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HotShOT: Home Safety Occupational Therapy (HotShOT)

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ClinicalTrials.gov Identifier: NCT03253419
Recruitment Status : Recruiting
First Posted : August 17, 2017
Last Update Posted : July 18, 2018
Sponsor:
Collaborator:
Home for Life Design
Information provided by (Responsible Party):
Pamela Roberts, Cedars-Sinai Medical Center

Brief Summary:
The purpose of this research study is to examine home safety and fall risk for patients who have undergone hip replacement surgery. The investigators want to know whether evaluating home safety impacts perceived and real risk of falls at home. The study will utilize a fall risk assessment which is a questionnaire that focuses on perceived and real risk of falls at home, as well as a home safety assessment application, the Home for Life App. The participant will be asked about the home environment, including areas of the home such as the entrance, bedroom, and bathroom, and modification recommendations will be made to potentially increase safety.

Condition or disease Intervention/treatment Phase
Hip Replacement Other: Home for Life mobile application Not Applicable

Detailed Description:

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:

  1. 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.
  2. The second aim of this study will be to determine if recommended adaptations in home safety impacted perceived risk of falling.
  3. The third aim of this study will be to determine if the patient had a fall within two weeks post discharge.

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 125 participants
Intervention Model: Single Group Assignment
Intervention Model Description: To evaluate the use of the Home for Life mobile application to examine home safety and perceived fall risk and actual falls within 2 weeks of hospital discharge for participants who have undergone hip replacement surgery.
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: Exploration of Home Safety Application Impact on Perceived Risk of Falling and Actual Falls Post Hospital Discharge
Actual Study Start Date : August 15, 2017
Estimated Primary Completion Date : November 1, 2018
Estimated Study Completion Date : November 1, 2018

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
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.
Other: Home for Life mobile application
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.




Primary Outcome Measures :
  1. Relationship of Use of Home safety assessment and Perceived Risk of Falling [ Time Frame: Identified during Initial evaluation ]
    Number of participants who identified perceived risk of falling and number of participants who used of home safety application


Secondary Outcome Measures :
  1. Actual Fall and Use of application/adaptations [ Time Frame: 2 weeks of hospital discharge ]
    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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Ages Eligible for Study:   65 Years and older   (Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

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

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03253419


Contacts
Contact: Pam Roberts, PhD 310-423-6660 pamela.roberts@cshs.org

Locations
United States, California
Cedars-Sinai Medical Center Recruiting
Los Angeles, California, United States, 90048
Contact: Pamela Roberts, PhD         
Principal Investigator: Pamela Roberts, PhD         
Sponsors and Collaborators
Cedars-Sinai Medical Center
Home for Life Design
Investigators
Study Chair: Richard Riggs, MD Cedars-Sinai

Responsible Party: Pamela Roberts, Director and Professor, Cedars-Sinai Medical Center
ClinicalTrials.gov Identifier: NCT03253419     History of Changes
Other Study ID Numbers: Pro48620
First Posted: August 17, 2017    Key Record Dates
Last Update Posted: July 18, 2018
Last Verified: July 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No
Plan Description: No plans to share IPD at this time

Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Pamela Roberts, Cedars-Sinai Medical Center:
Falls
Hip Replacement
Home Safety