Actively Recruiting
Adapting, Implementing and Evaluating the Effectiveness of the Home Hazard Removal Program for People With Disabilities
Led by Washington University School of Medicine · Updated on 2025-11-14
80
Participants Needed
1
Research Sites
N/A
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are evaluating the Home Hazard Removal Program (HARP), adapted for people with disabilities (PwD), to prevent falls by identifying and removing hazards in the home. This pilot randomized controlled trial (RCT) will test how well the adapted HARP works and how it can be implemented for community-dwelling PwD. The study uses frameworks like RE-AIM and PRISM to guide adaptation, design, and evaluation, aiming for broad usefulness and dissemination of findings. Participants will be randomized into two groups: one receiving the adapted HARP intervention and the other placed on a waitlist control receiving virtual social visits. The adapted HARP involves two to three in-home visits by an occupational therapist over about five weeks to identify fall hazards and collaboratively create solutions. Additional visits and a contractor, if needed, help implement home modifications, all provided at no cost. Booster visits occur 3 to 6 months later to check and support ongoing home safety. Participants will be followed for 12 months, with monthly tracking of falls, fall-related injuries, and home modifications. Fear of falling is assessed at the start and end of the study. Researchers will collect quantitative and qualitative data, including interviews and focus groups, to evaluate hazard types, costs, adherence to modifications, and barriers to adoption. The total study duration includes the intervention and follow-up to monitor safety and effectiveness in everyday home settings.
CONDITIONS
Brief 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
- Have had a physical disability for at least 5 years (examples include spinal cord injury, cerebral palsy, post-polio syndrome, stroke, amputation)
- Live in the City of St. Louis
- Have 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
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person or virtual) for eligibility assessment
Duration - Approximately 5 weeks for initial visits plus booster visits 3 to 6 months later
Participants receive the adapted Home Hazard Removal Program (HARP), which includes two to three in-home visits by an occupational therapist over approximately 5 weeks. These visits focus on identifying and collaboratively addressing fall hazards in the home. Additional booster visit(s) occur 3 to 6 months later to review home modifications and troubleshoot any issues.
2 to 3 in-home visits initially plus 1 booster visit 3 to 6 months later
Duration - 12 months
Participants are monitored for falls and fall-related injuries monthly for 12 months. Fear of falling is assessed at baseline and at 12 months.
Monthly check-ins for 12 months and assessments at baseline and 12 months
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
R
Rebecca M Bollinger, OTD
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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