New medication plan aims to cut fall risk for rural seniors
NCT ID NCT04612166
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a medication care plan to reduce falls in adults aged 60 and older living in rural Iowa. Participants worked with a health coach to safely reduce or stop taking medications that increase fall risk. The study compared fall rates between those who received the plan and those who did not, with the goal of creating a sustainable program for primary care clinics.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Medication Action Plan and Patient Empowerment (MAP-PE) - a behavioral intervention involving deprescribing high-risk medications
- What this could lead to
- If successful, this approach could provide a practical way for clinics to reduce falls and injuries in older adults living in rural communities.
- What could go wrong
- This is a completed pragmatic study, not a large-scale trial. Results may not apply to all older adults or settings, and deprescribing may not always prevent falls.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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398 people
The number who actually took part.
- Started
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Aug 2020
- Finished
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Jun 2024
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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60 to 110 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * 60 years of age * Speaks English * Lives independently in the community (not in assisted living, skilled nursing, rehabilitation facility or hospice) * Currently taking at least one medication (prescription or OTC) regularly (at least once a week) that puts an older adult at high risk for a fall and plan on taking the medication for at least the next month * Receives most medical care at a MercyOne clinic Exclusion Criteria: * Does not meet inclusion criteria * Alzheimer's diagnosis * Receiving treatment for active cancer
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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MercyOne Population Health Services
Clive, Iowa, 50325, United States
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