This trial is active, not recruiting.

Conditions accidental falls, bone fracture, traumatic brain injury, head injuries, closed, nursing homes
Treatments smartcell flooring, plywood flooring
Sponsor Dr. Stephen Robinovitch
Collaborator Canadian Institutes of Health Research (CIHR)
Start date September 2013
End date September 2017
Trial size 151 participants
Trial identifier NCT01618786, TIPS-001, TIR 103945


This study will evaluate the efficacy of novel compliant flooring in reducing injuries due to falls in a long-term care facility, determine the cost effectiveness of this intervention, and assess perceptions about compliant flooring among staff, residents, and families.

The investigators hypothesize that compliant flooring will (1) reduce the incidence of injuries due to falls in long-term care residents; (2) represent an overall cost-savings when material and implementation costs are considered relative to direct and indirect costs associated with injuries due to falls; and (3) be received positively by staff, residents, and their family members.

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Allocation randomized
Endpoint classification efficacy study
Intervention model parallel assignment
Masking double blind (subject, caregiver, investigator, outcomes assessor)
Primary purpose prevention
Compliant flooring
smartcell flooring
SmartCell (SATECH Inc., Chehalis, WA, USA) is a continuous rubber surface layer supported by an array of cylindrical rubber columns 14 mm in diameter, and spaced at 19 mm intervals. It has a surface hardness of 50 durometer. It has been reported to provide approximately 35% peak force attenuation during mechanical tests that simulate falls on the hip. It has also been reported to have minimal effect on balance and mobility of older women during activities of daily living. It will be covered with hospital-grade vinyl and will be inspected regularly for maintenance requirements.
(Placebo Comparator)
Non-compliant flooring
plywood flooring
Plywood flooring covered with the same hospital-grade vinyl as the SmartCell flooring.

Primary Outcomes

Fall-related injuries
time frame: 4 years

Secondary Outcomes

time frame: 4 years
time frame: 4 years
Health resource utilization
time frame: 4 years
Musculoskeletal injuries
time frame: 4 years

Eligibility Criteria

Male or female participants of any age.

Inclusion Criteria (for rooms): - Resident rooms across four units at New Vista Society Care Home, a long-term care facility in Burnaby, BC, Canada Exclusion Criteria (for rooms): - Resident rooms across four units at New Vista Society Care Home in which new flooring cannot be installed

Additional Information

Official title Randomized Controlled Trial of Compliant Flooring to Reduce Injuries Due to Falls in Older Adults in a Long-Term Care Facility
Principal investigator Dawn C Mackey, PhD
Description Falls are the number one cause of unintentional injury among older adults in Canada, and are responsible for economic costs in excess of $1 billion CAD annually. In high-risk environments, such as long-term care (LTC) facilities, 60% of residents will experience at least one fall each year. Moreover, approximately 30% of falls in LTC residents result in injury, and 3 to 5% cause fractures. A promising strategy for reducing the incidence of fall-related injuries in LTC facilities is to decrease the stiffness of the ground surface, and the subsequent force applied to the body parts at impact. Purpose-designed compliant flooring can reduce the force applied to the hip during a fall by up to 35 % (to allow a raw egg to be successfully bounced without cracking). Yet, few LTC facilities have flooring designed to reduce the impact of falls. This study will address this gap. Resident rooms at a local LTC facility will be randomly assigned to installation of compliant flooring or control (non-compliant) flooring. Following installation, primary and secondary outcomes, including fall-related injuries and falls, will be monitored for 4 years and compared between resident rooms with and without compliant flooring. In addition, health resource utilization and their costs will be compared between resident rooms with and without compliant flooring. Perceptions about compliant flooring will be assessed among staff, residents, and their families.
Trial information was received from ClinicalTrials.gov and was last updated in April 2016.
Information provided to ClinicalTrials.gov by Simon Fraser University.