Adaptation of the STEPPING ON Fall Prevention Program for Older Adults Receiving Cancer Therapy

Conditions:Cancer, Cancer
Therapuetic Areas:Oncology
Age Range:70 - Any
Start Date:June 9, 2016
End Date:May 31, 2019
Contact:Tanya Wildes, MD, MSCI

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Chronic disease self-management is the ability of the individual, in conjunction with family,
community and healthcare professionals to manage symptoms, treatments, lifestyle changes and
psychosocial, cultural and spiritual consequences associated with a chronic condition.
Self-management strategies have been successfully used in supportive care and survivorship in
oncology. Stepping On, a multi-component program using a small-group learning environment,
reduces falls by 31%. It empowers participants with knowledge about fall-risk, exercise,
medications and environmental hazards to self-manage their risk of falls over 7 weeks of
educational sessions, followed by a home visit. The research in this proposal will yield the
adaptation of the effective group-education-based fall-prevention intervention Stepping On,
tailored to cancer patients, feasible for testing in a multi-institutional trial, and
ultimately scalable in the oncology setting.

Inclusion Criteria for Patient Participants:

- Age ≥70 years.

- Reports a fall within the past 1 year OR self-reports that they are concerned about

- Receiving systemic cancer therapy (including conventional chemotherapy, novel/targeted
agents, immunotherapy, monoclonal antibody therapy, oral tyrosine kinase inhibitors,
or hormonal agents) OR will begin systemic therapy within the next 4 weeks.

- Able to understand and willing to sign an IRB-approved written informed consent

Exclusion Criteria for Patient Participants:

- Life expectancy <6 months.

- Unable to understand written or spoken English.
We found this trial at
660 S Euclid Ave
Saint Louis, Missouri 63110
(314) 362-5000
Principal Investigator: Tanya Wildes, MD, MSCI
Phone: 314-373-3073
Washington University School of Medicine Washington University Physicians is the clinical practice of the School...
Saint Louis, MO
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