Removing Home Hazards for Older Adults in Affordable Housing

Not Applicable

Completed

• Conditions: Accidental Fall
• Interventions: Behavioral: Home Hazard Removal

• Registration Number: NCT03780777
• Lead Sponsor: Washington University School of Medicine

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.

Study Timeline

• Study First Submitted: 2018-12-10
• Study First Submitted QC: 2018-12-17
• Study First Posted: 2018-12-19
• Study Start: 2019-04-15
• Primary Completion: 2021-06-09
• Study Completion: 2021-06-09
• Status Verified: 2021-08
• Last Update Submitted: 2021-08-04
• Last Update Posted: 2021-08-06

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 524

Inclusion Criteria

• Residents who live in any of the eligible section 202 low-income senior apartment units managed by our community partner

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Exclusion Criteria

• Individuals who do not reside in any of the eligible units

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Home Hazard Removal Group	Home Hazard Removal	A tailored home-modification (home-hazard removal) intervention for residents with a high fall risk, delivered in the home by occupational therapists over one to two visits and with a booster session at three months.

Primary Outcome Measures

Name	Time	Method
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 Outcome Measures

Name	Time	Method
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

Trial Locations

Locations (1)

Washington University School of Medicine; 🇺🇸 Saint Louis, Missouri, United States