Home safety modifications to prevent falls in older adults in Guangzhou

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a randomized controlled trial enrolling 320 community-dwelling older adults in Guangzhou to test a program of home environment assessment and targeted modifications. Participants receive practical changes such as anti-slip mats, improved lighting, and other low-cost fixes, with follow-up for 12 months to track falls. The study also collects data on costs and scalability and uses multi-level stakeholder collaboration and quality control to support implementation. Results will inform whether this approach is an effective, affordable option for wider community fall prevention.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Between 60 and 80 years old (inclusive).
* Community-dwelling.
* Planning to reside at the current address for the next 12 months.
* Able to walk 50 meters unaided (can use a cane).
* Experienced one or more falls in the past 2 years, OR Is "very worried" or "somewhat worried" about falling (even without a fall history).
* Willing to participate in the 12-month fall prevention program and follow-up assessments.
* Possesses basic literacy skills (equivalent to elementary school level or above) and is capable of normal communication with the investigators, as judged by the staff.
* In a stable health condition to participate, as determined by the investigator.

Exclusion Criteria:

* Having an acute disease or an acute episode of a chronic disease.
* Having hearing, vision, or cognitive impairments, or self-reported neurological or psychiatric diseases (e.g., epilepsy, dementia) that prevent normal communication and learning.
* Self-reported serious diseases (e.g., cardiac, cerebral, renal, hepatic, respiratory, or hematologic systems) and judged by a doctor or on-site assessor as intolerant to physical activity.
* Diagnosed with conditions that explicitly affect balance function (e.g., vestibular disorders, cerebellar system lesions, vertigo, Ménière's disease).
* Requires a wheelchair or assistance from another person to walk.
* Likely to move away from the current residence or be absent for an extended period within the next 6 months.
* Unwilling to accept the 12-month follow-up.

Where it's running

• Guangzhoucenter Fordisease Control and Prevention（Guangzhou Health Supervision Institute）
  Guangzhou, Guangdong, China Recruiting

Study contacts

• Study coordinator: Run Doctor wang, Phd
• Email: runwang@i.smu.edu.cn
• Phone: +8619865182576

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.