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Bathroom falls are somewhat different and constrained in nature than those in other parts of a home environment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>This study aimed to adopt a user\u2010centred approach to explore older adults' general bathroom needs, with a specific focus on showers and bathtubs as the designated activity area.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The authors employed an extended importance\u2013performance analysis (IPA) with a mixed\u2010method research design. Three hundred and eleven older adults participated in a face\u2010to\u2010face IPA questionnaire for the quantitative phase of the study. The authors gathered the qualitative data through open\u2010ended questions from 59 older adults.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The authors found positive correlation between older adults' attitudes towards an older\u2010friendly bathroom and the potential for their bathrooms to be fall\u2010free. The IPA calculations identify three key items with higher ratings in both importance and performance: The presence of appropriate artificial lighting, efficient mechanical ventilation and an accessible inside towel rail. Thematic analysis yields four themes: comfort, ease of access, error\u2010proof design and emergency management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The IPA calculations and thematic analysis confirm that older adults' rankings of importance and performance and their corresponding priority levels within the overarching themes indicate the need for these aspects to perform well and justify ongoing investments. The study concludes that addressing fall prevention requires not only designing specific solutions but also utilising appropriate technology in bathing and toileting activities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Implications for Practice<\/jats:title><jats:p>Practitioners in geriatric and gerontological nursing, design, architecture and health care can use the importance and performance priority levels of older adults to guide the development and implementation of fall\u2010free bathroom design. Policymakers can leverage the insights from this research to inform guidelines and regulations related to building codes, accessibility standards and healthcare policies.<\/jats:p><\/jats:sec>","DOI":"10.1111\/opn.12623","type":"journal-article","created":{"date-parts":[[2024,6,19]],"date-time":"2024-06-19T10:53:52Z","timestamp":1718794432000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Exploring the Importance and Performance Priorities of Older Adults With a User\u2010Centred Approach to Create a Fall\u2010Free Bathroom"],"prefix":"10.1111","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0148-5033","authenticated-orcid":false,"given":"Yasemin","family":"Afacan","sequence":"first","affiliation":[{"name":"Department of Interior Architecture &amp; Environmental Design and Department of Neuroscience Bilkent University  Ankara T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Billur","family":"Barshan","sequence":"additional","affiliation":[{"name":"Department of Electrical and Electronics Engineering Bilkent University  Ankara T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,6,19]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10901\u2010019\u201009645\u20103"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurger.2015.05.004"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1109\/MSP.2015.2502784"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/app11104413"},{"key":"e_1_2_12_6_1","unstructured":"Banks M. 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