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.
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 Type
INTERVENTIONAL
Allocation
NA
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
524
Removal of home barriers or hazards
Washington University School of Medicine
St Louis, Missouri, United States
Resident enrollment in home hazard removal intervention
Participation measured by percentage of eligible building residents enrolled
Time frame: 609 days
Program fidelity
Visit-by-visit checklist and calculation of the dose of the intervention received (number of minutes delivered)
Time frame: 609 days
Number of falls
Prospective monthly reporting of falls using an automated phone system
Time frame: 609 days
Cost per fall prevented
Final prescription and invoice (materials)
Time frame: 609 days
Adherence to home hazard removal intervention recommendations
Recommendations used/total at 3 months or cause of abandonment
Time frame: 609 days
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