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| ID | Type | Description | Link |
|---|---|---|---|
| 90DPHF0010 | Other Grant/Funding Number | NIDILRR | |
| 862958 | Other Grant/Funding Number | Craig H. Neilsen Foundation |
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| Name | Class |
|---|---|
| University of Illinois at Chicago | OTHER |
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The research team is conducting a study to determine if a fall prevention program designed specifically for people who use wheelchairs and scooters can help people better prevent and manage falls compared to the standard of care.
This study will compare two groups of participants:
This study includes adults living with Spinal Cord Injury (SCI) or Multiple Sclerosis (MS) who use a wheelchair or scooter every day. The research team aims to determine which approach is more effective in reducing falls and improving confidence in performing daily activities.
People living with SCI or MS who use wheelchairs and scooters (WC/S) full time often experience falls. In fact, 7 out of 10 report falling at least once every 6 to 12 months. These falls can lead to serious injuries and emotional distress, such as concerns about falling (CaF). Although falls are common among this population, most fall prevention programs are designed for people who can walk. There are very few programs designed for people who use WC/S.
This study will test to see if a fall prevention and management program designed specifically for people who use WC/S does a better job at helping people learn how to prevent and manage falls compared to a program that is designed for older adults.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Individualized reduction of falls (iROLL) Group | Experimental | iROLL group participants will be educated about fall prevention and management strategies using the individualized reduction of falls (iROLL) mobile application (app) |
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| Stopping Elderly Accidents, Deaths & Injuries (STEADI) Program Group | Active Comparator | STEADI group participants will be educated about fall prevention and management strategies using Centers for Disease Control and Prevention entitled: Stopping Elderly Accidents, Deaths & Injuries (STEADI) program. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Individualized reduction of falls (iROLL) | Procedure | The iROLL program is a 6-week fall prevention and management program for people living with spinal cord injury (SCI) and multiple sclerosis (MS) who use wheelchairs and scooters. The program's overall goals are to reduce fall frequency, improve functional mobility skills, decrease fear of falling, increase quality of life, and increase community participation. It uses many active learning strategies such as: goal setting, journaling, small group discussions, practicing skills, and homework to apply content to one's daily life. |
| Measure | Description | Time Frame |
|---|---|---|
| Functional Assessment of Currently Employed Technology Scale | Assesses how individuals with disabilities utilize currently available and assistive technologies in their everyday lives across five functional domains (Home, Social, E-commerce, Health Care, Technical). Subscale (Domain) Scoring: Each domain's subtotal ranges from 0 to 10. Higher scores indicate more frequent use of technology. Interpretation categories: 0-2: Very Infrequent IT Use; 3-4: Infrequent IT Use; 5-6: Moderate IT Use; 7-8: Frequent IT Use; 9-10: Very Frequent IT Use Total FACETS Score: Ranges from 0 to 50 (sum of the five domain subtotals). Higher total scores = greater overall frequency of technology use. Interpretation categories: 0-14: Very Infrequent IT Use; 15-24: Infrequent IT Use; 25-34: Moderate IT Use; 35-44: Frequent IT Use; 45-50: Very Frequent IT Use | Baseline |
| Fall Concerns Scale for Wheelchair and Scooter Users | Measures fear of falling and fall-related self-efficacy in individuals who use wheelchairs or scooters. The Fall Concerns Scale for Wheelchair and Scooter Users consists of 16 items, each rated on a 4-point Likert scale (1 = "not at all concerned" to 4 = "very concerned"). The total score ranges from 16 to 64, with higher scores indicating greater fear of falling and lower fall-related self-efficacy. | Baseline, Post-Intervention (Week 6 and Week 14) |
| Falls Prevention Strategies Survey | Captures the frequency and types of fall prevention behaviors or strategies participants use in their daily lives. | Baseline, Post-Intervention (Week 6 and Week 14) |
| The Fall Management Scale | Assesses participant confidence and preparedness in managing fall-related scenarios (e.g., recovery techniques, communication, and safety). Total scores range from 0 to 64. Higher scores indicate greater use of fall management strategies (better outcome). | Baseline, Post-Intervention (Week 6 and Week 14) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Laura Rice, PhD, MPT, ATP | Contact | 217-333-4650 | ricela@illinois.edu | |
| Harshal Mahajan, Ph.D. | Contact | 217-300-7048 | mahajan6@illinois.edu |
| Name | Affiliation | Role |
|---|---|---|
| Harshal Mahajan, Ph.D. | University of Illinois, Urbana-Champaign | Principal Investigator |
| Laura Rice, PhD, MPT, ATP | University of Illinois, Urbana-Champaign | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Disability Participation and Quality of Life (DPQOL) Laboratory | Recruiting | Urbana | Illinois | 61801 | United States |
After completion of the study, an IRB-approved research team member (research assistant) will create a copy of the original data. All the identifiable information will be redacted from both online surveys and interview transcripts and unique codes will be assigned to each participant data. The identifiable data will be saved separately in a secure UIUC Box folder and only the de-identified data will be submitted to a data repository (Inter-university Consortium for Political and Social Research - ICPSR).
