Sense4Safety Fall Prevention Intervention
Brief description of study
Falls and fall-related injuries are significant public health issues for adults 65 years of age and older. Over a third of older adults (OA) fall each year and 10-20% of falls result in serious injuries such as fractures and head trauma. The annual direct medical costs in the US as a result of falls are estimated to exceed $50 billion, and this estimate does not include the indirect costs of disability, dependence, and decreased quality of life. This project targets community-dwelling OA with mild cognitive impairment (MCI), which is a leading risk factor for falls in OA. Approximately 15%-20% of OA have MCI, and over 60% of OA with MCI fall annually - two to three times the rate of those without cognitive impairment.
We have developed and pilot-tested an innovative technology-supported intervention called Sense4Safety to 1) identify escalating risk for falls real-time through in-home passive sensor monitoring; 2) employ machine learning to inform individualized alerts for fall risk; and 3) link 'at risk' older adults with a coach who will guide them in implementing evidence-based individualized plans to reduce fall-risk. The purpose of this study is to assess the effectiveness of Sense4Safety in reducing fall risk with a randomized clinical trial, and understand implementation factors to improve the scalability of Sense4Safety in diverse community settings.
Detailed description of study
Sense4Safety is a technology-enhanced intervention that includes multiple components: 1) in-home assessment; 2) tailored education and exercise; 3) passive monitoring and communication. Research study activites are home-based with no travel to a study site. Research staff will interact with you primarily via video-conferencing or phone on a biweekly basis, supplemented by 3 in-home visits at study start (month 0), month 3 (half-way point), and month 6 (end-point) to conduct in-person assessments.
There is no travel for this study. By the end of the study participant's will improve their understanding of fall risk factors and steps they can take both inside and outside the home to prevent falls. Participants who complete the 6-month study receive an exclusive Fall Prevention Booklet, a printout of their walking data and information, and $200 total.
Eligibility of study
You may be eligible for this study if you meet the following criteria:
- Conditions: Seniors, 65+, Healthy
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Age: 65 years or above
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Gender: All
Inclusion
- Age ≥65 years
- Reside in senior living communities and plan to be in the area for more than 6 months
- Able to walk household distances
- Eligibility will be determined by additional screenings
Exclusion
- Terminal illness, central nervous system condition such as stroke or Parkinson's disease, diagnosis of dementia, severe vision or hearing deficits, and reliance on wheelchair or scooter within living quarters
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