Reimagining Assistive Walkers: An Exploration of Challenges and Preferences in Older Adults
Victory A. Aruona, Sergio D. Sierra M., Nigel Harris, Marcela Munera, Carlos A. Cifuentes
TL;DR
This study investigates older adults’ use of assistive walkers and reveals gaps between device design and user needs. Using a mixed‑methods KAP framework across older adults, caregivers, and healthcare professionals, the work identifies safety concerns, navigation limitations, and a strong demand for smarter, ergonomic, and quieter Walker designs. The findings advocate for user‑centered developments, including GPS alarms, internal navigation, and grip‑force sensing, coupled with ergonomic adjustability and noise reduction, to enhance safety and independence for aging populations. Real‑world testing and broader sampling are recommended to validate and generalize these design improvements across diverse living contexts.
Abstract
The well-being of older adults relies significantly on maintaining balance and mobility. As physical ability declines, older adults often accept the need for assistive devices. However, existing walkers frequently fail to consider user preferences, leading to perceptions of imposition and reduced acceptance. This research explores the challenges faced by older adults, caregivers, and healthcare professionals when using walkers, assesses their perceptions, and identifies their needs and preferences. A holistic approach was employed, using tailored perception questionnaires for older adults (24 participants), caregivers (30 participants), and healthcare professionals (27 participants), all of whom completed the survey. Over 50% of caregivers and healthcare professionals displayed good knowledge, positive attitudes, and effective practices regarding walkers. However, over 30% of participants perceived current designs as fall risks, citing the need for significant upper body strength, potentially affecting safety and movement. More than 50% highlighted the importance of incorporating fall detection, ergonomic designs, noise reduction, and walker ramps to better meet user needs and preferences.