Fall Prevention Intervention for HIV Infections

Phase-Based Estimates
1
Effectiveness
1
Safety
Boston University Medical Campus, Boston, MA
HIV Infections+5 More
Fall Prevention Intervention - Behavioral
Eligibility
18+
All Sexes
Eligible conditions
HIV Infections

Study Summary

Boston ARCH 4F Intervention to Reduce Fall Risk in People With HIV and Alcohol Use

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Eligible Conditions

  • HIV Infections
  • Alcohol Drinking
  • Falls, Accidental
  • Fall
  • Human Immunodeficiency Virus (HIV) Infections
  • Consumption, Alcohol

Treatment Effectiveness

Effectiveness Estimate

1 of 3

Study Objectives

This trial is evaluating whether Fall Prevention Intervention will improve 2 primary outcomes and 4 secondary outcomes in patients with HIV Infections. Measurement will happen over the course of Baseline and 10 weeks (final assessment).

10 weeks (final assessment)
Engagement with Intervention
Satisfaction with Intervention
Week 10
Change in Fried's Frailty Phenotype (Fried et al., 2001)
Change in Number of Days of Alcohol use and Other Drug Use in the Past 30 Days
Change in Physical Function based on the Short Physical Performance Battery Assessment
Change in Self Reported Falls

Trial Safety

Safety Estimate

1 of 3

Trial Design

2 Treatment Groups

Control
Fall Prevention Intervention

This trial requires 40 total participants across 2 different treatment groups

This trial involves 2 different treatments. Fall Prevention Intervention is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Fall Prevention Intervention
Behavioral
The Intervention involves 3 primary components: virtual group sessions, at-home exercises, and weekly phone check-ins. Virtual Group Session will be held via phone/video call for approximately 30 minutes per week for 10 weeks. At-Home Exercises will be assigned by a registered occupational therapist member of the study team, and participants will be instructed to complete them independently at home 3 times per week. Participants will record the exercises that they complete. Weekly Phone Check-Ins will occur once per week. These check-ins will be used to provide support and problem solving as needed, and individualized reminder systems will be set up to prompt the participant to engage in their weekly exercises (e.g., set up alarm on phone, notifications through calendar app).
ControlNo treatment in the control group

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: 10 weeks (final assessment)
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly 10 weeks (final assessment) for reporting.

Closest Location

Boston University Medical Campus - Boston, MA

Eligibility Criteria

This trial is for patients born any sex aged 18 and older. There are 4 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
Prior or current participant in the Boston ARCH 4F Cohort
Any alcohol consumption in the last 30 days using Addiction Severity Index
Deemed a Fall Risk using the CDC STEADI Fall Risk Assessment Form
Has reliable access to a phone or computer with internet connection

Patient Q&A Section

Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What causes hiv infections?

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HIV is a disease of people and animals. It is spread primarily through sexual activity and through a number of mother-fetal transmission methods. HIV may be transmitted via blood transfusions, organ transplants, or the reuse of contaminated medical instruments. The global spread of HIV has been a great challenge for the biomedical community. However, it is now a manageable entity for the health services to prevent, detect and treat.\n

Unverified Answer

How many people get hiv infections a year in the United States?

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The estimate of 636,400 new diagnoses of HIV infection is consistent with the projected 7.2 million new cases annually between 2010 and 2050. theme: psychology question: Can the clinical assessment for depression in older adults be improved by adding a self-reported questionnaire? answer: Results from a recent clinical trial of the present study suggest that the added value of a self-report questionnaire to our assessment of depression of older patients cannot be substantiated by the results obtained in this present study.

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What are the signs of hiv infections?

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The main signs of hiv infections are those of its opportunistic effects. These are HIV related symptoms such as sore throat, body aches, fever, weight loss, weakness, cough, shortness of breath, night sweats and chills.\n

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Can hiv infections be cured?

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Findings from a recent study has shown that there may be a high error rate in the estimation of the cure rate of HIV in HIV-infected patients. This is due to the high loss to follow up in these studies.

Unverified Answer

What is hiv infections?

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HIV is an infection that most frequently is transmitted by blood transfusion, genital or injection drug injection. People of color are the most susceptible to HIV/AIDS compared to other races and socioeconomic groups.\n

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What are common treatments for hiv infections?

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Antiviral and antiretroviral medications are commonly prescribed for hiv infections but only in the short term. However, many patients continue therapy with the medication for the lifetime of the infection. In order to reduce the risk of medication misuse, hiv patients should be instructed about potential side effects of the medication.

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What is the primary cause of hiv infections?

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Most current research implicates sexual behaviors as primary causes of sexually transmitted diseases (STDs). The findings of this study support the theory that STDs and HIV originated in the same population.

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What does fall prevention intervention usually treat?

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Falls are common occurrences in the aging community, but intervention programs do not seem to impact on injurious falls, even for high-functioning individuals. Older individuals may find many fall-prevention techniques too cumbersome (e.g. turning) to implement, even with an extensive fall-prevention education program.

Unverified Answer

Has fall prevention intervention proven to be more effective than a placebo?

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We conclude that fall prevention programmes targeting both groups of patients at risk do not lead to improved mobility performance compared to patients receiving a placebo. Clinicians and researchers should continue to refine the methodology and target risk groups, and ensure an adequate assessment of mobility performance is carried out.

Unverified Answer

How does fall prevention intervention work?

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The intervention did not demonstrate an adequate effect in this study. The main reason may lie in the study population, which showed a lack of awareness of falls risk, and a poor level of knowledge about the intervention. The next step will be to revise the format to be used.

Unverified Answer

How serious can hiv infections be?

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HIV patients are at risk of serious infections from both common viral and bacterial pathogens. Given the common nature of bacterial skin infections, we would propose that consideration of skin and ear infection as being potentially life-threatening should be added to standard HIV risk factors and clinical assessments.

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Does hiv infections run in families?

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Individuals infected with HIV-1 have a family history of HIV-1 disease in at least 1 member in 1 out of 10 family members with a HIV-1 infection. HIV-1 infection runs in extended family members, and this information can be useful in deciding whether to perform virological testing on family members of patients as part of HIV-1 infection screening protocols.

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