What is the Effectiveness of Home Modifications in Reducing Fall Risk and Incidence in Adults Aged 65+?

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Authors

Maurice, Andrew
Spillane, Christopher
Robertson, Tyler
Mishima, Jada

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2025-05-02

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Occupational therapy , Falls , Home modifications , Older adults

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Abstract

In the United States, one in four older adults (65 years and older) experience a fall, totaling 14 million yearly falls. Falls may result in fatal injuries and detrimental health outcomes. Non-fatal injuries may impact quality of life, opportunities for aging in place and independent living, ADL performance, and long-term health outcomes. This analysis aims to determine the effectiveness of home modifications to reduce and prevent fall incidence and risk in adults 65 years and older. The authors reviewed 16 articles before selecting 7 for further analysis. The articles and levels of evidence were selected and evaluated using the Oxford CEBM Levels of Evidence. Moderate quality evidence supports the effectiveness of home modifications in reducing falls and fall risk in the older adult population. Additional evidence suggests combining home modification and self-management training programs to decrease fall incidence.

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Creighton University

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Copyright is retained by the Author. A non-exclusive distribution right is granted to Creighton University

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