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

N/ANot Yet RecruitingNCT07531641

Brown University700 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

TRIPLE

Enrollment

700

Conditions

Fall Fall Injury Prevention Fall Prevention

Interventions

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.

Outcomes

Primary Outcomes

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

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

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

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

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

Proportion of fall-risk residents with any hospital transfer

Proportion of residents with any hospital transfers during follow-up, among individuals who screen at-risk for falls

Time frame: 12 person-months

Hospitalization rate among fall-risk residents

Number of in-patient hospitalizations per 12 non-censored person-months, among individuals who screen at-risk for falls

Time frame: 12 person-months

Proportion of fall-risk residents with any hospitalization

Proportion of residents with any in-patient hospitalization during follow-up, among individuals who screen at-risk for falls

Time frame: 12 person-months

Skilled nursing stay rate among fall-risk residents

Number of skilled nursing stays per 12 non-censored person-months, among individuals who screen at-risk for falls

Time frame: 12 person-months

Proportion of fall-risk residents with any skilled nursing stay

Proportion of residents with any skilled nursing stay during follow-up, among individuals who screen at-risk for falls

Time frame: 12 person-months

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

Overview

Conditions

Interventions

Eligibility

Outcomes

Primary Outcomes

Secondary Outcomes

Central Contacts