Apply to Trial

Compensation: Varies

Number of Visits: 4

300 Participants Needed

Safety Assessments and Modifications for Home Accidents
(CHASE Trial)

Age: < 18

Sex: Any

Trial Phase: Academic

Sponsor: Johns Hopkins Bloomberg School of Public Health

Disqualifiers: Income, Location, Child age, Program, others

No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

Trial Summary

What is the purpose of this trial?

This implementation study uses a multi-method quantitative and qualitative, non-experimental design to estimate the magnitude of home injury risks, identify strategies for addressing those risks and sustaining those interventions, and to calculate the costs of housing-related modifications to prevent childhood home injuries. The study objectives are to: Aim 1. Implement injury prevention measures based on safety hazards identified using the CHASE Tool within 300 low-income households (at or below 80% AMI) in Baltimore City or County; Aim 2. Determine the costs of the injury prevention measures completed by residents and/or professional providers; Aim 3. Conduct a formative evaluation using mixed methods to 3a. determine feasibility of incorporating injury prevention into residential programs from the perspective of installers and residents, including identifying barriers and facilitators, and 3b. understand the consistency of implementing and maintaining the injury prevention measures across referral sources, by residents and staff.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What data supports the effectiveness of the treatment Housing Assessment/Safety Modifications?

Research shows that home modifications, especially when guided by occupational therapists, can significantly reduce falls among older adults by 39%. Additionally, housing adaptations improve accessibility and usability, making daily activities easier and safer for individuals.¹ ² ³ ⁴ ⁵

Is the Housing Assessment/Safety Modifications treatment safe for humans?

Research shows that home safety assessments and modifications can help reduce accidents, especially among older adults. While specific safety data for this treatment isn't detailed, studies suggest that identifying and addressing home hazards can prevent injuries, indicating a general safety benefit.⁶ ⁷ ⁸ ⁹ ¹⁰

How is the Housing Assessment/Safety Modifications treatment different from other treatments for home accidents?

The Housing Assessment/Safety Modifications treatment is unique because it focuses on evaluating and modifying the home environment to prevent accidents, particularly falls, rather than using medication or physical therapy. This approach involves professional assessments to identify hazards and implement changes, which is not a standard practice in many places.¹ ⁵ ¹¹ ¹² ¹³

Research Team

Wendy Shields, PhD

Principal Investigator

Johns Hopkins Center for Injury Research and Policy

Eligibility Criteria

This trial is for low-income families in Baltimore with a child under 7, or foster homes planning to host such a child. Participants must be involved in specific local housing programs and meet income criteria set by HUD.

Inclusion Criteria

I live in a household with a child under 7 or plan to foster one.

A home address in Baltimore City or Baltimore County

Income at or below 80% AMI as defined by US Department of Housing and Urban Development (HUD)

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Exclusion Criteria

Parent or guardian whose household is not participating in either the GHHI DSS Foster Care Homes Program (FCHP) OR GHHI Amerigroup Maryland Asthma Program (AMAP)

Income is not at or below 80% AMI as defined by HUD

The home address is not in Baltimore City or Baltimore County

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Timeline

Community Engagement

Engage with the community to prepare for the implementation of injury prevention measures

4 weeks

Enrollment

Initial home visit and assessment for injury risks, creation of CHASE Family Feedback Form, and education on needed modifications

4 weeks

1 visit (in-person)

Re-Assessment

Second home visit to assess changes, perform modifications, and survey to understand barriers and facilitators

4 weeks

1 visit (in-person)

Follow-Up

Measure sustainability of modifications and obtain feedback on the program

3 months

2 visits (in-person)

Evaluation and Dissemination

Evaluate the results and disseminate findings to expand the impact of the project

4 weeks

Treatment Details

Interventions

Housing Assessment/Safety Modifications

Trial Overview The study tests home safety modifications using the CHASE Tool to prevent injuries in children. It assesses the costs of these changes and evaluates how feasible and consistent they are across different households.

Participant Groups

1Treatment groups

Experimental Treatment

Group I: ParticipantsExperimental Treatment1 Intervention

This arm consists of 300 homes of low-income families with children \< 7 years of age who are referred from two of GHHI's currently active programs, DSS Foster Care Homes Program, and Amerigroup Maryland Asthma Program.