Adapting, Implementing and Evaluating the Effectiveness of HARP for People With Disabilities

Recruiting now · Not applicable

Conditions studied: Disabilities Physical, Falls, Fall Prevention, Adults

In brief

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.

Key facts

Study ID

NCT07033897

Run by

Washington University School of Medicine

People needed

80

Starts

2025-08-20

Expected to finish

2028-03-14

Last updated by the study team

2025-11-14

Who can join

Age: 45 and older, up to 64. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• age 45-64 years
• self-report of difficulty with ≥2 daily activities
• have had a physical disability for ≥5 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 are worried about falling, or feel unsteady when standing or walking

You may not qualify if…

• individuals who are institutionalized

Where it is running

• Washington University in St. Louis — St Louis, Missouri, United States (enrolling)

Full record on ClinicalTrials.gov

Trial information comes from ClinicalTrials.gov and is refreshed daily. TrialsForMe does not provide medical care and does not run the studies it lists.