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Updated: Mar 21, 2026

Design and Analysis for Fall Detection System Simplification
Published on: April 6, 2020
Developing an audit checklist to assess outdoor falls risk
Angela Curl1, Catharine Ward Thompson2, Peter Aspinall3
1Urban Studies, University of Glasgow, Glasgow, UK.
Outdoor falls in older adults are a significant concern. This study identifies environmental factors contributing to falls and fear of falling, leading to a new outdoor fall prevention checklist for urban planners and therapists.
Area of Science:
- Gerontology
- Environmental Psychology
- Urban Planning
Background:
- Falls in older adults (65+) lead to disability and reduced mobility, impacting active aging.
- Older fallers are a vulnerable road user group, yet research on outdoor fall causes and prevention is limited.
- Existing environmental audit tools are often indoor-focused or not tailored to the needs of older populations.
Purpose of the Study:
- To understand environmental factors contributing to outdoor falls and fear of falling in older adults.
- To explore how older individuals navigate outdoor environments and perceive facilitators or hindrances to mobility.
- To develop a novel outdoor environmental audit checklist for fall risk assessment in the elderly.
Main Methods:
- Utilized a walk-along interview approach with recent older fallers.
- Explored participants' experiences navigating outdoor environments and their perceptions of environmental risks.
- Developed a new audit checklist based on qualitative findings and elderly navigational strategies.
Main Results:
- Identified specific environmental features that either facilitate or hinder outdoor mobility and increase fear of falling in older adults.
- The study highlights a gap in existing tools for assessing outdoor fall risks tailored to the elderly.
- A new checklist was created, incorporating the unique perspectives and navigational needs of older individuals.
Conclusions:
- Environmental factors significantly influence outdoor falls and fear of falling among older adults.
- The developed outdoor audit checklist provides a valuable tool for occupational therapists, urban planners, and designers.
- Implementing this checklist can aid in reducing outdoor falls and promoting safer mobility for the elderly.
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