From Screening to Safety: Implementing the AL-STEADI Initiative in Assisted Living Communities

NCT07531641 | Not Yet Recruiting

• 1 other identifier: U01CE003720
• Study Type: interventional
• Target: 700
• Locations: 0 countries
• Sites: N/A

Brief Summary

The goal of this trial is to test the real-world efficacy of AL-STEADI, a fall prevention program, in seven assisted living centers. We will randomly assign 700 residents from seven assisted living centers who screen at-risk of falling to either existing fall monitoring protocols or the enhanced AL-STEADI fall prevention program. We will evaluate the effect of AL-STEADI on the rate of falls over 12 months. We will also closely monitor implementation fidelity in these seven assisted living centers.

Conditions

Fall; Fall Injury Prevention; Fall Prevention

Keywords

assisted living; fall prevention; STEADI

Outcome Measures

Primary Outcomes (1)

• Fall rate

  Number of staff documented falls per 12 non-censored person-months, among individuals who screen at-risk for falls

  12 person-months

Study Arms (2)

AL-STEADI

EXPERIMENTAL

Behavioral: AL-STEADI

Existing fall monitoring protocols

ACTIVE COMPARATOR

Behavioral: Usual Care Group

Interventions

AL-STEADI BEHAVIORAL

STEADI is an evidence-based falls prevention program developed by the CDC and tested in several community-based settings. STEADI involves universal fall screening, followed by personalized assessments and tailored interventions. Common, potentially modifiable causes of falls evaluated in STEADI include medication interactions or side effects, environmental hazards (e.g., floor rugs, thresholds), untreated visual impairment, low vitamin D, ill-fitting footwear, or low blood pressure. AL-STEADI is a modified version of STEADI for assisted living.

AL-STEADI

Usual Care Group BEHAVIORAL

Typical fall prevention practices, including increased monitoring by assisted living staff

Existing fall monitoring protocols

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

Sponsors & Collaborators

• Brown University: lead

Central Study Contacts

Ellen McCreedy, PhD, MPH

CONTACT

(401) 863-7345; ellen_mccreedy@brown.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 9, 2026
• First Posted: April 15, 2026
• Study Start (Estimated): June 1, 2027
• Primary Completion (Estimated): June 1, 2029
• Study Completion (Estimated): September 1, 2029
• Last Updated: April 15, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will not share