{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T03:33:04Z","timestamp":1782703984343,"version":"3.54.5"},"reference-count":32,"publisher":"Georg Thieme Verlag KG","issue":"03","funder":[{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"crossref","award":["5U18HS027557-02"],"award-info":[{"award-number":["5U18HS027557-02"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Appl Clin Inform"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background and Significance\u2003Falls in community-dwelling older adults are common, and there is a lack of clinical decision support (CDS) to provide health care providers with effective, individualized fall prevention recommendations.<\/jats:p><jats:p>\n          Objectives\u2003The goal of this research is to identify end-user (primary care staff and patients) needs through a human-centered design process for a tool that will generate CDS to protect older adults from falls and injuries.<\/jats:p><jats:p>\n          Methods\u2003Primary care staff (primary care providers, care coordinator nurses, licensed practical nurses, and medical assistants) and community-dwelling patients aged 60 years or older associated with Brigham &amp; Women's Hospital-affiliated primary care clinics and the University of Florida Health Archer Family Health Care primary care clinic were eligible to participate in this study. Through semi-structured and exploratory interviews with participants, our team identified end-user needs through content analysis.<\/jats:p><jats:p>\n          Results\u2003User needs for primary care staff (n\u2009=\u200924) and patients (n\u2009=\u200918) were categorized under the following themes: workload burden; systematic communication; in-person assessment of patient condition; personal support networks; motivational tools; patient understanding of fall risk; individualized resources; and evidence-based safe exercises and expert guidance. While some of these themes are specific to either primary care staff or patients, several address needs expressed by both groups of end-users.<\/jats:p><jats:p>\n          Conclusion\u2003Our findings suggest that there are many care gaps in fall prevention management in primary care and that personalized, actionable, and evidence-based CDS has the potential to address some of these gaps.<\/jats:p>","DOI":"10.1055\/s-0042-1750360","type":"journal-article","created":{"date-parts":[[2022,6,29]],"date-time":"2022-06-29T22:56:59Z","timestamp":1656543419000},"page":"647-655","source":"Crossref","is-referenced-by-count":20,"title":["Clinical Decision Support for Fall Prevention: Defining End-User Needs"],"prefix":"10.1055","volume":"13","author":[{"given":"Hannah","family":"Rice","sequence":"additional","affiliation":[{"name":"Department of General Internal Medicine and Primary Care, Brigham & Women's Hospital, Boston, Massachusetts, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela M.","family":"Garabedian","sequence":"additional","affiliation":[{"name":"Department of Information Systems, Mass General Brigham, Boston, Massachusetts, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristen","family":"Shear","sequence":"additional","affiliation":[{"name":"Department of Family, Community, and Health Systems Science, University of Florida College of Nursing, Gainesville, Florida, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ragnhildur I.","family":"Bjarnadottir","sequence":"additional","affiliation":[{"name":"Department of Family, Community, and Health Systems Science, University of Florida College of Nursing, Gainesville, Florida, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zoe","family":"Burns","sequence":"additional","affiliation":[{"name":"Department of General Internal Medicine and Primary Care, Brigham & Women's Hospital, Boston, Massachusetts, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy K.","family":"Latham","sequence":"additional","affiliation":[{"name":"Research Program in Men's Health: Aging and Metabolism, Brigham & Women's Hospital, Boston, Massachusetts, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denise","family":"Schentrup","sequence":"additional","affiliation":[{"name":"Department of Family, Community, and Health Systems Science, University of Florida College of Nursing, Gainesville, Florida, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert J.","family":"Lucero","sequence":"additional","affiliation":[{"name":"Department of Family, Community, and Health Systems Science, University of Florida College of Nursing, Gainesville, Florida, United States"},{"name":"School of Nursing, University of California, Los Angeles, Los Angeles, California, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia C.","family":"Dykes","sequence":"additional","affiliation":[{"name":"Department of General Internal Medicine and Primary Care, Brigham & Women's Hospital, Boston, Massachusetts, United States"},{"name":"Harvard Medical School, Boston, Massachusetts, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,6,29]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1111\/j.1532-5415.2010.03234.x","article-title":"Summary of the Updated American Geriatrics Society\/British Geriatrics Society clinical practice guideline for prevention of falls in older persons","volume":"59","author":"R AM Kenny","year":"2011","journal-title":"J Am Geriatr Soc"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/j.apergo.2016.03.011","article-title":"Iterative user centered design 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