Clinical Research Oriented Workshop (CROW) Meeting: April 14, 2016

Present:  Marianne Burke, Nancy Gell, Juvena Hitt, Kairn Kelley, Ben Littenberg, Adam Sprouse-Blum, Connie van Eeghen

Start Up: Campfire stories… but then we talked about Disney and the ability to create a system to manage the behaviors of thousands of adolescents on vacations with their families

1.                  Discussion: Nancy Gell rescued the group from lack of agenda by bringing an analysis conducted by some DPT students looking at “Home Hazards and Safety Modifications Associated with Fall Risk in Older Adults.”

a.       Baseline, cross-sectional data of home and bathroom risk hazards/modifications

                                                  i.      Assessed by in-home observation-based evaluations and self-evaluations, 1/3 of adults has a hazard

                                                ii.      Analyzed by age category (decade), safety modifications rise with age, whereas tripping hazards and clutter are flat across age groups

1.      Who are the agents that make modification decisions

2.      What instructions are given to the evaluators

3.      What are the factors not provided by the survey that may influence the results, e.g. size of house

b.      Goals:

                                                  i.      Describe environmental context of homes in older U.S. citizens

                                                ii.      Examine factors associated with clutter/tripping hazards and with safety modifications in the home

                                              iii.      After falling, does the environment change; i.e. do people act in advice?

1.      Could be a survival analysis

a.       Predictor: fall

b.      Outcome: shower bar

                                              iv.      Consider:

1.      Who lives in unsafe homes?

2.      What is the model of a safe home?  Create an index to rate safety of homes.

3.      What is the correlation between safe homes rating and fall data; case control study

4.      Survival analysis:

a.       Predictor: clutter

b.      Outcome: falls

c.       Next steps

                                                  i.      Create a standard Table 1: describe the population

                                                ii.      Adjust Table 2 for age

2.                  Next Workshop Meeting(s): Thursdays, 1:30 p.m. – 2:30 p.m., at Given Courtyard South Level 4.   

a.       April 21, 2016: no Connie, Kairn, Gail

b.      April 28, 2016: Marianne?

c.       May 5, 2016:

d.      May 12, 2016:

e.       May 19, 2016: Amanda and Connie on Rheumatology QI Project on Opioid Prescription Management

Recorder: Connie van Eeghen