Actively Recruiting
Adapting, Implementing and Evaluating the Effectiveness of HARP for People With Disabilities
Led by Washington University School of Medicine · Updated on 2025-11-14
80
Participants Needed
1
Research Sites
133 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
The Home Hazard Removal Program (HARP) is an effective fall prevention intervention program which targets home hazard identification/removal. In this study the investigators will examine the effectiveness and implementation potential of HARP, adapted for PwD. Investigators will conduct a pilot randomized control trial (RCT) to test the implementation, cost, and preliminary efficacy of an adapted version of HARP for community-dwelling PwD. The single-blinded feasibility RCT will randomize 40 participants to treatment (adapted HARP) and 40 to a waitlist control group. Data on specific types of fall hazards and resulting home modifications as well as falls and fall-related injuries (collected monthly over 12 months) and fear of falling (collected at baseline and 12 months) will inform the preliminary efficacy of adapted HARP among PwD. To ensure usefulness, relevance, and broad dissemination of findings, the investigators will adopt a "designing for implementation and dissemination" approach. The RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework will guide intervention adaptation, trial design, and future implementation. The Practical Robust Implementation and Sustainability Model (PRISM) guides study development by identifying multi-level contextual factors hypothesized to affect the RE-AIM outcomes.
CONDITIONS
Official Title
Adapting, Implementing and Evaluating the Effectiveness of HARP for People With Disabilities
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Age 45 to 64 years
- Self-report difficulty with two or more daily activities
- Physical disability lasting five or more years (e.g., spinal cord injury, cerebral palsy, post-polio syndrome, stroke, amputation)
- Live in the City of St. Louis
- Had a fall in the past year, or worry about falling, or feel unsteady when standing or walking
You will not qualify if you...
- Individuals who are institutionalized
AI-Screening
AI-Powered Screening
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Trial Site Locations
Total: 1 location
1
Washington University in St. Louis
St Louis, Missouri, United States, 63110
Actively Recruiting
Research Team
S
Susan L Stark, PhD
CONTACT
R
Rebecca M Bollinger, OTD
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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