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

The goal of this trial is to test the real-world efficacy of AL-STEADI, a fall prevention program, in seven assisted living centers. We will randomly assign 700 residents from seven assisted living centers who screen at-risk of falling to either existing fall monitoring protocols or the enhanced AL-STEADI fall prevention program. We will evaluate the effect of AL-STEADI on the rate of falls over 12 months. We will also closely monitor implementation fidelity in these seven assisted living centers.

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Key information

Conditions

Fall Fall Injury Prevention Fall Prevention

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

This is a pragmatic trial. All residents living in one of the seven participating assisted living communities will be potentially eligible. Residents who screen positive for fall risk will be enrolled.

Exclusion criteria

Not living in one of seven partnering assisted living centers. Not screening at-risk for falls.

Treatment and study plan

AL-STEADI

Behavioral

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.

Usual Care Group

Behavioral

Typical fall prevention practices, including increased monitoring by assisted living staff

Primary outcomes

Fall rate

Time frame: 12 person-months

Number of staff documented falls per 12 non-censored person-months, among individuals who screen at-risk for falls

Study contacts

Contact information is provided by the study sponsor or research team.

Ellen McCreedy, PhD, MPH

CONTACT

[email protected]

(401) 863-7345

Sponsors and collaborators

Lead sponsor

Brown University

Other

Registry information

Acronym: AL-STEADI

Important dates

Study start: 2027
Primary completion: 2029
Study completion: 2029
First posted: Apr 15, 2026
Registry last updated: Apr 15, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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Completed