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OpenTrials
Completed

NCT Number: NCT03780777

Removing Home Hazards for Older Adults in Affordable Housing

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.

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Key information

Conditions

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Washington University School of Medicine

St Louis, Missouri, 63108, United States

About this study

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.

Who can participate

Healthy volunteers accepted: Yes

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

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

Treatment and study plan

Home Hazard Removal

Behavioral

Removal of home barriers or hazards

Primary outcomes

  1. Resident enrollment in home hazard removal intervention

    Time frame: 609 days

    Participation measured by percentage of eligible building residents enrolled

  2. Program fidelity

    Time frame: 609 days

    Visit-by-visit checklist and calculation of the dose of the intervention received (number of minutes delivered)

Secondary outcomes

  1. Number of falls

    Time frame: 609 days

    Prospective monthly reporting of falls using an automated phone system

  2. Cost per fall prevented

    Time frame: 609 days

    Final prescription and invoice (materials)

  3. Adherence to home hazard removal intervention recommendations

    Time frame: 609 days

    Recommendations used/total at 3 months or cause of abandonment

Sponsors and collaborators

Lead sponsor

Washington University School of Medicine

Other

Collaborators

  • US Department of Housing and Urban Development

Registry information

Important dates

Study start
2019
Primary completion
2021
Study completion
2021
First posted
Dec 19, 2018
Registry last updated
Sep 2, 2025

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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