Preventing Falls Among Older Fallers to Test the Effect of LIVE-LiFE, a Home-Based, Tailored Fall Prevention Program

Study Overview
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Brief Summary
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Purpose: To test the effect of LIVE-LiFE, a home-based, tailored fall prevention program for older adults with a high risk for falling. Study Type: Single-blind, two group randomized pilot trial. Randomization is 2:1 (27 intervention, 13 control). Participants have a chance of being in the LIVE-LiFE group or the control group. Safe-LiFE Group: Individually tailored intervention at the participant's home spaced across 12 weeks including: Home safety assessment and risk reduction strategies; incorporating strength and balance training into daily habits vision screening and referral; and education about fear of falling and falls Home repairs, modifications, and low cost assistive devices to address unsafe home environments increasing fall risk Medication review and feedback concerning medications with increased fall risk Control Group: • An individualized fall risk assessment provided to participant and their primary care provider Sample: 40 community-dwelling older adults in Baltimore City or County

Official Title
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SAFE-LiFE to Prevent Falls Among Older Fallers

Conditions
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Fall Prevention

Intervention / Treatment
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* Other: LIVE-LiFE to Prevent Falls Among Older Fallers


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adults ≥ 70 or older Self-report of 2 or more falls in the past 12 months OR 1 fall causing injury in the past 12 months Exclusion Criteria: Moderate-severe memory problems No conversational English Not able to stand Resident in a nursing home or assisted living facility Hospitalized > 3 times in the last year Terminally ill (<1 year expected survival) Receiving active cancer treatment

Ages Eligible for Study
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Minimum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Single-blind, two group randomized pilot trial. Randomization is 2:1 (27 intervention, 13 control). Participants have a chance of being in the LIVE-LiFE group or the control group.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention<br>LIVE-LiFE to Prevent Falls Among Older Fallers Intervention, which is an individually tailored program at the participant's home spaced across 12 weeks including: Home safety assessment and risk reduction strategies; incorporating strength and balance training into daily habits vision screening and referral; and education about fear of falling and falls Home repairs, modifications, and low cost assistive devices to address unsafe home environments increasing fall risk Medication review and feedback concerning medications with increased fall risk | Other: LIVE-LiFE to Prevent Falls Among Older Fallers<br>* LIVE-LiFE Intervention: Individually tailored program at the participant's home spaced across 12 weeks including: Home safety assessment and risk reduction strategies; incorporating strength and balance training into daily habits vision screening and referral; and education about fear of falling and falls Home repairs, modifications, and low cost assistive devices to address unsafe home environments increasing fall risk Medication review and feedback concerning medications with increased fall risk Measurement intervals: Baseline, 4 months, 8 months (with $25 gift card given at each visit for your time)<br>* Other names: LIVE-LiFE;|
| No Intervention: Control<br>- An individualized fall risk assessment provided to participant and their primary care provider | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Times Up and Go Test | A test used to assess the length of time it takes a person to get out of a chair, walk 10 feet, turn around and sit back down in the same chair. | Baseline to 16 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Falls Self-Efficacy | The confidence a person has in their ability to walk without falling measured via a 10-item Likert -type 10-point scale with score ranges from 10-100, where 10 is low confidence and 100 is high confidence in their ability to perform various activities without falling. | Baseline to 16 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Fall Prevention, Older Adults