Accidental Fall
Conditions
Keywords
older adult falls, home hazards, home barriers
Brief summary
The investigators will conduct a hybrid effectiveness/implementation trial to simultaneously establish the effectiveness of home hazard removal in affordable housing in order to reduce falls, and conduct a process evaluation of how the intervention works in the context of low-income senior apartments.
Detailed description
The investigators, in collaboration with the community partner, will offer the program to all building residents in select low-income senior apartments. The eligibility criteria include a self-report of one or more falls in the preceding 12 months, a fear of falling, or unsteadiness while standing or walking. The investigators will screen residents and determine their risk for falling. Residents who are high risk will be referred to licensed occupational therapy practitioners for baseline assessments and home hazard removal. Residents will be re-assessed at 3 months. All assessments will be conducted in the residents' apartment buildings. Outcomes (falls, program evaluation) will be collected by our community partner.
Interventions
BEHAVIORALHome Hazard Removal
Removal of home barriers or hazards
Sponsors
US Department of Housing and Urban Development
Washington University School of Medicine
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Residents who live in any of the eligible section 202 low-income senior apartment units managed by our community partner
Exclusion criteria
* Individuals who do not reside in any of the eligible units
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Resident enrollment in home hazard removal intervention | 609 days | Participation measured by percentage of eligible building residents enrolled |
| Program fidelity | 609 days | Visit-by-visit checklist and calculation of the dose of the intervention received (number of minutes delivered) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of falls | 609 days | Prospective monthly reporting of falls using an automated phone system |
| Cost per fall prevented | 609 days | Final prescription and invoice (materials) |
| Adherence to home hazard removal intervention recommendations | 609 days | Recommendations used/total at 3 months or cause of abandonment |
Countries
United States
Outcome results
None listed