Preventing falls in older veterans

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 initiative focuses on identifying and managing fall risks among older veterans who receive primary care. It aims to develop a personalized multifactorial model called Fall Risk Identification and Management (FRIM) to proactively prevent falls by addressing various risk factors. The program includes interventions such as physical therapy, cognitive behavioral therapy, medication reconciliation, and home safety modifications. By integrating fall risk assessments into routine primary care, the study seeks to reduce the incidence of falls and their associated health consequences.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Receives care within GeriPACT, or general PACT as needed (Aim 1); Receives care within general PACT (standard VHA primary care) (Aim 2)
* Screens positive for increased fall risk (answers "yes" to any of 3 screening questions)
* Positive screen on at least two fall risk factor assessments (Aim 1); Positive screen on at least one fall risk factor assessment (Aim 2)
* Access to telehealth
* Availability of an additional adult (e.g., caregiver or family member) to be present during the physical assessment

Exclusion Criteria:

* Life expectancy \<12 months, as determined by PCP
* Neurological diagnosis (e.g., cerebral vascular accident, multiple sclerosis, Parkinson's Disease)
* Moderate cognitive impairment (\<13 on telephone Montreal Cognitive Assessment (MoCA-BLIND) or \<18 on MoCA Full administered during clinic visit in the previous 3 months)
* Unstable condition that precludes safe participation in structured exercise (e.g., recent deep vein thrombosis) if expected fall risk factor is physical, as determined by PCP or chart review
* Participation in any intervention components of the FRIM model, with the intention of reducing a FRIM fall risk factor, within the past 2 months
* Currently using a wheelchair for mobilization
* If it is in the opinion of the study staff that the participant would be at an increased suicide risk due to study procedures

Where it's running

• Rocky Mountain Regional VA Medical Center, Aurora, CO
  Aurora, Colorado, United States Recruiting

Study contacts

• Principal investigator: Alexander J Garbin, PhD DPT — Rocky Mountain Regional VA Medical Center, Aurora, CO
• Study coordinator: Alexander J Garbin, PhD DPT
• Email: Alexander.Garbin@va.gov
• Phone: (563) 340-7121

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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.