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This study examines the effectiveness of the Stroll Safe Outdoor Fall Prevention program, a 7-week group based educational intervention. Half of participants are assigned to the Stroll Safe program and half are assigned to a wait list control group that initially receives written information only on outdoor falls prevention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Stroll Safe Program | Experimental |
| |
| Outdoor Fall Prevention Brochure | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Outdoor Fall prevention brochure | Behavioral | Participants in the wait list control group will initially receive written information only about preventing outdoor falls |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in Outdoor Falls Questionnaire (Subscale score for strategy use) | Measures use of outdoor fall prevention strategies. Range 0-36 with a higher score indicating greater use of fall prevention strategies. | Baseline, following 7-week program, 2 months post program completion |
| Change in Falls Behavioral Scale for the Older Person (24 item version) | Measures awareness of and practice of behaviors to protect against falling. Mean score is calculated. Range 1-4, with a higher score indicating safest behaviors. | Baseline, following 7-week program, 2 months post program completion |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Falls Self-Efficacy Scale-International | Measures level of concern about falling. Range 16-64, with a higher score indicating a greater level of concern. | Baseline, following 7-week program, 2 months post program completion |
| Change in fall diary reports |
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Inclusion Criteria:
Community-dwelling adults age 60 years or older, English speaking, cognitively competent (i.e. have a Montreal Cognitive Impairment score (MOCA) >24), and able to walk outdoors independently with or without a mobility device. In addition, they must answer "yes" to one or more of the following questions: Have you fallen outdoors and hurt yourself in the past year?, Have you fallen outdoors 2 or more times in the past year?, Are you afraid that you might fall outdoors?, Have you had 2 or more stumbles, trips, or slips outdoors in the past month?
Exclusion Criteria:
Less than 60 years of age, living in an institutional setting (e.g. nursing home), non-English speaker, Montreal Cognitive Assessment Score <24, requiring the assistance of another person to walk outdoors, non-ambulatory, an acute health condition that would interfere with participation(e.g. recent fracture, uncontrolled/poorly managed mental health condition, respiratory disease requiring supplemental oxygen), they reply "no" to all of the following questions: Have you fallen outdoors and hurt yourself in the past year?, Have you fallen outdoors 2 or more times in the past year?, Are you afraid that you might fall outdoors?, Have you had 2 or more stumbles, trips, or slips outdoors in the past month?
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| Name | Affiliation | Role |
|---|---|---|
| Tracy Chippendale, PhD, OTR/L | New York University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| 1199 Norc | New York | New York | 10029 | United States | ||
| Warbasse Cares NORC |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36148513 | Derived | Chippendale T, Albert SM, Mahmood A. Efficacy of the Stroll Safe Outdoor Fall Prevention Program: A Randomized Controlled Trial. Gerontologist. 2023 Oct 17;63(9):1556-1565. doi: 10.1093/geront/gnac145. |
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| Stroll Safe outdoor fall prevention program | Behavioral | Participants in the treatment group will attend a once a week 7-week outdoor fall prevention program that includes didactic presentations, group discussions/ problem solving, practice in strategy use, and action planning for safe community mobility. |
|
Participants keep track of trips, slips, and falls on a calendar. Range 0-no limit. Higher number indicates more slips, trips and falls during the two week look back period. |
| Baseline, every two weeks until 2 months post program completion |
| New York |
| New York |
| 11235 |
| United States |
| Rochdale Village NORC | New York | New York | 11434 | United States |