Health TrialsbyHealthPanel

From Screening to Safety: Implementing the AL-STEADI Initiative in Assisted Living Communities

ConditionsFallFall Injury PreventionFall Prevention
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorBrown University

About this trial

The goal of this trial is to test the real-world efficacy of AL-STEADI, a fall prevention program, in participating assisted living centers. The investigators will randomly assign residents from participating assisted living centers who screen at-risk of falling to either existing fall monitoring protocols or the enhanced AL-STEADI fall prevention program. The investigators will evaluate the effect of AL-STEADI on the rate of falls over 12 months. The investigators will also closely monitor implementation fidelity in these participating assisted living centers.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

None

Disqualifiers

None

Trial design

Design model

Parallel

Treatments tested in this trial

  • 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.

  • Usual Care Group

    Behavioral

    Typical fall prevention practices, including increased monitoring by assisted living staff

Treatment groups

700 Participants
are divided into 2 treatment groups
Group A: AL-STEADIExperimental treatment 1 intervention
Group B: Existing fall monitoring protocolsActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Fall rate

Number of staff documented falls per 12 non-censored person-months, among individuals who screen at-risk for falls

Time frame
12 person-months

Secondary outcomes

1

Proportion of fall-risk residents with any fall

Proportion of residents with any staff documented fall during follow-up, among individuals who screen at-risk for falls

Time frame
12 person-months
2

Injurious fall rate among fall-risk residents

Number of staff documented injurious falls per 12 non-censored person-months, among individuals who screen at-risk for falls

Time frame
12 person-months
3

Proportion of fall-risk residents with any injurious fall

Proportion of residents with any staff documented injurious fall during follow-up, among individuals who screen at-risk for falls

Time frame
12 person-months
4

Hospital transfer rate among fall-risk residents

Number of hospital transfers per 12 non-censored person-months, among individuals who screen at-risk for falls

Time frame
12 person-months

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Brown University

Lead sponsor

Source ClinicalTrials.gov

This trial is not recruiting at the moment. You can still explore other options: