Adapted HARP for Falls Prevention
(HARP3 Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests a program designed to prevent falls by making homes safer for people with physical disabilities. Researchers aim to evaluate the effectiveness and ease of implementation of this adapted program, called Adapted HARP (Home Assessment and Remodeling Program). Participants will be divided into two groups: one will receive assistance in identifying and fixing home hazards, while the other will receive virtual social visits and later access to the program. This trial targets residents of St. Louis who have had a physical disability for over five years and have experienced falls or have concerns about falling. As an unphased trial, this study provides a unique opportunity to contribute to research that could improve home safety for many.
Do I need to stop my current medications for this trial?
The trial information does not specify whether you need to stop taking your current medications. It seems focused on home hazard removal rather than medication changes.
What prior data suggests that the adapted HARP is safe for fall prevention in PwD?
Research has shown that the Home Hazard Removal Program (HARP) is safe and easy to implement. Studies have found that when occupational therapists modify homes, they can reduce falls by 39% among older adults at high risk. This indicates the program is not only effective but also safe, as it focuses on practical home changes. No negative effects from these changes have been reported in the studies available.
The version of HARP designed to prevent falls in people with dementia is based on the original program. Although specific safety data for this adapted version is not yet available, the original HARP's record of safety and effectiveness suggests it is likely safe. Researchers have monitored participants for safety, with the primary goal being to lower the risk of falls, which is clearly beneficial.12345Why are researchers excited about this trial?
Researchers are excited about the Adapted HARP intervention for falls prevention because it offers a fresh approach compared to traditional methods like physical therapy or medication. Unlike these standard treatments, Adapted HARP focuses on personalized strategies that target specific risk factors for falls, such as balance and strength, through a tailored program. This individualized approach could make it more effective in preventing falls among older adults, potentially reducing the need for more invasive interventions. Additionally, the inclusion of virtual social visits for the control group highlights an innovative way to maintain engagement and follow-up, possibly improving overall outcomes in a real-world setting.
What evidence suggests that the adapted HARP is effective for falls prevention in PwD?
Research has shown that the Home Hazard Removal Program (HARP) can help reduce falls. One study found that participants in the program had a 38% lower chance of falling compared to those who did not participate. This program makes homes safer and teaches people how to manage fall risks. It also reduces the fear of falling, a common concern for older adults. In this trial, participants in the Adapted HARP Intervention group will receive this program, which could be especially helpful in preventing falls for people with dementia.26789
Who Is on the Research Team?
Susan L Stark, PhD
Principal Investigator
Washington University School of Medicine
Are You a Good Fit for This Trial?
This trial is for adults with physical disabilities who are at risk of falling. Participants should be living in the community and able to follow the study procedures. The main goal is to prevent falls by adapting their home environment.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive the adapted HARP intervention to address home hazards
Follow-up
Participants are monitored for safety and effectiveness after treatment
Waitlist Control
Participants receive virtual social visits and are offered the adapted HARP intervention after the follow-up
What Are the Treatments Tested in This Trial?
Interventions
- Adapted HARP
Find a Clinic Near You
Who Is Running the Clinical Trial?
Washington University School of Medicine
Lead Sponsor