Steady Stride fall-prevention program versus usual primary care
Randomized Controlled Study on Fall Prevention in Community-Dwelling Older Adults: Physiatry Based Steady Strides Intervention vs Primary Care
NA · Steady Strides: Fall Prevention and Stroke Rehabilitation Medical Institute · NCT07092176
This study will see if the Steady Stride physiatry-based program helps people 65 and older who had at least two falls in the past six months reduce future falls compared with usual primary care.
Quick facts
| Phase | NA |
|---|---|
| Study type | Interventional |
| Enrollment | 102 (estimated) |
| Ages | 65 Years and up |
| Sex | All |
| Sponsor | Steady Strides: Fall Prevention and Stroke Rehabilitation Medical Institute (industry) |
| Locations | 1 site (Baltimore, Maryland) |
| Trial ID | NCT07092176 on ClinicalTrials.gov |
What this trial studies
This interventional comparison assigns community-dwelling adults aged 65+ with recent recurrent falls to either a structured physiatry-led Steady Strides fall prevention protocol or to the standard care typically provided by primary care providers. The Steady Strides approach is a structured, clinician-directed program that includes physiatry oversight and therapy-based interventions, while standard care follows primary care workflows and guideline-based referrals such as STEADI. Participants must be able to ambulate at least 10 feet, drive independently, and speak English; outcomes focus on subsequent falls and related functional measures. The study is conducted at the Steady Strides site in Baltimore, Maryland.
Who should consider this trial
Good fit: Ideal candidates are community-dwelling adults aged 65 or older who speak English, drive independently, can walk at least 10 feet (with or without a cane/walker), and have had at least two falls in the prior six months.
Not a fit: People living in long-term care or hospital settings, wheelchair ambulators, those under 65, non-English speakers, or those without a recent history of multiple falls are unlikely to benefit from this protocol.
Why it matters
Potential benefit: If successful, the program could reduce fall rates and fall-related injuries among older adults living independently.
How similar studies have performed: Multifactorial fall-prevention programs and STEADI-based interventions have shown reductions in falls in prior trials, but a dedicated physiatry-led Steady Strides protocol has limited published data to date.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: Age: Participants must be community-dwelling older adults aged 65 years or older. Fall History: Participants must have reported experiencing at least two falls in the six months prior to the intake visit. Independence: Participants must report the ability to drive independently at the time of the intake visit and ambulate at least 10 feet with or without an assistive device (e.g. cane or walker, wheelchair ambulators are not included). Participants must report their ability to independently make medical decisions and sign their medical paperwork, including consent to participate in the study. Setting: Participants must reside in a community setting, not in a long-term care facility or hospital. Language: Participants must report ability to speak, read and comprehend English fluently. Exclusion Criteria: No additional exclusion criteria beyond those specified in the inclusion criteria. All individuals who meet the inclusion criteria are eligible to participate in the study.
Where this trial is running
Baltimore, Maryland
- Steady Strides — Baltimore, Maryland, United States (RECRUITING)
Study contacts
- Study coordinator: Levan Atanelov, MD
- Email: hello@steadystridesmd.com
- Phone: (443) 898-8160
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions: Fall Prevention, Falls, Fall Risk, Physiatry, Physical Therapy, Occupational Therapy