The Inevitable Fall of Apple’s Fall Detection Feature

Former AOL executive Amit Shafrir explains why he believes Apple’s fall detection feature will have little to no effect on the number of U.S. senior citizens suffering fall-related injuries every year

Amit Shafrir 10:0223.09.18

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Apple recently announced that the latest model of its smartwatch, the Apple Watch 4, will include a fall detection algorithm. Falls are the leading cause of fatal and non-fatal injuries for older Americans. Falls threaten seniors’ safety and independence and generate enormous economic and personal costs.

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It is not just the fall itself that is the problem, but rather, lying on the floor for extended periods of time (hours or days) alone and undetected until help arrives, that may also cause many health and mental problems that are often so severe that the senior never fully recuperate.

According to data from the U.S. Centers for Disease Control and Prevention, one in four Americans aged over 65 falls each year and falls are the leading cause of fatal injury and the most common cause of nonfatal trauma-related hospital admissions among older adults.

Apple Watch 4. Photo: PR

Falls, with or without injury, also carry a heavy quality-of-life impact. A growing number of older adults fear to fall and, as a result, limit their activities and social engagements. This can result in a further physical decline, depression, social isolation, and feelings of helplessness.

The issue of falls has been addressed by many companies for the past four decades—from big companies such as General Electric, Intel, Koninklijke Philips NV, and AT&T, to smaller startups like Lively Inc. (MyLively), and GreatCall Inc.

And yet, after so many years and so many attempts — adoption of fall detection technologies is far from prevalent. Furthermore, a small-scale study published in 2010 found that out of a group of elderly users of a personal emergency response system (PERS) — only 17% of those who fell and lay on the floor for over five minutes actually used it after a fall. This includes incidents when the device is not on the elderly’s person, when the device fails to auto-detect the fall, or when the senior does not press the button.

Enter Apple Watch fall detection. For the purpose of this article, I will assume that the algorithm works almost perfectly and that it detects 100% of falls.

Here is why it will still fail:

Not wearing it at the time of a fall. Most falls that are of consequence happen in the home, very often in the shower or while getting out of bed. At these times the senior will not be wearing the watch that would most likely be charging next to the bed, or taken off before entering the shower.

Charging. The watch requires daily charging. That is a task that is still quite challenging for many seniors.

Calling 911 with False-Positives. Inevitably, there will be instances when the watch detects a fall when there wasn’t one. Assuming that in most cases it will likely not have been programmed to contact relatives— it will automatically contact emergency services (i.e. 911). After a couple of times where the emergency staff show up for no reason — they will start to charge the senior for the unwarranted “visit”, thus adding another reason for the senior to not wear the watch.

Price. In every research conducted over the past few years, price (or perception of price) was quoted as being the main reason why the senior did not have a PERS solution. And we are talking about solutions that are much less expensive than the Apple Watch. For those who are less sensitive to price — there are many solutions available today, and yet they too are not adopted en-masse. An Apple Watch with a starting price of $499, will most likely simply not be affordable for most seniors.