Fall, Fall Injury Prevention, Fall Prevention
Conditions
Keywords
assisted living, fall prevention, STEADI
Brief summary
The goal of this trial is to test the real-world efficacy of AL-STEADI, a fall prevention program, in participating assisted living centers. The investigators will randomly assign residents from participating assisted living centers who screen at-risk of falling to either existing fall monitoring protocols or the enhanced AL-STEADI fall prevention program. The investigators will evaluate the effect of AL-STEADI on the rate of falls over 12 months. The investigators will also closely monitor implementation fidelity in these participating assisted living centers.
Interventions
BEHAVIORALAL-STEADI
STEADI is an evidence-based falls prevention program developed by the CDC and tested in several community-based settings. STEADI involves universal fall screening, followed by personalized assessments and tailored interventions. Common, potentially modifiable causes of falls evaluated in STEADI include medication interactions or side effects, environmental hazards (e.g., floor rugs, thresholds), untreated visual impairment, low vitamin D, ill-fitting footwear, or low blood pressure. AL-STEADI is a modified version of STEADI for assisted living.
BEHAVIORALUsual Care Group
Typical fall prevention practices, including increased monitoring by assisted living staff
Sponsors
Brown University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
\- Living in participating assisted living communities
Exclusion criteria
\- Not living in participating assisted living communities
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Fall rate | 12 person-months | Number of staff documented falls per 12 non-censored person-months, among individuals who screen at-risk for falls |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of fall-risk residents with any fall | 12 person-months | Proportion of residents with any staff documented fall during follow-up, among individuals who screen at-risk for falls |
| Injurious fall rate among fall-risk residents | 12 person-months | Number of staff documented injurious falls per 12 non-censored person-months, among individuals who screen at-risk for falls |
| Proportion of fall-risk residents with any injurious fall | 12 person-months | Proportion of residents with any staff documented injurious fall during follow-up, among individuals who screen at-risk for falls |
| Hospital transfer rate among fall-risk residents | 12 person-months | Number of hospital transfers per 12 non-censored person-months, among individuals who screen at-risk for falls |
| Proportion of fall-risk residents with any hospital transfer | 12 person-months | Proportion of residents with any hospital transfers during follow-up, among individuals who screen at-risk for falls |
| Hospitalization rate among fall-risk residents | 12 person-months | Number of in-patient hospitalizations per 12 non-censored person-months, among individuals who screen at-risk for falls |
| Proportion of fall-risk residents with any hospitalization | 12 person-months | Proportion of residents with any in-patient hospitalization during follow-up, among individuals who screen at-risk for falls |
| Skilled nursing stay rate among fall-risk residents | 12 person-months | Number of skilled nursing stays per 12 non-censored person-months, among individuals who screen at-risk for falls |
| Proportion of fall-risk residents with any skilled nursing stay | 12 person-months | Proportion of residents with any skilled nursing stay during follow-up, among individuals who screen at-risk for falls |
Contacts
CONTACTEllen McCreedy, PhD, MPH
Outcome results
None listed