Environmental Design Strategies to Reduce Fall Risks among Older Adults: An Integrative Study Based on Environmental Behavior Theory

Authors

Mo Yunjie

City University of Malaysia (Malaysia)

Zhu Zhenya

City University of Malaysia (Malaysia)

Fauzi Naeim Mohamed

City University of Malaysia (Malaysia)

Liu Dongyu

City University of Malaysia (Malaysia)

Article Information

DOI: 10.47772/IJRISS.2025.91100458

Subject Category: Arts and Humanities

Volume/Issue: 9/11 | Page No: 5834-5840

Publication Timeline

Submitted: 2025-12-04

Accepted: 2025-12-10

Published: 2025-12-18

Abstract

One of the most serious health issues that older individuals confront is falls, and the majority of these occurrences take place in their homes, where they spend most of their time. Therefore, developing aging-in-place programs requires an understanding of how certain environmental factors influence fall risk. This study, which is based on Environmental Behavior Theory, looks at how behavioral reactions, floor slipperiness, lighting adequacy, and spatial circulation interact to affect older persons' gait stability. Data were gathered from thirty older-adult families using a mixed-methods strategy that includes quantitative modeling, semi-structured interviews, and on-site environmental measurements. The results demonstrate that the most serious environmental risks are low floor friction and inadequate lighting, while limited circulation makes instability worse.A significant intermediary process that connects environmental demands to actual fall likelihood is behavioral adjustment, such as wall-following, stride shortening, and avoiding particular pathways. These associations are regularly supported by statistical analyses, such as correlation matrices, scatter plots, and multiple regression models. The way that environmental limitations influence behavioral adaptive patterns that unintentionally increase risk is further demonstrated by a route model. These results highlight the significance of specific house improvements and improve theoretical understandings of person-environment fit in later age. It has been demonstrated that realistic and affordable methods for lowering fall risk and promoting safer aging in home settings include raising floor traction, making sure circulation paths are obvious, and improving lighting levels

Keywords

fall prevention, environmental design, slipperiness,elderly safety

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References

1. Chang, W. R., Leclercq, S., Lockhart, T. E., & Haslam, R. (2004). State of science: Occupational slips, trips and falls. Ergonomics, 47(4), 387–398. https://doi.org/10.1080/00140130310001656716 [Google Scholar] [Crossref]

2. Edwards, J. T., Lord, S. R., & St George, R. J. (2011). Visual cues, lighting and falls risk in older people. Journal of the American Geriatrics Society, 59(8), 1541–1544. [Google Scholar] [Crossref]

3. Figueiro, M. G., Gras, L. Z., & Rea, M. S. (2011). Lighting for the aging population: Developing design recommendations. Lighting Research & Technology, 43(2), 217–229. https://doi.org/10.1177/1477153510385913 [Google Scholar] [Crossref]

4. Gitlin, L. N. (2003). Conducting research on home environments: Lessons learned and new directions. The Gerontologist, 43(5), 628–637. https://doi.org/10.1093/geront/43.5.628 [Google Scholar] [Crossref]

5. Iwarsson, S., & Wilson, J. M. (2006). Age-associated effects of a concurrent cognitive task on gait speed and frontal plane stability during narrow-base walking in healthy older adults. The Journals of Gerontology, Series A: Biological Sciences and Medical Sciences, 61(2), 164–170. [Google Scholar] [Crossref]

6. Lord, S. R. (2006). Visual risk factors for falls in older people. Age and Ageing, 35(Suppl 2), ii42–ii45. [Google Scholar] [Crossref]

7. Mills, P. M. (2013). Gait adaptation and slip recovery. Gait & Posture, 37(2), 219–225. https://doi.org/10.1016/j.gaitpost.2012.08.018 [Google Scholar] [Crossref]

8. Owsley, C. (2011). Aging and vision. Vision Research, 51(13), 1610–1622. https://doi.org/10.1016/j.visres.2010.10.020 [Google Scholar] [Crossref]

9. Shumway-Cook, A., & Woollacott, M. (2016). Motor control: Translating research into clinical practice (5th ed.). Wolters Kluwer. [Google Scholar] [Crossref]

10. Steinfeld, E., & Maisel, J. (2012). Universal design: Creating inclusive environments. Wiley. [Google Scholar] [Crossref]

11. Wahl, H. W., & Oswald, F. (2010). The ecology of aging: Theoretical, conceptual, and empirical developments in environmental gerontology. In L. L. Carstensen & H. R. O'Leary (Eds.), The handbook of aging and the social sciences(pp. 165–183). Academic Press. [Google Scholar] [Crossref]

12. Weale, R. (1988). Age and the eye. Harvard University Press. [Google Scholar] [Crossref]

13. Wilson, J., & Richardson, J. (2019). Environmental hazards and fall risk. Journal of Environmental Gerontology, 1(2), 45–60. [Google Scholar] [Crossref]

14. World Health Organization (WHO). (2021). Global report on falls prevention in older age. World Health Organization. [Google Scholar] [Crossref]

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