Fall Prevention Among People With Spinal Cord Injury and Multiple Sclerosis Who Use Wheelchairs and Scooters

Study Results

Results pending

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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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-09-01

Study Completion Date

2027-12-01

Brief Summary

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The research team is conducting a study to determine if a fall prevention program designed specifically for people who use wheelchairs and scooters can help people better prevent and manage falls compared to the standard of care.

This study will compare two groups of participants:

1. One group will use the iROLL-O+ app, which offers personalized fall prevention tools and strategies.
2. The other group will receive fall prevention information from a well-known program developed by the Centers for Disease Control and Prevention (CDC), called STEADI, which stands for Stopping Elderly Accidents, Deaths, and Injuries.

This study includes adults living with Spinal Cord Injury (SCI) or Multiple Sclerosis (MS) who use a wheelchair or scooter every day. The research team aims to determine which approach is more effective in reducing falls and improving confidence in performing daily activities.

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Detailed Description

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People living with SCI or MS who use wheelchairs and scooters (WC/S) full time often experience falls. In fact, 7 out of 10 report falling at least once every 6 to 12 months. These falls can lead to serious injuries and emotional distress, such as concerns about falling (CaF). Although falls are common among this population, most fall prevention programs are designed for people who can walk. There are very few programs designed for people who use WC/S.

This study will test to see if a fall prevention and management program designed specifically for people who use WC/S does a better job at helping people learn how to prevent and manage falls compared to a program that is designed for older adults.

Conditions

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Spinal Cord Injuries (SCI) Multiple Sclerosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Participants are assigned to one of two arms in a parallel design: (1) Fall prevention education via the iROLL program or (2) Fall prevention education via the STEADI program. Each participant remains in their assigned group throughout the study.

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Participants

Participants will be blindly assigned to one of the groups to reduce bias.

Study Groups

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Individualized reduction of falls (iROLL) Group

iROLL group participants will be educated about fall prevention and management strategies using the individualized reduction of falls (iROLL) mobile application (app)

Group Type EXPERIMENTAL

Individualized reduction of falls (iROLL)

Intervention Type PROCEDURE

The iROLL program is a 6-week fall prevention and management program for people living with spinal cord injury (SCI) and multiple sclerosis (MS) who use wheelchairs and scooters. The program's overall goals are to reduce fall frequency, improve functional mobility skills, decrease fear of falling, increase quality of life, and increase community participation. It uses many active learning strategies such as: goal setting, journaling, small group discussions, practicing skills, and homework to apply content to one's daily life.

Stopping Elderly Accidents, Deaths & Injuries (STEADI) Program Group

STEADI group participants will be educated about fall prevention and management strategies using Centers for Disease Control and Prevention entitled: Stopping Elderly Accidents, Deaths \& Injuries (STEADI) program.

Group Type ACTIVE_COMPARATOR

Stopping Elderly Accidents, Deaths & Injuries (STEADI)

Intervention Type PROCEDURE

The CDC's Stopping Elderly Accidents, Deaths \& Injuries (STEADI) initiative is a coordinated approach to fall prevention for older adults. It focuses on helping healthcare providers implement clinical fall prevention strategies, including screening for fall risk, assessing modifiable risk factors, and intervening to reduce risk.

Interventions

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Individualized reduction of falls (iROLL)

The iROLL program is a 6-week fall prevention and management program for people living with spinal cord injury (SCI) and multiple sclerosis (MS) who use wheelchairs and scooters. The program's overall goals are to reduce fall frequency, improve functional mobility skills, decrease fear of falling, increase quality of life, and increase community participation. It uses many active learning strategies such as: goal setting, journaling, small group discussions, practicing skills, and homework to apply content to one's daily life.

Intervention Type PROCEDURE

Stopping Elderly Accidents, Deaths & Injuries (STEADI)

The CDC's Stopping Elderly Accidents, Deaths \& Injuries (STEADI) initiative is a coordinated approach to fall prevention for older adults. It focuses on helping healthcare providers implement clinical fall prevention strategies, including screening for fall risk, assessing modifiable risk factors, and intervening to reduce risk.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* 18 years old or older.
* History of Multiple Sclerosis (MS) or Spinal Cord Injury (SCI).
* Able to transfer independently or with minimal to moderate assistance.
* Unable to walk 25 feet or more
* Have experienced at least 1 fall in the past three years.
* Have a care partner to assist the participant when practicing physical skills.
* Have access to a smartphone/iPad.
* Have a stable internet connection.

Exclusion Criteria

* Multiple sclerosis exacerbation in the past 30 days, or are unable to remain in an upright position for an hour.
* Impaired cognition (a score of 10 or above on the Short Blessed Test).

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Responsible Party

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Laura Rice

Associate Professor in the Department of Health and Kinesiology; Associate Head for Graduate Studies; Associate Director of the Center for Health, Aging, and Disability; Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR