Clinical trial NCT02392013: Home Hazard Removal Program to Reduce Falls
Official title: Removing Home Hazards for Older Adults
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Accidental Falls
Keywords: older adult falls
home hazards
home barriers
Lead sponsor: Washington University School of Medicine
Sponsor class: OTHER
Collaborators: name: US Department of Housing and Urban Development
First posted: 2015-03-18
Enrollment: 310
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: This study evaluates the effectiveness and implementation of a home-hazard removal program to reduce falls in older adults through a community program delivered through the aging services network. The investigators will conduct a hybrid effectiveness/implementation trial of 300 older adults at risk for a fall who will be randomized to a home-hazard removal program or usual care and then followed for 12 months. Investigators will look at the number of falls at 6 months and 12 months.

Detailed description: The investigators will randomly select a sample of older adults from the large observational cohort of older adults assessed annually by an Area Agendy on Aging via the National Aging Program Information System (NAPIS). The eligibility criteria include age 65 years or older and self-report of one previous fall or more in the preceding 12 months or self-report as "worried about falling." We will conduct baseline assessments and randomize participants to receive an home hazard removal program or usual care. Outcomes (falls, fall self-efficacy) will be assessed by a blinded rater at baseline and 12 months after intervention. All assessments and study visits will occur in participants' homes.

Eligibility criteria: Inclusion Criteria:

* Individuals aged 65 years or older and self-report of one previous fall or more in the preceding 12 months or self-report as "worried about falling."

Exclusion Criteria:

* Individuals residing in nursing homes or individuals with severe cognitive impairment who are unable to give consent to participate (as determined by a score of greater than 10 on the SBT for memory10).

Primary outcomes:
measure: Number of Falls
timeFrame: 12 months
Secondary outcomes:
measure: Daily Activity Performance.
timeFrame: 12 months
measure: Fear of Falling
timeFrame: 12 months
measure: Health-related Quality of Life.
timeFrame: 12 months
Other outcomes:
Locations:
city: Saint Louis
country: United States
facility: Occupational Therapy Program at Washington University School of Medicine
state: Missouri
Study officials:
affiliation: Washington University School of Medicine
name: Susan L Stark, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Stark S, Keglovits M, Somerville E, Hu YL, Barker A, Sykora D, Yan Y. Home Hazard Removal to Reduce Falls Among Community-Dwelling Older Adults: A Randomized Clinical Trial. JAMA Netw Open. 2021 Aug 2;4(8):e2122044. doi: 10.1001/jamanetworkopen.2021.22044.
citation: Stark S, Somerville E, Keglovits M, Conte J, Li M, Hu YL, Yan Y. Protocol for the home hazards removal program (HARP) study: a pragmatic, randomized clinical trial and implementation study. BMC Geriatr. 2017 Apr 20;17(1):90. doi: 10.1186/s12877-017-0478-4.