Identification of Home Fall Hazards
Conditions
Keywords
fall risks at home, video technology, home assessment, distal radius fractures
Brief summary
The purpose of this study is to assess the feasibility and potential impact of video analysis of footage taken with a GoPro camera video in comparison to a homeowner checklist or gold standard home assessment as a means of detecting home fall hazards. Investigators hypothesize that the assessment of homes for fall hazards with a GoPro camera will be better than a homeowner paper checklist in hazard identification.
Detailed description
80 community-dwelling adults (50-75 years of age) will be recruited from clinics and the community through posters and advertising (n = 40 in the Healthy Group; n = 40 in the Distal Radius Fracture (DRF) Group (adults with 3-12 months post-DRF)). Participants will be randomly allocated to a homeowner paper checklist or a GoPro video assessment and then cross-over to the opposite intervention. To assess accuracy, a gold standard home assessment will be completed by a trained evaluator, after the homeowner checklist and GoPro video assessment. Upon completion of the data collection, the evaluator will conduct their assessment (gold standard); review the findings from the GoPro playback with the participant, and conduct a semi-structured interview on their prior awareness of fall hazards, perceptions about the different methods of detecting fall hazards in their home; and intentions to remediate identified hazards.
Interventions
BEHAVIORALVideo based/Therapists' rating of comprehensive-home-fall-hazard-checklist (vt-CHFHC)
The participant will use GoPro technology and follow standardized instructions to inspect each room of their house. They will navigate through their home wearing the GoPro camera, recording images about their home and their usual activities and use a talk-aloud approach to describe what they are doing and seeing. The evaluator will provide no feedback during the assessments.
BEHAVIORALPaper based/Patient self-rating of comprehensive-home-fall-hazard-checklist (pp-CHFHC)
A paper version of CHFHC and other self-reported documents will be completed by the participants in their homes based on standardized verbal instruction provided by the research staff.
Sponsors
Hamilton Health Sciences Corporation
McMaster University
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
50 Years to 75 Years
Healthy volunteers
Yes
Inclusion criteria
* Healthy Group: community-dwelling adults * DRF Group: adults with 3-12 months post DRF * ability to read, understand and speak English
Exclusion criteria
* identified cognitive disorder * major loss of vision or hearing * other concurrent upper extremity injuries or neurological impairments * any unhealed fractures
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation Agreement | Within 1 week of completion of assessment | Fall hazard scores will be calculated based on the number and severity of hazards identified from the paper checklist, the GoPro assessment, and the independent evaluation. The extent of agreement on fall-hazard score and time taken to complete the evaluations (home-based video, paper/print checklist; professional home assessment) will be assessed. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility and Fidelity | Within 1 week of completion of assessment | Semi-structured phone interviews will be conducted to collect participant feedback on the feasibility, usability, usefulness, acceptance, barriers, facilitators, respondent burden and preference for using GoPro video-technology vs. pp-CHFHC vs. professional assessment. During the interview, participants will also be asked about their prior awareness of fall hazards and experiences about the different methods of detecting fall hazards in their home. |
Countries
Canada
Outcome results
None listed