Virtual Reality Fall Education for Caregivers
- Conditions
- Accidental FallNurse's Role
- Interventions
- Behavioral: Virtual reality simulation app for caregiver educationBehavioral: online fall prevention education module
- Registration Number
- NCT05161117
- Lead Sponsor
- The Cleveland Clinic
- Brief Summary
Falls place a huge financial burden on healthcare delivery systems, as well as physical and emotional harm to patients and families. Nurses are responsible for identifying fall risks and educating patients about fall risks and prevention, but first must have a thorough understanding of fall risk hazards themselves. The purpose of the study is to determine if enhanced education for caregivers using Virtual Reality simulation increases self-reported use of environmental fall risk interventions, and perceived effectiveness of those interventions, for caregivers on a medical-surgical unit. A secondary purpose is to explore the relationship between perceived effectiveness, unit norms, availability of resources, and self-reported behavior related to the use environmental interventions.
The study will use a matched-pair, clustered randomized controlled trial design. The setting is eight medical-surgical units across four hospitals. Unit-pairs at each hospital will be randomly assigned to control or intervention group. The sample will consist of clinical registered nurses and patient care nursing assistants. All participants will receive standard online fall risk education. Participants from the intervention units will also complete virtual reality simulation education delivered via an app on an iPhone that is attached to a headset. The Injurious Fall Risk Factors and Fall Prevention Interventions Survey will be used at baseline, 1 month post-, and 3 months post-education to measure perceived effectiveness, self-reported use, unit peer use, and availability of resources for use of environmental fall prevention interventions. A sample size of 30 participants per nursing unit will be needed for 90% power to detect mean differences of at least 0.5 points between groups.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- WITHDRAWN
- Sex
- All
- Target Recruitment
- 288
- part-time and full-time registered nurses (RNs), Assistant Nurse Managers (ANMs), and patient care nursing assistants (PCNAs);
- participants must have greater than 50% of work time in direct patient care
- holds PRN (as needed) or float position
- newly employed or in orientation at the time of the study
- reported history of dizziness or motion sickness
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description virtual reality education Virtual reality simulation app for caregiver education The experimental group will receive both an online fall prevention education module and additional education using a virtual reality simulation app for mobile devices designed for specifically for hospital caregivers online education only online fall prevention education module The control group will receive an online fall prevention education module virtual reality education online fall prevention education module The experimental group will receive both an online fall prevention education module and additional education using a virtual reality simulation app for mobile devices designed for specifically for hospital caregivers
- Primary Outcome Measures
Name Time Method Change from baseline rating of self-reported use of environmental fall prevention interventions at 1 month and 3 months post intervention baseline, 1 month after intervention, and 3 months after intervention Using the Injurious Fall Risk Factors and Fall Prevention Interventions Survey, Part II (Tzeng \& Yin, 2013), caregivers are asked to rate 23 interventions for reducing falls or injuries using a 5-point likert scale. Self-reported use of environmental fall prevention interventions is measured by rating the frequency of each intervention used by the participant in his or her practice over the last 30 days (1=rarely, 2=occasionally, 3=sometimes, 4=often, 5=always, or NA=not applicable/no knowledge).
- Secondary Outcome Measures
Name Time Method Change from baseline rating of perceived effectiveness of environmental fall prevention interventions at 1 month and 3 months post intervention baseline, 1 month after intervention, and 3 months after intervention Using the Injurious Fall Risk Factors and Fall Prevention Interventions Survey, Part II (Tzeng \& Yin, 2013), caregivers are asked to rate 23 interventions for reducing falls or injuries using a 5-point likert scale. Perceived effectiveness of environmental fall prevention interventions is measured by rating the effectiveness of each of the 23 interventions for reducing falls or injuries (1=Never effective, 2=Occasionally effective, 3=Sometimes effective, 4=Often effective, 5=Always effective or NA=not applicable/no knowledge).
Trial Locations
- Locations (2)
Cleveland Clinic Avon Hospital
🇺🇸Avon, Ohio, United States
Cleveland Clinic Hillcrest Hospital
🇺🇸Mayfield Heights, Ohio, United States