protoc 2025;14:e57866


Development of a Predictive Dashboard With Prescriptive Decision Support for Falls Prevention in Residential Aged Care: User-Centered Design Approach

Development of a Predictive Dashboard With Prescriptive Decision Support for Falls Prevention in Residential Aged Care: User-Centered Design Approach

Domain knowledge was obtained from the aged care provider through discussions and analysis of data related to falls incidents and the Peninsula Health Falls Risk Assessment Tool (PH-FRAT) risk assessments (ie, to determine the current falls rate across facilities, the characteristics of falls incidents and contributing factors listed in falls incidents).

S Sandun Malpriya Silva, Nasir Wabe, Amy D Nguyen, Karla Seaman, Guogui Huang, Laura Dodds, Isabelle Meulenbroeks, Crisostomo Ibarra Mercado, Johanna I Westbrook

JMIR Aging 2025;8:e63609


Imputation and Missing Indicators for Handling Missing Longitudinal Data: Data Simulation Analysis Based on Electronic Health Record Data

Imputation and Missing Indicators for Handling Missing Longitudinal Data: Data Simulation Analysis Based on Electronic Health Record Data

We simulated the data to represent EHR data that may be used to develop models for falls in older adults. Predictors of falls were simulated based on previous research [37] and represent a combination of fixed, patient-level variables and visit-level variables that are collected repeatedly. The fixed variables included sex and comorbidities (diabetes, dementia, hypertension, and urinary incontinence), all of which may be related to falls in older adults.

Molly Ehrig, Garrett S Bullock, Xiaoyan Iris Leng, Nicholas M Pajewski, Jaime Lynn Speiser

JMIR Med Inform 2025;13:e64354


Predictive Factors and the Predictive Scoring System for Falls in Acute Care Inpatients: Retrospective Cohort Study

Predictive Factors and the Predictive Scoring System for Falls in Acute Care Inpatients: Retrospective Cohort Study

Educating patients about the risks of falls and strategies to mitigate these risks is crucial in reducing the incidence of falls in hospitalized patients. To effectively conduct patient education, it is imperative to construct a fall prediction model for the accurate identification of these high-risk patients.

Chihiro Saito, Eiji Nakatani, Hatoko Sasaki, Naoko E Katsuki, Masaki Tago, Kiyoshi Harada

JMIR Hum Factors 2025;12:e58073


ChatGPT’s Attitude, Knowledge, and Clinical Application in Geriatrics Practice and Education: Exploratory Observational Study

ChatGPT’s Attitude, Knowledge, and Clinical Application in Geriatrics Practice and Education: Exploratory Observational Study

This study was designed to demonstrate whether Chat GPT has solid geriatrics knowledge and can apply it to 2 common complex geriatric syndrome vignettes (polypharmacy and falls) by responding to comprehensive questions. We designed these 3 distinct approaches to provide evidence of whether Chat GPT can be trusted to be potentially applied to geriatrics education and clinical practice as an assistive tool.

Huai Yong Cheng

JMIR Form Res 2025;9:e63494


Evaluating the Prognostic and Clinical Validity of the Fall Risk Score Derived From an AI-Based mHealth App for Fall Prevention: Retrospective Real-World Data Analysis

Evaluating the Prognostic and Clinical Validity of the Fall Risk Score Derived From an AI-Based mHealth App for Fall Prevention: Retrospective Real-World Data Analysis

Falls can also have a significant impact on quality of life. Fear of falling can lead to social isolation, reduced physical activity, and loss of independence [13]. These psychosocial consequences can further exacerbate the risk of falls by creating a vicious cycle. Identifying individuals at elevated risk of falling constitutes a critical aspect of preventing falls.

Sónia A Alves, Steffen Temme, Seyedamirhosein Motamedi, Marie Kura, Sebastian Weber, Johannes Zeichen, Wolfgang Pommer, André Baumgart

JMIR Aging 2024;7:e55681