Falls Clinical Trial
Official title:
Electronic Strategies for Tailored Exercise to Prevent FallS
The objectives of this proposal are to evaluate the eSTEPS CDS (eSTEPS) in a cluster randomized controlled trial. The intervention includes the following: 1) A machine learning-based fall injury risk screening algorithm to improve traditional fall risk screening. 2) Provider BPA and/or Care Gap and Smart Set to provide CDS that helps primary care providers develop a tailored fall prevention exercise plan in the context of a Medicare Wellness Visit and 3) eSTEPS Patient App and exercise tools to provide older patients continued access to their interactive, tailored exercise plan.
This project will use traditional fall risk screening and machine learning approaches to accurately identify older adults at risk for falls. Investigators will then develop CDS that will be implemented into the electronic health record that helps primary care providers and older patients develop a tailored fall prevention exercise plan (eSTEPS). The eSTEPS CDS will be integrated into the widely implemented Epic EHR which will be accessible through the Care Gap and SmartSet to provide actionable CDS within primary care clinic workflows and facilitate the use of CDS with older patients during their annual wellness visit, ensuring that evidence-based recommendations are tailored to patients' preferences. The tailored exercise prescription will also be available through printouts, a website, and an app for use by patients at home. The eSTEPS intervention includes the provider CDS and the patient resources (printouts, website, exercise app) that will support primary care providers and patients with personalized exercise care planning during an annual Medicare Wellness visit. Investigators will conduct a cluster randomized controlled trial in urban primary care clinics to test the efficacy of the eSTEPS CDS intervention. Development of the eSTEPS CDS within the widely adopted Epic Electronic Health Record will support dissemination of evidence for older adults. ;
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Completed |
NCT03958994 -
A Systems Approach to Falls and Discharge Planning
|
||
| Completed |
NCT02835248 -
A Novel System to Detect Falls in Real-life Conditions
|
||
| Completed |
NCT02314832 -
Risk of Falling After CFNB Versus ACB
|
N/A | |
| Completed |
NCT00934531 -
Donepezil and the Risk of Falls in Seniors With Cognitive Impairment
|
N/A | |
| Completed |
NCT01356810 -
Prophylactic Environmental Management of Delirium
|
N/A | |
| Completed |
NCT00323596 -
Trial of a Home Based Strength and Balance Retraining Program in Reducing Falls Risk Factors
|
N/A | |
| Completed |
NCT02862379 -
Personalized Rehabilitation Program for Elderly Patients That Fall
|
N/A | |
| Terminated |
NCT01523600 -
Whole Body Vibration Training Among Older People Using Sheltered Housing
|
Phase 4 | |
| Completed |
NCT01030874 -
Orthostatic Hypotension Treatment on Rehab Unit
|
N/A | |
| Completed |
NCT00986596 -
A Pilot Study of the Impact of Vitamin D3 on Muscle Performance in Elderly Women
|
N/A | |
| Completed |
NCT00140322 -
Dane County Safety Assessment (SAFE) Research Study
|
N/A | |
| Completed |
NCT00164632 -
No More Falls Injury Prevention Study
|
N/A | |
| Completed |
NCT04804579 -
Boston ARCH 4F Intervention to Reduce Fall Risk in People With HIV and Alcohol Use
|
N/A | |
| Completed |
NCT01350505 -
Toileting at Night in Older Adults: Light to Maximize Balance, Minimize Insomnia
|
N/A | |
| Completed |
NCT03961750 -
TAIC: Student-led Exercise for Older Adults at Risk of Falling
|
N/A | |
| Completed |
NCT01029171 -
Action Seniors! Exercise to Prevent Falls
|
N/A | |
| Completed |
NCT00330720 -
Impact of An Emergency Response System on Anxiety and Health-Care Use
|
N/A | |
| Completed |
NCT03874728 -
The Effects of Minimal Shoes in Older People at Risk of Falls: The Feetback Shoe Study
|
||
| Completed |
NCT03737487 -
Effectiveness of the Montpellier Falls Clinic in Preventing InjuRiEs
|
||
| Completed |
NCT01002586 -
Wii-Fit For Improving Activity, Gait And Balance In Alzheimer's Dementia
|
N/A |