SynthesisJournal of community health2026
Effectiveness of Home Hazard Assessment and Environmental Modification on Fall-Related Outcomes in Older Adults: A Systematic Review and Meta-analysis.
Synthesis in Journal of community health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Rethinking Health System Readiness for Frailty Management: Frontline Perspectives from Indonesia and Malaysia.Health care analysis : HCA : journal of health philosophy and policy · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
Falls are a major public and environmental health concern among older adults, frequently associated with hazardous home environments, thereby undermining the achievement of SDG 3 by increasing morbidity, injuries, and healthcare burden. Although home hazard assessment and environmental modification are widely recommended for fall prevention and creating age-friendly homes, evidence regarding their effectiveness remains inconsistent. This systematic review and meta-analysis aimed to evaluate the effects of home hazard assessment and environmental modification on fall-related outcomes among community-dwelling older adults. A systematic search was conducted in five databases (Cochrane Library, PubMed, Scopus, ProQuest, and Web of Science) from July to August 2025. Randomised controlled trials involving adults aged more than 60 years were included. Outcomes assessed were fall incidence, fall-related injury events, and medically attended falls. Risk of bias was evaluated using the RoB 2 tool. Pooled odds ratios (ORs) with 95% confidence intervals (CIs) were calculated using fixed- and random-effects models as appropriate. Ten randomized controlled trials involving 3,191 participants were included. Home hazard assessment and modification significantly reduced fall incidence (OR = 0.69; 95% CI: 0.59-0.79) and medically attended fall events (OR = 0.59; 95% CI: 0.37-0.93). However, a modest increase in reported fall-related injury events was observed (OR = 1.19; 95% CI: 1.01-1.41), likely reflecting improved surveillance and reporting. Home hazard assessment and environmental modification effectively reduce falls and fall-related healthcare utilization among community-dwelling older adults and should be integrated into community-based fall prevention strategies and age-friendly housing policies.
Indexed as
Identifiers
41874897What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.