Comparison of Home-based Video, Paper/Print Checklist and Professional Home Assessment in Detection of Fall Hazards at Home

May 9, 2024 updated by: McMaster University

Comparison of Home-based Video, Paper/Print Checklist and Professional Home Assessment in the Detection of Fall Hazards for Older Adults Living at Home: A Pilot Randomized Crossover Trial

The purpose of this study is to assess the feasibility and potential impact of video analysis of footage taken with a GoPro camera video in comparison to a homeowner checklist or gold standard home assessment as a means of detecting home fall hazards.

Investigators hypothesize that the assessment of homes for fall hazards with a GoPro camera will be better than a homeowner paper checklist in hazard identification.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

80 community-dwelling adults (50-75 years of age) will be recruited from clinics and the community through posters and advertising (n = 40 in the Healthy Group; n = 40 in the Distal Radius Fracture (DRF) Group (adults with 3-12 months post-DRF)).

Participants will be randomly allocated to a homeowner paper checklist or a GoPro video assessment and then cross-over to the opposite intervention.

To assess accuracy, a gold standard home assessment will be completed by a trained evaluator, after the homeowner checklist and GoPro video assessment.

Upon completion of the data collection, the evaluator will conduct their assessment (gold standard); review the findings from the GoPro "playback" with the participant, and conduct a semi-structured interview on their prior awareness of fall hazards, perceptions about the different methods of detecting fall hazards in their home; and intentions to remediate identified hazards.

Study Type

Interventional

Enrollment (Actual)

45

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Canada
    • Ontario
      • Hamilton, Ontario, Canada, L8S 1C7
        • McMaster University

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

50 years to 75 years (Adult, Older Adult)

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Healthy Group: community-dwelling adults
  • DRF Group: adults with 3-12 months post DRF
  • ability to read, understand and speak English

Exclusion Criteria:

  • identified cognitive disorder
  • major loss of vision or hearing
  • other concurrent upper extremity injuries or neurological impairments
  • any unhealed fractures

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Other
  • Allocation: Randomized
  • Interventional Model: Crossover Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Other: Home-Based Video
GoPro Camera
Behavioral: Video based/Therapists' rating of comprehensive-home-fall-hazard-checklist (vt-CHFHC)
The participant will use GoPro technology and follow standardized instructions to inspect each room of their house. They will navigate through their home wearing the GoPro camera, recording images about their home and their usual activities and use a talk-aloud approach to describe what they are doing and seeing. The evaluator will provide no feedback during the assessments.
Other: Paper Checklist
Homeowner Print Checklist
Behavioral: Paper based/Patient self-rating of comprehensive-home-fall-hazard-checklist (pp-CHFHC)
A paper version of CHFHC and other self-reported documents will be completed by the participants in their homes based on standardized verbal instruction provided by the research staff.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Evaluation Agreement
Time Frame: Within 1 week of completion of assessment
Fall hazard scores will be calculated based on the number and severity of hazards identified from the paper checklist, the GoPro assessment, and the independent evaluation. The extent of agreement on fall-hazard score and time taken to complete the evaluations (home-based video, paper/print checklist; professional home assessment) will be assessed.
Within 1 week of completion of assessment

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Feasibility and Fidelity
Time Frame: Within 1 week of completion of assessment
Semi-structured phone interviews will be conducted to collect participant feedback on the feasibility, usability, usefulness, acceptance, barriers, facilitators, respondent burden and preference for using GoPro video-technology vs. pp-CHFHC vs. professional assessment. During the interview, participants will also be asked about their prior awareness of fall hazards and experiences about the different methods of detecting fall hazards in their home.
Within 1 week of completion of assessment

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

McMaster University

Collaborators

Hamilton Health Sciences Corporation

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

November 5, 2020

Primary Completion (Actual)

June 30, 2022

Study Completion (Actual)

June 30, 2022

Study Registration Dates

First Submitted

May 12, 2016

First Submitted That Met QC Criteria

May 13, 2016

First Posted (Estimated)

May 17, 2016

Study Record Updates

Last Update Posted (Actual)

May 10, 2024

Last Update Submitted That Met QC Criteria

May 9, 2024

Last Verified

May 1, 2024

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • HIREB 1950

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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