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

{ "Fall Prevention for Wheelchair and Scooter Users with SCI or MS", "This study is looking for adults with Spinal Cord Injury (SCI) or Multiple Sclerosis (MS) who use wheelchairs or scooters and have experienced falls. The goal is to see if a special fall prevention program called iROLL-O+ (Individualized Reduction of Falls) can better help people prevent and manage falls compared to a standard program from the CDC called STEADI (Stopping Elderly Accidents, Deaths & Injuries). The iROLL-O+ program uses an app with personalized tools and strategies over 6 weeks. Researchers will measure how well these programs work by looking at your concerns about falling and the strategies you use to prevent falls. The study aims to enroll 120 participants.", "design": "This study will compare two different fall prevention programs in 120 participants. One group will use the iROLL-O+ app, and the other will receive information from the STEADI program.", "commitments": "You would participate in a 6-week fall prevention program. Researchers will measure your functional mobility, fall concerns, and prevention strategies at the beginning, at the end of the program (week 6), and 8 weeks later (week 14).", "compensation": "Not stated in the trial record.", "follow_up": "Your fall concerns and prevention strategies will be measured at 6 weeks and 14 weeks after the start of the intervention.", }

Study design
Not specified.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
Not specified.

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NCT07167680

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

Recruiting
NAAges 18+InterventionalPrevention
University of Illinois at Urbana-Champaign
~120 participants
Updated 2026-05-11 on ClinicalTrials.gov
What's tested:Individualized reduction of falls (iROLL)Stopping Elderly Accidents, Deaths & Injuries (STEADI)

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Functional Assessment of Currently Employed Technology Scale
Measured over Baseline
+10 more outcomes measured
Spinal Cord Injuries (SCI)
Multiple Sclerosis
1 sites across 1 states
Illinois1
  • Harshal Mahajan, Ph.D. · PRINCIPAL_INVESTIGATOR · University of Illinois, Urbana-Champaign
  • Laura Rice, PhD, MPT, ATP · PRINCIPAL_INVESTIGATOR · University of Illinois, Urbana-Champaign

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Eligibility criteria

Inclusion

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

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).
  • Functional Assessment of Currently Employed Technology ScaleBaseline

    Assesses how individuals with disabilities utilize currently available and assistive technologies in their everyday lives across five functional domains (Home, Social, E-commerce, Health Care, Technical). Subscale (Domain) Scoring: Each domain's subtotal ranges from 0 to 10. Higher scores indicate more frequent use of technology. Interpretation categories: 0-2: Very Infrequent IT Use; 3-4: Infrequent IT Use; 5-6: Moderate IT Use; 7-8: Frequent IT Use; 9-10: Very Frequent IT Use Total FACETS Score: Ranges from 0 to 50 (sum of the five domain subtotals). Higher total scores = greater overall frequency of technology use. Interpretation categories: 0-14: Very Infrequent IT Use; 15-24: Infrequent IT Use; 25-34: Moderate IT Use; 35-44: Frequent IT Use; 45-50: Very Frequent IT Use

  • Fall Concerns Scale for Wheelchair and Scooter UsersBaseline, Post-Intervention (Week 6 and Week 14)

    Measures fear of falling and fall-related self-efficacy in individuals who use wheelchairs or scooters. The Fall Concerns Scale for Wheelchair and Scooter Users consists of 16 items, each rated on a 4-point Likert scale (1 = "not at all concerned" to 4 = "very concerned"). The total score ranges from 16 to 64, with higher scores indicating greater fear of falling and lower fall-related self-efficacy.

  • Falls Prevention Strategies SurveyBaseline, Post-Intervention (Week 6 and Week 14)

    Captures the frequency and types of fall prevention behaviors or strategies participants use in their daily lives.

  • The Fall Management ScaleBaseline, Post-Intervention (Week 6 and Week 14)

    Assesses participant confidence and preparedness in managing fall-related scenarios (e.g., recovery techniques, communication, and safety). Total scores range from 0 to 64. Higher scores indicate greater use of fall management strategies (better outcome).

  • Fall Prevention and Management QuestionnaireBaseline, Post-Intervention (Week 6 and Week 14)

    A multi-dimensional tool that evaluates participants' knowledge, behaviors, and attitudes toward fall prevention and recovery.

  • Community Participation Indicators QuestionnaireBaseline, Post-Intervention (Week 6 and Week 14)

    A self-report 48-item objective that measures two distinct subsets: 1\) Importance and meaning, and 2) Control over participation. This questionnaire assesses levels of community engagement, social interaction, and participation in everyday activities outside the home. Items are typically rated on a Likert scale and aggregated to produce subscale scores and a total participation score. Higher scores indicate greater community participation. Scores range between 0 and 1, where: 0 = no meaningful participation. 1 = full participation in all important activities

  • Transfer Assessment Instrument QuestionnaireBaseline, Post-Intervention (Week 6 and Week 14)

    Measures participants' safety, technique, and confidence when transferring between surfaces (e.g., wheelchair to bed).

  • Wheelchair Skills Test - QuestionnaireBaseline, Post-Intervention (Week 6 and Week 14)

    Self-reported version of the Wheelchair Skills Test assessing wheelchair handling and maneuvering capabilities.

  • System Usability ScalePost-Intervention (Week 6)

    Evaluates participants' perceived usability of the iROLL-O+ mobile app - only for the intervention group. The SUS consists of 10 items, each scored on a 5-point Likert scale (0-4). The total raw score is converted to a 0-100 scale. Higher scores indicate better usability. A score of 68 is considered average usability; scores above 68 reflect above-average usability, while scores below 68 reflect below-average usability.

  • Usefulness, Satisfaction, and Ease of Use QuestionnairePost-Intervention (Week 6)

    Assesses perceived usefulness, satisfaction, and ease of use of a mobile app. - only for the intervention group

  • Mobile App Rating ScalePost-Intervention (Week 6)

    Evaluates mobile app quality, including engagement, functionality, aesthetics, and information content. - Only for the intervention group. The uMARS contains 20 items across four objective quality subscales (Engagement, Functionality, Aesthetics, Information). Each item is rated on a 5-point Likert scale (1-5). Subscale scores are averaged, and a total quality mean score can also be calculated. Higher scores indicate higher app quality.