| Anotation | Falls are a major cause of morbidity, mortality, and loss of independence in older adults. A systematic review and meta-analysis shows that 26.5% of older adults (aged 65+) experience a fall each year (Salari, 2022), often resulting not only in physical injuries but also in long-term psychological impacts (James, 2020) and, in some cases, fatal outcomes (Dhargave & Sendhilkumar, 2016). Fear of falling is an independent predictor of reduced mobility, social withdrawal, and declining quality of life (Schoene, 2019; Yardley & Smith, 2002), leading to avoidance behavior, decreased daily activity, and progressive physical deconditioning.
Evidence indicates that targeted physical interventions, especially those focusing on balance, coordination, and lower-limb strength, can reduce fear of falling and improve functional fitness (Sherrington, 2019). Their effectiveness, however, is often limited by individual barriers such as low confidence, as well as environmental obstacles including uneven sidewalks, poor lighting, and limited access to safe spaces for physical activity.
This project combines an evidence-based physical activity intervention with the participatory OurVoice methodology (King, 2020), enabling older adults to identify and document environmental barriers and supports using digital technology. A formative qualitative phase will deepen understanding of fear of falling and everyday coping strategies. Insights will inform the adaptation of a pilot intervention to better reflect the real needs, motivations, and capabilities of older adults.
The expected contribution is the development of a foundation for sustainable community-based interventions that integrate behavioral, psychosocial, and environmental factors to promote safe mobility and long-term quality of life. |
