A recent study conducted by the Healthy Ageing research team at Flinders University in Adelaide has highlighted how home modifications such as grab rails, ramps, and changes to bathrooms or kitchens can significantly improve the lives of older adults and their carers.

Image credit: Hanafujikan. Senior person holding handrail on slope. iStockphoto; 2023 [license purchased 29, October 2025]. Stock photo ID: 1822327388.

Researchers interviewed sixteen participants aged 50 and above, including carers, to understand how these changes affected daily life. The findings revealed four key themes:

  1. Improved Ability to “Do” Everyday Tasks
    Modifications helped participants shower, cook, and move around more safely and with less fatigue. The simple addition of a magnetic door catch to hold the door open meant that one participant was able to bring her shopping in without worrying about the door hitting her. Another spoke about how changes in the kitchen meant that her husband was able to make cups of coffee for friends if they came to visit.
  2. Less Reliance on Others
    Many described feeling more independent. A number of people talked about how installation of grab rails in the bathroom meant they could use the toilet and shower without needing help, reducing the burden on family members.
  3. Greater Sense of Safety and Wellbeing
    Participants reported feeling safer, especially with reduced fear of falling. One person said a ramp outside gave them the confidence to go outdoors daily. Several participants expressed reassurance from having grab rails installed, not only as a preventative measure against falls, but also as a reliable aid to help them get up independently if a fall were to occur.
  4. Balancing Benefits with Negative Impacts
    While most changes were positive, some participants mentioned concerns about adjusting to the changes or how modifications looked. One person said that it took some time to adjust to the toilet door opening outwards. Another reflected that their home could be perceived as ‘an old person’s house’ because of the grab rails installed. Despite these concerns, the overall response was overwhelmingly positive, with participants valuing the safety, independence, and quality of life the modifications provided.

This study highlights the meaningful impact that home modifications can have on older adults and their carers. From enhancing independence and safety to improving emotional wellbeing and daily functioning, the benefits were clear. While some participants noted minor aesthetic concerns or initial adjustments, perceptions of the impact of home modifications were positive. Participants consistently emphasised the improvements to safety, autonomy, and quality of life, reinforcing the value of adapting homes to support ageing in place with dignity and confidence.

For further information about this project contact Professor Stacey George, Caring Futures Institute at Flinders University: stacey.george@flinders.edu.au

This project was supported by a 2023 Impact Research Grant for Ageing Well from Office for Ageing Well, Government of South Australia.