In-Home Evaluation of the Neo Care Artificial Intelligence Sound-Based Fall Detection System

The Neo Care home monitoring system aims to detect falls and other events using artificial intelligence. This study evaluated Neo Care’s accuracy and explored user perceptions through a 12-week in-home trial with 18 households of adults aged 65+ years old at risk of falls (mean age: 75.3 years old; 67% female). Participants logged events that were cross-referenced with Neo Care logs to calculate sensitivity and specificity for fall detection and response. Qualitative interviews gathered in-depth user feedback. During the trial, 28 falls/events were documented, with 12 eligible for analysis as others occurred outside the home or when devices were offline. Neo Care was activated 4939 times—4930 by everyday household sounds and 9 by actual falls. Fall detection sensitivity was 75.00% and specificity 6.80%. For responding to falls, sensitivity was 62.50% and specificity 17.28%. Users felt more secure with Neo Care but identified needs for further calibration to improve accuracy. Advantages included avoiding wearables, while key challenges were misinterpreting noises and occasional technical issues like going offline. Suggested improvements were visual indicators, trigger words, and outdoor capability. The study demonstrated Neo Care’s potential with modifications. Users found it beneficial, but highlighted areas for improvement. Real-world evaluations and user-centered design are crucial for healthcare technology development.