Electronic Strategies for Tailored Exercise to Prevent FallS

Completed · Not applicable

Conditions studied: Falls, Fall Injury, Exercise Self-Efficacy, Falls Self-Efficacy

In brief

The objectives of this proposal are to evaluate the eSTEPS CDS (eSTEPS) in a cluster randomized controlled trial. The intervention includes the following: 1) A machine learning-based fall injury risk screening algorithm to improve traditional fall risk screening. 2) Provider BPA and/or Care Gap and Smart Set to provide CDS that helps primary care providers develop a tailored fall prevention exercise plan in the context of a Medicare Wellness Visit and 3) eSTEPS Patient App and exercise tools to provide older patients continued access to their interactive, tailored exercise plan.

Key facts

Study ID

NCT04993781

Run by

Brigham and Women's Hospital

People needed

11945

Starts

2023-06-08

Expected to finish

2025-08-31

Last updated by the study team

2026-07-08

Who can join

Age: 65 and older. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• In order to be eligible to participate in this study, an individual must meet all of the following criteria:
• Age 65 or above
• Patients enrolled in participating primary care intervention and control practices at MGB or enrolled in participating primary care replication trial intervention practices at UTMB
• Positive screen for fall risk at annual wellness visit

You may not qualify if…

• An individual who meets any of the following criteria will be excluded from participation in this study:
• Not community-dwelling (i.e. residents of long-term care facilities, prisoners etc.)
• Enrollment in the Subsample for Patient Reported Outcomes (PROs):
• A subsample of patients will be recruited and consented to participate in follow-up phone calls and surveys. Additional exclusion criteria for the subsample participants are:
• Unwilling or unable to provide verbal consent
• Not able to participate due to cognitive impairment (i.e., 4 or more errors on the Callahan Cognitive Screen assessment)
• Has a terminal illness or other condition that indicates that the participant is not expected to survive for 1 year, such as receiving hospice or palliative care services.
• Not fluent in spoken English
• Does not have access to a working telephone

Where it is running

• Brigham and Women's Hospital — Boston, Massachusetts, United States

Full record on ClinicalTrials.gov

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