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- Ensaio Clínico NCT03253419
HotShOT: Home Safety Occupational Therapy (HotShOT)
Exploration of Home Safety Application Impact on Perceived Risk of Falling and Actual Falls Post Hospital Discharge
Visão geral do estudo
Status
Condições
Intervenção / Tratamento
Descrição detalhada
According to the Centers for Disease Control (CDC), 2.8 million older adults were treated in the emergency department for fall related injuries. Most falls are caused by a combination of risk factors, with more risk factors leading to an increased risk for falling.
People undergoing a total hip replacement can be seen as having an increased risk of falling. Once an individual discharges home from the hospital, it is during this continued post-operative period where pain and weakness continues to effect their walking ability. Additionally, if the patient has a history of falling, has a fear of falling, has visual deficits, and/or neuropathy, risk of falling increases.
Evaluating a patient's fear of falling and educating patient's regarding home safety may lead to a patient feeling increased confidence when completing daily activities with increased safety awareness.
The purpose of this study is to evaluate the use of the Home for Life mobile application to examine home safety and fall risk for patients who have undergone hip replacement surgery and are being discharged to their home.
Study Aims:
- The first aim of this study is to assess whether completion of a home safety assessment within an acute care setting will facilitate carryover and reduce a person's actual and perceived risk of falling. The Home Safety Assessment tool will be used to make adaptation recommendations to a person's home setting based on their real and perceived risk of falling in different rooms within the home (entrance, bedroom, bathroom at a minimum). A home safety assessment is a standard in the clinical care provided by occupational therapist (OT). The use of the home safety application being an alternative method of gathering the information is for research purposes in this study and is not currently used in daily operations. During the initial evaluation, the occupational therapist will bring a tablet into the room. The tablet will have the downloaded user-friendly application. The therapist will guide the client through the components of the application, identifying different rooms in their home and asking questions pertaining to their real and perceived risk of falling within these rooms. Information obtained during this process will then be stored on RedCap.
- The second aim of this study will be to determine if recommended adaptations in home safety impacted perceived risk of falling.
- The third aim of this study will be to determine if the patient had a fall within two weeks post discharge.
Tipo de estudo
Estágio
- Não aplicável
Contactos e Locais
Locais de estudo
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California
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Los Angeles, California, Estados Unidos, 90048
- Cedars-Sinai Medical Center
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Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
Aceita Voluntários Saudáveis
Gêneros Elegíveis para o Estudo
Descrição
Inclusion Criteria:
- Elective total hip arthroplasty
- Discharge destination from acute care hospital is to home
- ≥ 65 years old
- Prior to admission, independent in activities of daily living
Exclusion Criteria:
- Hip replacement due to trauma
- Discharge plan to skilled nursing facility, long term care hospital or inpatient rehabilitation facility
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Pesquisa de serviços de saúde
- Alocação: N / D
- Modelo Intervencional: Atribuição de grupo único
- Mascaramento: Nenhum (rótulo aberto)
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
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Outro: Home Safety Application
Use of Home Safety application as part of assessment for home safety.
The only intervention is the use of the home safety application and identification of home safety issues by the patient using this application.
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Utilize home application to provide the participant with an understanding and recommendations to potentially decrease home hazards that may lead to risk of falls in their home.
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O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
---|---|---|
Relationship of Use of Home safety assessment and Perceived Risk of Falling
Prazo: Identified during Initial evaluation
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Number of participants who identified perceived risk of falling and number of participants who used of home safety application
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Identified during Initial evaluation
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Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
---|---|---|
Actual Fall and Use of application/adaptations
Prazo: 2 weeks of hospital discharge
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Relationship of participant actual fall within 2 weeks of hospital discharge and use of home safety application/adaptations.
Number of participants who utilized home safety application/adaptation and number of participants who had an actual fall
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2 weeks of hospital discharge
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Colaboradores e Investigadores
Patrocinador
Colaboradores
Investigadores
- Cadeira de estudo: Richard Riggs, MD, Cedars-Sinai
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Real)
Conclusão Primária (Real)
Conclusão do estudo (Real)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Real)
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Palavras-chave
Outros números de identificação do estudo
- Pro48620
Plano para dados de participantes individuais (IPD)
Planeja compartilhar dados de participantes individuais (IPD)?
Descrição do plano IPD
Informações sobre medicamentos e dispositivos, documentos de estudo
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Essas informações foram obtidas diretamente do site clinicaltrials.gov sem nenhuma alteração. Se você tiver alguma solicitação para alterar, remover ou atualizar os detalhes do seu estudo, entre em contato com register@clinicaltrials.gov. Assim que uma alteração for implementada em clinicaltrials.gov, ela também será atualizada automaticamente em nosso site .
Ensaios clínicos em Substituição da anca
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Stryker Trauma GmbHConcluídoNecrose da Cabeça do Fêmur | Osteoartrite Primária | Luxações congênitas | Fratura do colo do fêmur | Osteoartrite pós-traumática de Hip Nos