Boston ARCH 4F Intervention to Reduce Fall Risk in People With HIV and Alcohol Use

Boston University

Status: Completed

Conditions: Alcohol Consumption; Falls, Accidental; HIV Infection; Falls

Treatments: Behavioral: Fall Prevention Intervention

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT04804579

H-41041

U01AA020784 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

This study is being conducted to assess the acceptability and feasibility of a randomized trial of a 10 week virtual intervention to reduce fall risk in people with HIV who consume alcohol. The hypothesis is that this randomized trial of the fall prevention intervention will be found to be feasible and acceptable in this pilot stage.

Standardized assessments will be administered in-person at Boston University Medical Campus to assess various domains including fall risk, fear of falling, physical performance measures (such as grip strength, balance, and gait speed), substance use, and other related measures. The intervention has 3 main components: home exercises, virtual group sessions and weekly phone check-ins. Home exercise will be customized to match the current fitness level of participants. Participants will be asked to complete assigned exercises 3 times per week. Additionally, there will be a weekly virtual group session led by an Occupational Therapist trained in group facilitation via Zoom. The virtual group sessions will be used to help answer any questions and lead a discussion around challenges related to falls. Finally, a member of the research team will check-in with participants once per week to answer any remaining questions that participants have, provide individual feedback on exercises, and set up reminders for the upcoming week. Reminders will be tailored to the individual participant's needs to remind the participant to complete the intervention's components.

Enrollment: 23 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Prior or current participant in the Boston ARCH 4F Cohort
• Any alcohol consumption in the last 30 days using Addiction Severity Index
• Deemed a Fall Risk using the CDC STEADI Fall Risk Assessment Form
• Has reliable access to a phone or computer with internet connection

Exclusion criteria

• Requires wheelchair for mobility

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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23 participants in 2 patient groups

Fall Prevention Intervention

Experimental group

Description:

The Intervention involves 3 primary components: virtual group sessions, at-home exercises, and weekly phone check-ins. Virtual Group Session will be held via phone/video call for approximately 30 minutes per week for 10 weeks. At-Home Exercises will be assigned by a registered occupational therapist member of the study team, and participants will be instructed to complete them independently at home 3 times per week. Participants will record the exercises that they complete. Weekly Phone Check-Ins will occur once per week. These check-ins will be used to provide support and problem solving as needed, and individualized reminder systems will be set up to prompt the participant to engage in their weekly exercises (e.g., set up alarm on phone, notifications through calendar app).

Treatment:

Behavioral: Fall Prevention Intervention

Control Group

No Intervention group

Description:

Participants will be provided with an educational pamphlet that includes resources related to falls and alcohol use.