Fall Prevention
Conditions
Keywords
Fall Prevention, Older Adults
Brief summary
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
Interventions
OTHERLIVE-LiFE to Prevent Falls Among Older Fallers
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)
Sponsors
Centers for Disease Control and Prevention
Johns Hopkins University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Intervention 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.
Eligibility
Sex/Gender
ALL
Age
70 Years to No maximum
Healthy volunteers
Yes
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Times Up and Go Test | Baseline to 16 weeks | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Falls Self-Efficacy | Baseline to 16 weeks | 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. |
Countries
United States
Outcome results
None listed