Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
151 participants
INTERVENTIONAL
2013-09-01
2019-08-31
Brief Summary
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The investigators hypothesize that compliant flooring will (1) reduce the incidence of injuries due to falls in long-term care residents; (2) represent an overall cost-savings when material and implementation costs are considered relative to direct and indirect costs associated with injuries due to falls; and (3) be received positively by staff, residents, and their family members.
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Detailed Description
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A promising strategy for reducing the incidence of fall-related injuries in LTC facilities is to decrease the stiffness of the ground surface, and the subsequent force applied to the body parts at impact. Purpose-designed compliant flooring can reduce the force applied to the hip during a fall by up to 35 % (to allow a raw egg to be successfully bounced without cracking). Yet, few LTC facilities have flooring designed to reduce the impact of falls. This study will address this gap.
Resident rooms at a local LTC facility will be randomly assigned to installation of compliant flooring or control (non-compliant) flooring. Following installation, primary and secondary outcomes, including fall-related injuries and falls, will be monitored for 4 years and compared between resident rooms with and without compliant flooring. In addition, health resource utilization and their costs will be compared between resident rooms with and without compliant flooring. Perceptions about compliant flooring will be assessed among staff, residents, and their families.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
QUADRUPLE
Study Groups
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Compliant Flooring (CF)
Compliant flooring
SmartCell flooring
SmartCell (SATECH Inc., Chehalis, WA, USA) is a continuous rubber surface layer supported by an array of cylindrical rubber columns 14 mm in diameter, and spaced at 19 mm intervals. It has a surface hardness of 50 durometer. It has been reported to provide approximately 35% peak force attenuation during mechanical tests that simulate falls on the hip. It has also been reported to have minimal effect on balance and mobility of older women during activities of daily living. It will be covered with hospital-grade vinyl and will be inspected regularly for maintenance requirements.
Control (CON)
Non-compliant flooring
Plywood flooring
Plywood flooring covered with the same hospital-grade vinyl as the SmartCell flooring.
Interventions
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SmartCell flooring
SmartCell (SATECH Inc., Chehalis, WA, USA) is a continuous rubber surface layer supported by an array of cylindrical rubber columns 14 mm in diameter, and spaced at 19 mm intervals. It has a surface hardness of 50 durometer. It has been reported to provide approximately 35% peak force attenuation during mechanical tests that simulate falls on the hip. It has also been reported to have minimal effect on balance and mobility of older women during activities of daily living. It will be covered with hospital-grade vinyl and will be inspected regularly for maintenance requirements.
Plywood flooring
Plywood flooring covered with the same hospital-grade vinyl as the SmartCell flooring.
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
ALL
No
Sponsors
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Canadian Institutes of Health Research (CIHR)
OTHER_GOV
AGE-WELL, Inc
UNKNOWN
Fraser Health Authority
UNKNOWN
Centre for Hip Health and Mobility
UNKNOWN
New Vista Society Care Home
UNKNOWN
Michael Smith Foundation for Health Research
OTHER
Canada Research Chair Program
UNKNOWN
Natural Sciences and Engineering Research Council, Canada
OTHER
Dr. Stephen Robinovitch
OTHER
Responsible Party
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Dr. Stephen Robinovitch
Professor, Department of Biomedical Physiology and Kinesiology
Principal Investigators
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Dawn C Mackey, PhD
Role: PRINCIPAL_INVESTIGATOR
Simon Fraser University
Fabio Feldman, PhD
Role: PRINCIPAL_INVESTIGATOR
Fraser Health Authority
Andrew C Laing, PhD
Role: PRINCIPAL_INVESTIGATOR
University of Waterloo
Stephen N Robinovitch, PhD
Role: PRINCIPAL_INVESTIGATOR
Simon Fraser University
Locations
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New Vista Care Home
Burnaby, British Columbia, Canada
Countries
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References
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Lachance CC, Feldman F, Laing AC, Leung PM, Robinovitch SN, Mackey DC. Study protocol for the Flooring for Injury Prevention (FLIP) Study: a randomised controlled trial in long-term care. Inj Prev. 2016 Dec;22(6):453-460. doi: 10.1136/injuryprev-2016-042008. Epub 2016 Apr 4.
Mackey DC, Lachance CC, Wang PT, Feldman F, Laing AC, Leung PM, Hu XJ, Robinovitch SN. The Flooring for Injury Prevention (FLIP) Study of compliant flooring for the prevention of fall-related injuries in long-term care: A randomized trial. PLoS Med. 2019 Jun 24;16(6):e1002843. doi: 10.1371/journal.pmed.1002843. eCollection 2019 Jun.
Related Links
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Technology for Injury Prevention in Seniors (TIPS)
Other Identifiers
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TIR 103945
Identifier Type: OTHER_GRANT
Identifier Source: secondary_id
TIPS-001
Identifier Type: -
Identifier Source: org_study_id
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