Preventing Falls Among Older Fallers to Test the Effect of LIVE-LiFE, a Home-Based, Tailored Fall Prevention Program

Johns Hopkins University

Status: Completed

Conditions: Fall Prevention

Treatments: Other: LIVE-LiFE to Prevent Falls Among Older Fallers

Study type: Interventional

Funder types: Other; Other U.S. Federal agency

Identifiers

NCT03351413

IRB00141297

Details and patient eligibility

About

Purpose: To test the effect of LIVE-LiFE, a home-based, tailored fall prevention program for older adults with a high risk for falling.

Study Type: Single-blind, two group randomized pilot trial. Randomization is 2:1 (27 intervention, 13 control). Participants have a chance of being in the LIVE-LiFE group or the control group.

Safe-LiFE Group: Individually tailored intervention at the participant's home spaced across 12 weeks including:

• Home safety assessment and risk reduction strategies; incorporating strength and balance training into daily habits vision screening and referral; and education about fear of falling and falls
• Home repairs, modifications, and low cost assistive devices to address unsafe home environments increasing fall risk
• Medication review and feedback concerning medications with increased fall risk

Control Group:

• An individualized fall risk assessment provided to participant and their primary care provider

Sample: 40 community-dwelling older adults in Baltimore City or County

Enrollment: 40 patients

Sex: All

Ages: 70+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Adults ≥ 70 or older
• Self-report of 2 or more falls in the past 12 months OR 1 fall causing injury in the past 12 months

Exclusion criteria

• Moderate-severe memory problems
• No conversational English
• Not able to stand
• Resident in a nursing home or assisted living facility
• Hospitalized > 3 times in the last year
• Terminally ill (<1 year expected survival)
• Receiving active cancer treatment

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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40 participants in 2 patient groups

Intervention

Experimental group

Description:

LIVE-LiFE to Prevent Falls Among Older Fallers Intervention, which is an individually tailored program at the participant's home spaced across 12 weeks including: * Home safety assessment and risk reduction strategies; incorporating strength and balance training into daily habits vision screening and referral; and education about fear of falling and falls * Home repairs, modifications, and low cost assistive devices to address unsafe home environments increasing fall risk * Medication review and feedback concerning medications with increased fall risk

Treatment:

Other: LIVE-LiFE to Prevent Falls Among Older Fallers

Control

No Intervention group

Description:

- An individualized fall risk assessment provided to participant and their primary care provider