Brief Summary
This project proposes to evaluate the potential for nurses to assess if a patient who uses an ambulatory aid at home is fit to use one in the hospital, and the effect that providing ambulatory aids to hospitalized patients will have on reducing hospital falls, with a matched pair cluster-randomized controlled trial.
Hypothesis 1: Of the patients who use an ambulatory aid at home, patients who receive an ambulatory aid in the hospital will have a lower fall rate as compared to patients who do not receive an ambulatory aid in the hospital.
Hypothesis 2: After adequate training, nurses will be able to accurately assess whether or not patients need an ambulatory aid when compared to the gold-standard assessments of physical therapists.
Hypothesis 1: Of the patients who use an ambulatory aid at home, patients who receive an ambulatory aid in the hospital will have a lower fall rate as compared to patients who do not receive an ambulatory aid in the hospital.
Hypothesis 2: After adequate training, nurses will be able to accurately assess whether or not patients need an ambulatory aid when compared to the gold-standard assessments of physical therapists.
Brief Title
Reducing Hospital Falls by Empowering Nurses to Provide Ambulatory Aids
Detailed Description
This research project proposes to study the effectiveness of a specific falls prevention intervention in a high risk population by providing ambulatory aids upon admission to the hospital to patients who previously used one at home after a standardized evaluation by a Registered Nurse. This will be a randomized controlled trial within three hospitals in a large academic medical center.
Primary Objectives:
Specific Aim 1: Evaluate the effectiveness in preventing falls by providing an ambulatory aid to patients who use an ambulatory aid at home, and who are deemed fit to use the device in the hospital by their nurse.
Specific Aim 2: Evaluate the nurses' ability to assess the appropriateness of providing an ambulatory aid, such as a cane or walker, to a patient who uses an assistive device at home.
Primary Objectives:
Specific Aim 1: Evaluate the effectiveness in preventing falls by providing an ambulatory aid to patients who use an ambulatory aid at home, and who are deemed fit to use the device in the hospital by their nurse.
Specific Aim 2: Evaluate the nurses' ability to assess the appropriateness of providing an ambulatory aid, such as a cane or walker, to a patient who uses an assistive device at home.
Completion Date
Completion Date Type
Actual
Conditions
Accidental Falls
Harm Reduction
Eligibility Criteria
Inclusion Criteria:
* any one determined to be in need of walking aid and
* Can stand up from a seated position independently without assistance
* Can use ambulatory aid at home without assistance/supervision
* Can sit up in bed AND rise to a standing position independently
Exclusion Criteria:
* Not able to give consent
* Not able to use ambulatory aid independently
* any one determined to be in need of walking aid and
* Can stand up from a seated position independently without assistance
* Can use ambulatory aid at home without assistance/supervision
* Can sit up in bed AND rise to a standing position independently
Exclusion Criteria:
* Not able to give consent
* Not able to use ambulatory aid independently
Inclusion Criteria
Inclusion Criteria:
* any one determined to be in need of walking aid and
* Can stand up from a seated position independently without assistance
* Can use ambulatory aid at home without assistance/supervision
* Can sit up in bed AND rise to a standing position independently
* any one determined to be in need of walking aid and
* Can stand up from a seated position independently without assistance
* Can use ambulatory aid at home without assistance/supervision
* Can sit up in bed AND rise to a standing position independently
Gender
All
Gender Based
false
Keywords
Fall Prevention
Hospital Acquired Conditions
Nurse Education
Assistive Devices
Healthy Volunteers
No
Last Update Post Date
Last Update Post Date Type
Actual
Last Update Submit Date
Maximum Age
99 Years
Minimum Age
18 Years
NCT Id
NCT03675503
Org Class
Other
Org Full Name
Montefiore Medical Center
Org Study Id
2013-2984
Overall Status
Terminated
Phases
Not Applicable
Primary Completion Date
Primary Completion Date Type
Actual
Official Title
Reducing Hospital Falls by Empowering Nurses to Provide Ambulatory Aids: A Randomized Controlled Trial
Primary Outcomes
Outcome Description
Participants's self reported number of falls will be assess at baseline and 6 months after trial.
Outcome Measure
Change in Number Falls
Outcome Time Frame
Baseline and Six months after study
Start Date
Start Date Type
Actual
Status Verified Date
First Post Date
First Post Date Type
Actual
First Submit Date
First Submit QC Date
Std Ages
Adult
Older Adult
Maximum Age Number (converted to Years and rounded down)
99
Minimum Age Number (converted to Years and rounded down)
18
Investigators
Investigator Type
Principal Investigator
Investigator Name
Mary Ellen Lindros
Investigator Email
mlindros@montefiore.org
Investigator Phone
MeSH Terms
HARM REDUCTION
IATROGENIC DISEASE
BEHAVIOR
DISEASE ATTRIBUTES
PATHOLOGIC PROCESSES
PATHOLOGICAL CONDITIONS, SIGNS AND SYMPTOMS