Clinical trial · Interventional
Adaptation of the STEPPING ON Fall Prevention Program for Older Adults Receiving Cancer Therapy
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
Chronic disease self-management is the ability of the individual, in conjunction with family, community and healthcare professionals to manage symptoms, treatments, lifestyle changes and psychosocial, cultural and spiritual consequences associated with a chronic condition. Self-management strategies have been successfully used in supportive care and survivorship in oncology. Stepping On, a multi-component program using a small-group learning environment, reduces falls by 31%. It empowers participants with knowledge about fall-risk, exercise, medications and environmental hazards to self-manage their risk of falls over 7 weeks of educational sessions, followed by a home visit. The research in this proposal will yield the adaptation of the effective group-education-based fall-prevention intervention Stepping On, tailored to cancer patients, feasible for testing in a multi-institutional trial, and ultimately scalable in the oncology setting.
Conditions
Conditions (3)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Cancer | Malignant Neoplasm | ALIAS | 0.90 |
| Geriatric Disorder | — | UNRESOLVED | — |
| Patient Fall | — | UNRESOLVED | — |
Interventions
Interventions (6)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| GAITRite | Other | — | UNRESOLVED |
| Home visit | Other | — | UNRESOLVED |
| Mini-Balance Evaluation Systems Test | Other | — | UNRESOLVED |
| Patient Questionnaire | Other | — | UNRESOLVED |
| Precise measure of movement testing | Other | — | UNRESOLVED |
| Stepping On Education Program | Other | — | UNRESOLVED |
Design
Arms and outcomes
Arms (1)
- type
- EXPERIMENTAL
- label
- Arm 1: STEPPING ON
- description
- * Adaptation Waves is to adapt Stepping On to the oncology setting/Pilot Waves is to determine the feasibility \& acceptability of the program for older adults receiving cancer care/Gait \& Balance Waves is to determine whether the participants experience changes in their gait \& balance * Complete baseline questionnaires about Instrumental Activities of Daily Living, Medical Outcome Study Activities, Karnofsky Performance Status, falls in past 3 months, medications, comorbidities, vision \& hearing, The Falls Behavioral Scale, The Falls Efficacy Scale-International, Patient Reported Outcome pain, PRO neuropathy * 7 week STEPPING ON program is multi-component learning environment which has shown to help reduce falls * A home visit to gather any feedback on the experience of the program * Follow-up questionnaires up to 3 months after completion of the program * Participants may elect to participate in a "booster session" to reinforce concepts 3-6 months after completion of the program
- interventionNames
- Other: Stepping On Education Program
- Other: Home visit
- Other: Patient Questionnaire
- Other: Mini-Balance Evaluation Systems Test
- Other: GAITRite
- Other: Precise measure of movement testing
Primary outcomes (1)
- measure
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 70 Years
Show eligibility criteria text
Inclusion Criteria for Patient Participants: * Age ≥70 years. * Reports a fall within the past 1 year OR self-reports that they are concerned about falling. * Receiving systemic cancer therapy (including conventional chemotherapy, novel/targeted agents, immunotherapy, monoclonal antibody therapy, oral tyrosine kinase inhibitors, or hormonal agents) OR will begin systemic therapy within the next 4 weeks. * Able to understand and willing to sign an IRB-approved written informed consent document. Exclusion Criteria for Patient Participants: * Life expectancy \<6 months. * Unable to understand written or spoken English.
References
Publications (0)
Data not yet available