Implementation of Routine Walking Speed Measurements in Older Veterans

Part of paid clinical trials in Aurora, Colorado.

Sponsor
VA Office of Research and Development
Study ID
NCT07513805
Status
Not Yet Recruiting

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Conditions

  • Aging
  • Fall Risk
  • Mobility Limitation

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Usual Care — OTHER
    During the Usual Care phase, participating clinics will continue with usual care with the addition that walking speed will be measured and recorded. Veterans and providers will be blinded to walking speed measurement so as to not influence care.
  • FASTER — OTHER
    During the FASTER phase, walking speed will be measured during clinic visits, recorded in the medical record, and used by providers to guide care. An Action Toolkit will be provided with resources for providers to support informed care decisions based on Veterans' walking speeds.

Study Details

Walking speed is a powerful predictor of mortality and adverse health consequences (e.g. fall or hospitalization) in older adults. Knowledge of individuals' walking speed can provide unique insight into current physical function and need for healthcare services. Furthermore, walking speed is a modifiable risk factor such that early recognition of physical function decline allows for appropriate and timely intervention prior to the occurrence of adverse health events. Therefore, this proposal seeks to implement routine measures of walking speed into VHA primary care as a 'vital sign' to routinely monitor Veteran physical function and help guide provider referrals.

Key Dates

Start date
Apr 1, 2027
Status verified
Mar 2026
Primary completion
Jan 1, 2030
Completion
Jun 30, 2030

Study Design

Enrollment
10,500 participants (estimated)
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
HEALTH_SERVICES_RESEARCH

Arms

  • Active Comparator: Usual Care
    Usual care will continue in clinical practice with this phase occurring before FASTER implementation.
  • Experimental: FASTER
    The FASTER intervention includes measurement, recording, and use of walking speed measurement to help guide care in older Veterans.

Primary Outcome Measure

Walking Speed [ Time Frame: Change in walking speed before exposure and change in walking speed after exposure to FASTER intervention (up to 12 months). ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
Rocky Mountain Regional VA Medical Center, Aurora, COAuroraColorado80045-7211
Jennifer E Stevens-Lapsley, PhD
[email protected]
303-949-9304
Joyce A Middleton
[email protected]
(303) 908-8935
Jennifer E. Stevens-Lapsley, PhD (PRINCIPAL_INVESTIGATOR)

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By research site
Rocky Mountain Regional VA Medical Center, Aurora, CO· Aurora, CO

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