Document Type
Poster
Publication Date
11-2-2025
Keywords
Injury prevention; Fall prevention; Older adults; mHealth application
Abstract
Background: Falls are the leading cause of injury-related death in adults over age 65 (CDC, 2024). Traditional exercise-based interventions may have an impact on fall prevention (US Preventive Services Task Force et al., 2024). Providing these programs is resource-intensive, however mHealth applications may expand comprehensive fall prevention. We seek to know if there are differences in the interactions with mHealth in adults ages 65-89 in the Medical Faculty Associates (MFA) population and if these differences are related to social determinants of health (SDOH).
Methods: IRB waiver was obtained for human subjects research. We accessed data from years 2019-2024 in Epic for all MFA patients ages 65-89 with a diagnosis code related to “fall.” Using Clarity, we looked at MyChart duration of access (DA) and SDOH. We then compared SODH in patients who accessed MyChart and those who did not.
Results: 88% of our sample population accessed MyChart (table 1). 12.8% of patients from zip codes in underserved areas (Wards 7&8) did not access MyChart. For those who did access MyChart, the mean DA was 3376 sec (56 min). For patients in all other zip codes represented in the sample, 11.5% of the population had no MyChart access. For those who did access their chart, the mean DA was 5144 sec (86 min). There was no significant difference in the mean DA between these populations (figure 1)
Conclusions: Given that overall MyChart utilization was high, we suspect this population is ready for telehealth interventions, specifically for fall prevention with a focus on equity in implementation.
Poster Handout w/ data table and full abstract text
Comments
Poster presented at the APHA Annual Meeting and Expo.