Ignite Creation Date:
2024-10-26 @ 3:39 PM
Last Modification Date:
2024-10-26 @ 3:39 PM
Study NCT ID:
NCT06573983
Status:
NOT_YET_RECRUITING
Last Update Posted:
None
First Post:
2024-08-23
Brief Title:
Fall Risk Identification and Management for Older Veterans
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Development of a Fall Risk Identification and Management Model for Older Veterans
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
FRIM
Brief Summary:
Falls are a common occurrence among older adults and Veterans have an even higher risk of falling compared to non-Veterans These falls often lead to severe health consequences including traumatic brain injuries hip fractures emergency visits hospitalizations and even death It is crucial to prioritize fall prevention in order to reduce injuries and enable older Veterans to age comfortably at home Although current fall prevention programs in the Veterans Health Administration primarily focus on inpatient care and nursing homes there is a pressing need to address falls among older Veterans living independently in the community The proposed VA-specific Fall Risk Identification and Management FRIM model aims to proactively prevent falls in older Veterans who receive primary care effectively reducing the occurrence of adverse health events associated with falls By placing emphasis on prevention rather than reacting after falls have already happened this initiative seeks to significantly enhance the overall well-being of older Veterans
Detailed Description:
Falls among older adults pose a significant risk leading to life-altering injuries and imposing substantial healthcare costs There is a pressing need to develop fall prevention models within the Veterans Health Administration VHA considering Veterans are more likely to fall than their age-matched non-Veteran counterparts likely secondary to higher rates of functional impairment and comorbidities Extensive research has identified numerous fall risk factors across physical psychological pharmacological and environmental domains Further screening tools and interventions have been developed to identify and manage these risk factors offering insight on methods to intervene early and prevent falls in older Veterans Primary care clinics within the VHA are well-positioned to play a crucial role in preventing falls These clinics are frequently visited by older Veterans for routine care and are widely accessible across the country However fall risk assessment is often not included in the standard care provided by VHA primary care clinics mainly due to barriers like limited time competing medical priorities and a lack of training Consequently there is a missed opportunity to address fall prevention Therefore the investigators are developing a personalized multifactorial model called Fall Risk Identification and Management FRIM to prevent falls in older Veterans seen within primary care by addressing known barriers that have limited the uptake of other fall prevention models Specifically the FRIM model follows a three-stage process briefly screening for fall risk during routine primary care visits conducting telehealth visits to identify specific fall risk factors and referring Veterans to existing VHA care pathways with established interventions for managing identified risk factors The objectives of this CDA-2 are to refine Aim 1 Phase 1 and assess the feasibility Aim 2 Phase 2 of the FRIM model in preparation for a future efficacy trial The initial phase Aim 1 focuses on refining the FRIM model by gathering feedback on each care pathway from Veterans and clinicians through qualitative interviews following a small field test Additionally the investigators will assess the impact of each care pathway on fall risk factor assessments This phase aims to enhance the model based on the integration of perceptions and outcomes Following the refinement of the FRIM model Aim 2 entails conducting a randomized controlled feasibility pilot study This phase will involve the collection of both qualitative and quantitative data to evaluate the feasibility acceptability and candidate efficacy outcomes of the FRIM model while comparing it to VHA standard of care
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None