Start date: after completion of the study; End date: NA
The data will be retrieved through the ICPSR platform, which provides secure access to the research datasets. Access is limited to individuals affiliated with ICPSR member institutions or those who obtain direct permission/licensing through ICPSR.
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Participants are assigned to one of two arms in a parallel design: (1) Fall prevention education via the iROLL program or (2) Fall prevention education via the STEADI program. Each participant remains in their assigned group throughout the study.
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Participants will be blindly assigned to one of the groups to reduce bias.
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| Stopping Elderly Accidents, Deaths & Injuries (STEADI) | Procedure | The CDC's Stopping Elderly Accidents, Deaths & Injuries (STEADI) initiative is a coordinated approach to fall prevention for older adults. It focuses on helping healthcare providers implement clinical fall prevention strategies, including screening for fall risk, assessing modifiable risk factors, and intervening to reduce risk. |
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| Fall Prevention and Management Questionnaire | A multi-dimensional tool that evaluates participants' knowledge, behaviors, and attitudes toward fall prevention and recovery. | Baseline, Post-Intervention (Week 6 and Week 14) |
| Community Participation Indicators Questionnaire | A self-report 48-item objective that measures two distinct subsets: 1) Importance and meaning, and 2) Control over participation. This questionnaire assesses levels of community engagement, social interaction, and participation in everyday activities outside the home. Items are typically rated on a Likert scale and aggregated to produce subscale scores and a total participation score. Higher scores indicate greater community participation. Scores range between 0 and 1, where: 0 = no meaningful participation. 1 = full participation in all important activities | Baseline, Post-Intervention (Week 6 and Week 14) |
| Transfer Assessment Instrument Questionnaire | Measures participants' safety, technique, and confidence when transferring between surfaces (e.g., wheelchair to bed). | Baseline, Post-Intervention (Week 6 and Week 14) |
| Wheelchair Skills Test - Questionnaire | Self-reported version of the Wheelchair Skills Test assessing wheelchair handling and maneuvering capabilities. | Baseline, Post-Intervention (Week 6 and Week 14) |
| System Usability Scale | Evaluates participants' perceived usability of the iROLL-O+ mobile app - only for the intervention group. The SUS consists of 10 items, each scored on a 5-point Likert scale (0-4). The total raw score is converted to a 0-100 scale. Higher scores indicate better usability. A score of 68 is considered average usability; scores above 68 reflect above-average usability, while scores below 68 reflect below-average usability. | Post-Intervention (Week 6) |
| Usefulness, Satisfaction, and Ease of Use Questionnaire | Assesses perceived usefulness, satisfaction, and ease of use of a mobile app. - only for the intervention group | Post-Intervention (Week 6) |
| Mobile App Rating Scale | Evaluates mobile app quality, including engagement, functionality, aesthetics, and information content. - Only for the intervention group. The uMARS contains 20 items across four objective quality subscales (Engagement, Functionality, Aesthetics, Information). Each item is rated on a 5-point Likert scale (1-5). Subscale scores are averaged, and a total quality mean score can also be calculated. Higher scores indicate higher app quality. | Post-Intervention (Week 6) |
| ID | Term |
|---|---|
| D013119 | Spinal Cord Injuries |
| D009103 | Multiple Sclerosis |
| ID | Term |
|---|---|
| D013118 | Spinal Cord Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D020196 | Trauma, Nervous System |
| D014947 | Wounds and Injuries |
| D020278 | Demyelinating Autoimmune Diseases, CNS |
| D020274 | Autoimmune Diseases of the Nervous System |
| D003711 | Demyelinating Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
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| ID | Term |
|---|---|
| D000071459 | Death Domain |
| ID | Term |
|---|---|
| D000071458 | Death Domain Superfamily |
| D054730 | Protein Interaction Domains and Motifs |
| D000072417 | Protein Domains |
| D000072416 | Protein Structural Elements |
| D011487 | Protein Conformation |
| D008968 | Molecular Conformation |
| D015394 | Molecular Structure |
| D001669 | Biochemical Phenomena |
| D055598 | Chemical Phenomena |
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