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| ID | Type | Description | Link |
|---|---|---|---|
| U01CE003720 | U.S. NIH Grant/Contract | View source |
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The goal of this trial is to test the real-world efficacy of AL-STEADI, a fall prevention program, in seven assisted living centers. We will randomly assign 700 residents from seven assisted living centers who screen at-risk of falling to either existing fall monitoring protocols or the enhanced AL-STEADI fall prevention program. We will evaluate the effect of AL-STEADI on the rate of falls over 12 months. We will also closely monitor implementation fidelity in these seven assisted living centers.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| AL-STEADI | Experimental |
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| Existing fall monitoring protocols | Active Comparator |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AL-STEADI | Behavioral | STEADI is an evidence-based falls prevention program developed by the CDC and tested in several community-based settings. STEADI involves universal fall screening, followed by personalized assessments and tailored interventions. Common, potentially modifiable causes of falls evaluated in STEADI include medication interactions or side effects, environmental hazards (e.g., floor rugs, thresholds), untreated visual impairment, low vitamin D, ill-fitting footwear, or low blood pressure. AL-STEADI is a modified version of STEADI for assisted living. |
| Measure | Description | Time Frame |
|---|---|---|
| Fall rate | Number of staff documented falls per 12 non-censored person-months, among individuals who screen at-risk for falls | 12 person-months |
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Inclusion Criteria: This is a pragmatic trial. All residents living in one of the seven participating assisted living communities will be potentially eligible. Residents who screen positive for fall risk will be enrolled.
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Exclusion Criteria: Not living in one of seven partnering assisted living centers. Not screening at-risk for falls.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ellen McCreedy, PhD, MPH | Contact | (401) 863-7345 | ellen_mccreedy@brown.edu |
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Resident-level, electronic medical record data will be protected by Data Use Agreements and cannot be shared publicly. Summary tables may be made available; small cell restrictions and other measures to prevent re-identification would apply
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| Usual Care Group | Behavioral | Typical fall prevention practices, including increased monitoring by assisted living staff |
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