Home Hazard Removal Program to Reduce Falls

Accidental Falls Clinical Trial

— HARP  

Official title:

Removing Home Hazards for Older Adults

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02392013
• Other study ID #: MOHHU0024-14
• Status: Completed
• Phase: N/A
• First received: March 5, 2015
• Last updated: January 30, 2018
• Start date: December 2014
• Est. completion date: December 2017

Study information

• Verified date: January 2018
• Source: Washington University School of Medicine
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study evaluates the effectiveness and implementation of a home-hazard removal program to reduce falls in older adults through a community program delivered through the aging services network. The investigators will conduct a hybrid effectiveness/implementation trial of 300 older adults at risk for a fall who will be randomized to a home-hazard removal program or usual care and then followed for 12 months. Investigators will look at the number of falls at 6 months and 12 months.

Description:

The investigators will randomly select a sample of older adults from the large observational cohort of older adults assessed annually by an Area Agendy on Aging via the National Aging Program Information System (NAPIS). The eligibility criteria include age 65 years or older and self-report of one previous fall or more in the preceding 12 months or self-report as "worried about falling." We will conduct baseline assessments and randomize participants to receive an home hazard removal program or usual care. Outcomes (falls, fall self-efficacy) will be assessed by a blinded rater at baseline and 12 months after intervention. All assessments and study visits will occur in participants' homes.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 313
• Est. completion date: December 2017
• Est. primary completion date: November 2017
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 65 Years and older

Eligibility

Inclusion Criteria:

• Individuals aged 65 years or older and self-report of one previous fall or more in the preceding 12 months or self-report as "worried about falling."

Exclusion Criteria:

• Individuals residing in nursing homes or individuals with severe cognitive impairment who are unable to give consent to participate (as determined by a score of greater than 10 on the SBT for memory10).

Related Conditions & MeSH terms

• Accidental Falls

Intervention

Other:
• Home Modification
Removal of home barriers or hazards.

Locations

Country	Name	City	State
United States	Occupational Therapy Program at Washington University School of Medicine	Saint Louis	Missouri

Sponsors (2)

Lead Sponsor	Collaborator
Washington University School of Medicine	US Department of Housing and Urban Development

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Number of falls	Prospective daily reporting of falls using a calendar	12 months
Secondary	Daily activity performance.	Participant daily activity performance will be measured by the Older Americans Resources and Services (OARS) ADL Scale	12 months
Secondary	Fall self-efficacy.	Participant self-efficacy in performing daily activities without falling will be measured by the Falls Efficacy Scale-International (FES-I).	12 months
Secondary	Health-related quality of life.	Participant self-reported health will be measured using the SF-36.	12 months