Fall Prevention and Rapid Response Systems: Do They Keep Older Adults Safe or Push Them into Loneliness

Abstract

Purpose: This review aimed to examine whether fall-prevention and rapid-response technologies enhance safety while potentially contributing to social isolation and perceived loneliness among older adults. Methods: A narrative review of the literature was conducted, focusing on fall-prevention and emergency-response technologies used by older adults, including wearable devices, smart sensors, home-based monitoring systems, and mobile applications. Studies addressing safety outcomes, independent living, social engagement, loneliness, privacy concerns, and digital exclusion were synthesized. Results: The findings indicate that fall-prevention and rapid-response technologies support independent living and enable timely intervention through remote monitoring by family members and caregivers. These systems contribute positively to individual safety and provide reassurance for both older adults and their families. However, excessive reliance on technology may reduce face-to-face interactions, increase privacy-related concerns, and weaken social connectedness. Furthermore, older adults with limited technological competence appear to be at greater risk of digital exclusion, which may intensify feelings of loneliness and social isolation. Conclusion: Fall-prevention and rapid-response technologies should be implemented as part of a holistic care approach that integrates family involvement, social support networks, and community-based programs. When used as complementary tools rather than substitutes for human interaction, these technologies can enhance safety while preserving meaningful social relationships and psychosocial well-being among older adults.