An Occupational Therapist Fall Prevention Intervention in a Geriatric Primary Care Setting

The Association Between Fear of Falling and Fall Prevention Interventions Offered by an Occupational Therapist in a Geriatric Primary Care Setting

Purpose of the study: To identify if an intervention focused on decreasing fear of falling (FOF) in a geriatric primary care setting implemented by an occupational therapist (OT) has the potential to decrease falls and improve physical, psychological and social factors related to FOF.

The primary research question: Is there an association between fear of falling among geriatric populations and fall prevention interventions that are offered by occupational therapist in a geriatric primary care setting?

Study Overview

• Status: Completed
• Conditions: Fall, Accidental; Fall Accident
• Intervention / Treatment: Behavioral: Fall Prevention by the Occupational Therapist

• Study Type: Interventional
• Enrollment (Actual): 13
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • Illinois
    • Chicago, Illinois, United States, 60612
      • Geriatric Primary Care Clinic

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 60 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• cognitively intact with a score of 29/30 or higher on the Orientation Log (standardized assessment tool)
• living in the community
• English speaking
• had a fall or near fall in the past year

Exclusion Criteria:

• received OT services within the past 2 months

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm

Intervention / Treatment

Experimental: Fall Prevention Intervention by OT; Fall prevention interventions implemented by an OT in a geriatric primary care setting for a client immediately following the provider visit within the office.

Behavioral: Fall Prevention by the Occupational Therapist; The interventions included education on adaptive equipment for household activities, adaptive equipment for activities of daily living, proper footwear in all environments, proper body mechanics, position changes, home environment set up, high fall risk activities, safety awareness, low vision and home exercises programs. In addition, discussion and education occurred to improve participation in valued occupations.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
The Change of Falls Efficacy Scale-International (FES-I), standardized measure for fear of falling	The outcome measure is the change between the pre FES-I and post FES-I	One Time visit: 30-50 minutes

Collaborators and Investigators

• Sponsor: Rush University Medical Center
• Collaborators: Western Michigan University
• Investigators: Principal Investigator: Lydia Royeen, Masters, Rush University Medical Center

Study record dates

Study Major Dates

• Study Start (Actual): November 1, 2015
• Primary Completion (Actual): December 1, 2016
• Study Completion (Actual): December 1, 2017

Study Registration Dates

• First Submitted: May 23, 2017
• First Submitted That Met QC Criteria: September 22, 2017
• First Posted (Actual): September 27, 2017

Study Record Updates

• Last Update Posted (Actual): December 16, 2020
• Last Update Submitted That Met QC Criteria: December 11, 2020
• Last Verified: December 1, 2020

More Information

Terms related to this study

• Keywords: Fear of falling
• Other Study ID Numbers: 15082105-IRB01

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: Undecided