Clinical trial NCT05815875: The Effect of The STEADI Program on Falls and Falls Prevention in Neurosurgical Patients in Jordan
Official title: The Effect of The STEADI Program on Falls and Falls Prevention in Neurosurgical Patients in Jordan
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Fall Patients
Keywords: Falls prevention
Neurosurgery patients
STEADI
Lead sponsor: King Abdullah University Hospital
Sponsor class: OTHER
Collaborators: name: Jordan University of Science and Technology
First posted: 2023-04-18
Enrollment: 70
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Intervention model description: This study will be conducted using a 1-month prospective quasi-experimental design.

The study sample will be 70 neurosurgical patients at King Abdullah University Hospital. The study sample will be non-randomly divided into a control group (35 patients) and an intervention group (35 patients).
Primary purpose: PREVENTION

Brief summary: The goal of this interventional study will be to evaluate the effectiveness of the STEADI Program on falls and falling prevention compared with routine falling assessment in neurosurgical patients in Jordan. The researchers will compare the effectiveness of the STEADI intervention in the intervention group. Participants in the intervention group will be assessed for falls risk using well-established tools as recommended by the Centers for Disease Control and Prevention (CDC). The control group participants will receive regular falling assessment which involves using Morse Fall Scale.

Detailed description: The STEADI (Stopping Elderly Accidents, Deaths \& Injuries) program was developed by the Centers for Disease Control and Prevention (CDC) to help healthcare providers address falls among older adults. The STEADI program provides healthcare providers with tools and resources to screen their older patients for fall risk, assess risk factors, and develop and implement an individualized fall prevention plan. The STEADI program is an evidence-based approach to fall prevention and has been shown to reduce falls among older adults. However, evidence regarding the effectiveness and usefulness of the STEADI among neurosurgery patients is lacking. The investigators of the current research will conduct a 2-hour educational session to train healthcare providers in a neurosurgery unit on using the STEADI tools and algorithm. Then, the investigators will collect data to assess whether applying the STEADI decreases the risk for falls in neurosurgery patients.

Eligibility criteria: Inclusion Criteria:

* Newly admitted patients to the neurosurgery unit as a case of neurosurgery, have ≥4 scores on the Stay Independent Brochure (SIB), 18 years old or older.

Exclusion Criteria:

* Bedridden and unconscious/comatose patients

Primary outcomes:
measure: The Stay Independent Brochure (SIB)
timeFrame: Change from baseline to 5-days and 1-month
measure: The clinician's 3 key questions
timeFrame: Change from baseline to 5-days and 1-month
measure: Time Up and Go (TUG)
timeFrame: Change from baseline to 5-days and 1-month
measure: 30-Second Chair Stand
timeFrame: Change from baseline to 5-days and 1-month
measure: The 4-Stage Balance test
timeFrame: Change from baseline to 5-days and 1-month
measure: Actual falls
timeFrame: At final (1-month) assessment
Secondary outcomes:
Other outcomes:
Locations:
city: Irbid
country: Jordan
facility: Jehad Rababah
Study officials:
References:
citation: Stevens JA, Phelan EA. Development of STEADI: a fall prevention resource for health care providers. Health Promot Pract. 2013 Sep;14(5):706-14. doi: 10.1177/1524839912463576. Epub 2012 Nov 16.