Accidental Fall, Healthy Aging, Injury Prevention
Conditions
Brief summary
This study examines the effectiveness of the Stroll Safe Outdoor Fall Prevention program, a 7-week group based educational intervention. Half of participants are assigned to the Stroll Safe program and half are assigned to a wait list control group that initially receives written information only on outdoor falls prevention.
Interventions
Participants in the treatment group will attend a once a week 7-week outdoor fall prevention program that includes didactic presentations, group discussions/ problem solving, practice in strategy use, and action planning for safe community mobility.
BEHAVIORALOutdoor Fall prevention brochure
Participants in the wait list control group will initially receive written information only about preventing outdoor falls
Sponsors
New York University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
60 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Community-dwelling adults age 60 years or older, English speaking, cognitively competent (i.e. have a Montreal Cognitive Impairment score (MOCA) \>24), and able to walk outdoors independently with or without a mobility device. In addition, they must answer yes to one or more of the following questions: Have you fallen outdoors and hurt yourself in the past year?, Have you fallen outdoors 2 or more times in the past year?, Are you afraid that you might fall outdoors?, Have you had 2 or more stumbles, trips, or slips outdoors in the past month?
Exclusion criteria
Less than 60 years of age, living in an institutional setting (e.g. nursing home), non-English speaker, Montreal Cognitive Assessment Score \<24, requiring the assistance of another person to walk outdoors, non-ambulatory, an acute health condition that would interfere with participation(e.g. recent fracture, uncontrolled/poorly managed mental health condition, respiratory disease requiring supplemental oxygen), they reply no to all of the following questions: Have you fallen outdoors and hurt yourself in the past year?, Have you fallen outdoors 2 or more times in the past year?, Are you afraid that you might fall outdoors?, Have you had 2 or more stumbles, trips, or slips outdoors in the past month?
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Outdoor Falls Questionnaire (Subscale score for strategy use) | Baseline, following 7-week program, 2 months post program completion | Measures use of outdoor fall prevention strategies. Range 0-36 with a higher score indicating greater use of fall prevention strategies. |
| Change in Falls Behavioral Scale for the Older Person (24 item version) | Baseline, following 7-week program, 2 months post program completion | Measures awareness of and practice of behaviors to protect against falling. Mean score is calculated. Range 1-4, with a higher score indicating safest behaviors. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Falls Self-Efficacy Scale-International | Baseline, following 7-week program, 2 months post program completion | Measures level of concern about falling. Range 16-64, with a higher score indicating a greater level of concern. |
| Change in fall diary reports | Baseline, every two weeks until 2 months post program completion | Participants keep track of trips, slips, and falls on a calendar. Range 0-no limit. Higher number indicates more slips, trips and falls during the two week look back period. |
Countries
United States
Outcome results
None listed