HotShOT: Home Safety Occupational Therapy
| Status: | Recruiting |
|---|---|
| Healthy: | No |
| Age Range: | 65 - Any |
| Updated: | 3/24/2019 |
| Start Date: | August 15, 2017 |
| End Date: | November 1, 2019 |
| Contact: | Pam Roberts, PhD |
| Email: | pamela.roberts@cshs.org |
| Phone: | 310-423-6660 |
Exploration of Home Safety Application Impact on Perceived Risk of Falling and Actual Falls Post Hospital Discharge
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.
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.
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.
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.
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
We found this trial at
1
site
8700 Beverly Blvd # 8211
Los Angeles, California 90048
Los Angeles, California 90048
(1-800-233-2771)
Principal Investigator: Pamela Roberts, PhD
Cedars Sinai Med Ctr Cedars-Sinai is known for providing the highest quality patient care. Our...
Click here to add this to my saved trials
