Digital STEADI-1STEADI Standard of CareDigital STEADI-2Attentional control
Digital STEADI-1: STEADI fall risk screening, monitoring and exercise program delivered and coordinated via tablet-based avatar.
STEADI Standard of Care: STEADI fall risk screening, monitoring, and exercise program delivered and coordinated via paper and pencil and humans.
Digital STEADI-2: STEADI fall risk screening, monitoring and exercise program delivered and coordinated via SMS chat.
Attentional control: Receiving CDC Healthy Living content unrelated to fall prevention plus usual geriatric care.
Study summary
The aging of the U.S. population, combined with health care workforce shortages and insufficient access to effective fall prevention and exercise programs, has contributed to a high burden of fall-related injuries in older adults, especially in those with Mild Cognitive Impairment (MCI), a precursor of Alzheimer's dementia (AD) and related dementias (ADRD). There is an urgent need for scalable, evidence-based interventions that can be delivered efficiently in the home setting. This study aims to evaluate the efficacy and impact of a comprehensive digital fall prevention program (Digital STEADI) delivered through a technology platform with two conversational agents that leverage generative artificial intelligence (gen-AI) with human oversight to increase program access, enhance adherence to clinical fall prevention protocols and best practices, and reduce fall risk among community-dwelling older adults.
Eligibility
Sex
ALL
Min age
50 Years
Max age
—
Healthy volunteers
Accepted
Inclusion Criteria:
* Montreal Cognitive Assessment (MoCA) score between 26 and 30
* Able to walk independently with or without an assistive device.
* Able to rise independently from a standard desk or dining room chair without arms.
* Live independently in a non-institutional or senior community setting.
* Able to speak, hear and understand English
* Have 20/40 vision from 10 ft with or without correction (e.g., glasses)
* Willing to participate in the requirements of the research program.
* Able to meet in a physical study location on Emory campus.
* Screen positive for fall risk per the Stay Independent screener.
Exclusion Criteria:
* acute medical illness requiring hospitalization.
* hospitalized in the past 1 month.
* diagnosed with dementia (ADRD) or a neurodegenerative disease other than MCI (e.g., Parkinson's, multiple sclerosis).
* uncontrolled congestive heart failure (requiring hospitalization in the past year and/or unable to the equivalent of one city block).
* history of hospitalization for stroke in the past 1 year.
* inability to perform study procedures.
Primary outcome measure(s)
Change from baseline fear of falling as measured by the Fall Efficacy Scale International (FES-I) — From enrollment to the end of the follow-up at 6 months. Scores will vary between 16 and 64 for the full scale. Scores between 16-19 indicate fear of falling is LOW. Scores between 20-27 indicate fear of falling is MODERATE. Scores between 28-64 indicate fear of falling is HIGH.
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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