Removing Home Hazards for Older Adults in Affordable Housing
Study Details
Study Description
Brief Summary
The investigators will conduct a hybrid effectiveness/implementation trial to simultaneously establish the effectiveness of home hazard removal in affordable housing in order to reduce falls, and conduct a process evaluation of how the intervention works in the context of low-income senior apartments.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
The investigators, in collaboration with the community partner, will offer the program to all building residents in select low-income senior apartments. The eligibility criteria include a self-report of one or more falls in the preceding 12 months, a fear of falling, or unsteadiness while standing or walking. The investigators will screen residents and determine their risk for falling. Residents who are high risk will be referred to licensed occupational therapy practitioners for baseline assessments and home hazard removal. Residents will be re-assessed at 3 months. All assessments will be conducted in the residents' apartment buildings. Outcomes (falls, program evaluation) will be collected by our community partner.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Home Hazard Removal Group A tailored home-modification (home-hazard removal) intervention for residents with a high fall risk, delivered in the home by occupational therapists over one to two visits and with a booster session at three months. |
Behavioral: Home Hazard Removal
Removal of home barriers or hazards
|
Outcome Measures
Primary Outcome Measures
- Resident enrollment in home hazard removal intervention [609 days]
Participation measured by percentage of eligible building residents enrolled
- Program fidelity [609 days]
Visit-by-visit checklist and calculation of the dose of the intervention received (number of minutes delivered)
Secondary Outcome Measures
- Number of falls [609 days]
Prospective monthly reporting of falls using an automated phone system
- Cost per fall prevented [609 days]
Final prescription and invoice (materials)
- Adherence to home hazard removal intervention recommendations [609 days]
Recommendations used/total at 3 months or cause of abandonment
Eligibility Criteria
Criteria
Inclusion Criteria:
- Residents who live in any of the eligible section 202 low-income senior apartment units managed by our community partner
Exclusion Criteria:
- Individuals who do not reside in any of the eligible units
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Washington University School of Medicine | Saint Louis | Missouri | United States | 63108 |
Sponsors and Collaborators
- Washington University School of Medicine
- US Department of Housing and Urban Development
Investigators
- Principal Investigator: Susan Stark, PhD, Washington University School of Medicine
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 201811108
- MOHHU0040-17