RecruitingNot ApplicableNCT07167680

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

Development and Validation of a mHealth Fall Management Program - Phase III

Sponsor

University of Illinois at Urbana-Champaign

Enrollment

120 participants

Start Date

Sep 1, 2025

Study Type

INTERVENTIONAL

Conditions

Multiple Sclerosis Spinal Cord Injuries (SCI)

Summary

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.

Eligibility

Min Age: 18 Years

Inclusion Criteria8

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 Criteria2

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).

Interested in this trial?

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Interventions

PROCEDUREIndividualized 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.

PROCEDUREStopping 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.