Charting the Future of Home Modifications: A Systematic Review for Occupational Therapists

As the population ages, demand for effective home modifications to support aging in place is rapidly increasing. A recent systematic review offers a comprehensive synthesis of current research, highlighting both successes and critical gaps in the way home modification services support older adults.

Key Findings from the Systematic Review

• Proven Effectiveness: Most studies confirm that home modifications are effective in reducing falls, improving functional independence, and generating cost savings. Out of 20 reviewed studies, 65% demonstrated these benefits.
• Quality of Life and Caregiving: Some studies also report improved quality of life and reduced caregiving burden due to better home accessibility.
• Underexplored Areas: Research rarely addresses the role of personalized interventions, long-term adaptability, social engagement, and—crucially—smart home technology integration. There’s limited evidence on how modifications interact with evolving health needs over time.
• Policy and Practice Gaps: There is little exploration of the cost-effectiveness of interventions and the feasibility of broad policy implementation to make these services more accessible.

Implications for Occupational Therapists

Modern home modification work is evolving—it is no longer just about preventing falls but also about supporting independence, maintaining quality of life, and reducing caregiver strain as needs change. OTs can drive this shift by:

• Embracing Personalization: Tailor recommendations to each client’s goals, abilities, cultural background, and environment.
• Integrating Technology: Stay updated on smart home advancements and advocate for technology-driven solutions that can adapt as functional abilities change.
• Planning for Longevity: Consider the long-term sustainability and adaptability of modifications as client needs may shift with aging or changes in health.
• Collaborating Interdisciplinarily: Partner with other professionals (professionals in technology, social work, policy) to create holistic solutions.

Call to Action: Lead Local Innovation

Take action: Occupational therapists are uniquely positioned to champion holistic, forward-thinking home modification strategies. Start by reviewing your current practice:

• Are you using individualized, adaptable approaches for each client?
• How are you integrating—or advocating for—smart technologies?
• Is your practice connecting with policy-makers and other disciplines to address gaps in service?

Reach out to community partners and policy stakeholders to push for research, funding, and policies that enable personalized, sustainable, and tech-savvy home modifications. By doing so, you ensure the homes of tomorrow will truly support aging in place for everyone.

References:

Cha S. M. (2025). A Systematic Review of Home Modifications for Aging in Place in Older Adults. Healthcare (Basel, Switzerland), 13(7), 752. https://doi.org/10.3390/healthcare13070752