Evidence map›Paper›PMID 41349283›Full record

Trial reportThe Gerontologist2026

Evaluating the effectiveness of a telemedicine-based STEADI implementation in primary care on fall outcomes: the STEADI options randomized controlled trial.

Yara K Haddad, Matthew W Brault, Briana Moreland, Cora Peterson, Xinjian Zhang, Karen Thomas, Farah Sublett, Michelle Dougherty, Laurie Imhof, Madeleine E Hackney and 6 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The Gerontologist, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Yara K HaddadNational Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia, United States.ORCID 0000-0001-6803-2410
Matthew W BraultDepartment of Public Health, NORC at the University of Chicago, Chicago, Illinois, United States.
Briana MorelandNational Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia, United States.
Cora PetersonNational Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia, United States.
Xinjian ZhangNational Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia, United States.
Karen ThomasNational Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia, United States.
Farah SublettDepartment of Public Health, NORC at the University of Chicago, Chicago, Illinois, United States.
Michelle DoughertySchool of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, United States.
Laurie ImhofDepartment of Public Health, NORC at the University of Chicago, Chicago, Illinois, United States.
Madeleine E HackneyBirmingham/Atlanta Veterans Affairs Geriatric Research, Education, and Clinical Center, Veterans Affairs Office of Geriatrics and Extended Care, Atlanta, Georgia, United States.
Camille P VaughanBirmingham/Atlanta Veterans Affairs Geriatric Research, Education, and Clinical Center, Veterans Affairs Office of Geriatrics and Extended Care, Atlanta, Georgia, United States.ORCID 0000-0001-6713-794X
Theodore M Johnson IiBirmingham/Atlanta Veterans Affairs Geriatric Research, Education, and Clinical Center, Veterans Affairs Office of Geriatrics and Extended Care, Atlanta, Georgia, United States.ORCID 0000-0001-8332-5369
Elizabeth A PhelanDepartment of Medicine, Division of Gerontology and Geriatric Medicine, School of Medicine, Washington, Seattle, Washington, United States.
Gwen BergenNational Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia, United States.
David B ReinDepartment of Public Health, NORC at the University of Chicago, Chicago, Illinois, United States.
Emory STEADI Implementation Team

Funding

HRSA HHS U1QHP33070HRSA HHS U1QHP53036Intramural CDC HHS CC999999
6 · The paper itself

Abstract

BACKGROUND AND

objectivesFalls are a leading cause of injury and death among older adults (65 years and above). The Centers for Disease Control and Prevention's Stopping Elderly Accident, Deaths, and Injuries (STEADI) initiative aims to reduce falls by screening to find at-risk individuals, evaluation, and then addressing modifiable risk factors. This study evaluated the effectiveness of implementing a STEADI-based multi-component fall prevention approach via telemedicine in primary care. RESEARCH DESIGN AND

methodsA randomized controlled quality improvement trial (STEADI Options) was conducted during the COVID-19 pandemic (July 2020-December 2021). Primary care professionals (PCPs) were randomized to either standard-of-care (SOC) or intervention. The intervention included a fall risk assessment by a research nurse, who shared STEADI-based recommendations with PCPs. Recommended interventions were administered at the discretion of PCPs. Outcomes included self-reported falls (primary), medically treated falls, fall-related service utilization (physical therapy, occupational therapy, eye care, podiatry), and medication changes, assessed over one year. Analyses followed an intent-to-treat approach.

resultsAmong 660 participants (353 SOC; 307 intervention), the cohort was predominantly female (67.7%), aged 65-79 years (73.6%), and non-Hispanic White (56.1%). Intervention participants had higher average Stay Independent Screener (SIS) scores (6.3 vs. 5.2; p < 0.001). Overall, 5.5% reported a fall in the past 12 months. No significant differences were observed between groups in fall-related outcomes (e.g., medically treated falls odds ratio [adjusted for SIS]: 0.741; 95% CI: 0.411-1.336). DISCUSSION AND IMPLICATIONS: Although no significant differences were found, limited recruitment, low baseline fall rates, and unmeasured adherence may have impacted results. Further research is needed to evaluate the feasibility and effectiveness of telemedicine-based STEADI interventions in primary care.

Indexed as

Accidental FallsCOVID-19Primary Health CareTelemedicineAgedAged, 80 and overFemaleHumansMaleQuality ImprovementRisk AssessmentSARS-CoV-2United StatesFall outcomesFallsOlder adultsSTEADITelemedicine

Identifiers

PMID41349283
PMCPMC13403247

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.