NCT07531641

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

• Status: Not Yet Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 700 (estimated)
• Sponsor: Brown University · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

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

Interventions

Type	Name	Description
BEHAVIORAL	AL-STEADI	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.
BEHAVIORAL	Usual Care Group	Typical fall prevention practices, including increased monitoring by assisted living staff

Timeline

• Start date: 2027-06-01
• Primary completion: 2029-06-01
• Completion: 2029-09-01
• First posted: 2026-04-15
• Last updated: 2026-04-15