Recruiting

iROLL-O+ vs. STEADI

Sponsor:

University of Illinois at Urbana-Champaign

Code:

NCT07167680

Conditions

Spinal Cord Injuries (SCI)

Multiple Sclerosis

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

Individualized reduction of falls (iROLL)

Stopping Elderly Accidents, Deaths & Injuries (STEADI)

Study Details

Brief summary:

The research team is conducting a study to determine if a fall prevention program designed specifically for people who use wheelchairs and scooters can help people better prevent and manage falls compared to the standard of care.

This study will compare two groups of participants:

1. One group will use the iROLL-O+ app, which offers personalized fall prevention tools and strategies.
2. The other group will receive fall prevention information from a well-known program developed by the Centers for Disease Control and Prevention (CDC), called STEADI, which stands for Stopping Elderly Accidents, Deaths, and Injuries.

This study includes adults living with Spinal Cord Injury (SCI) or Multiple Sclerosis (MS) who use a wheelchair or scooter every day. The research team aims to determine which approach is more effective in reducing falls and improving confidence in performing daily activities.

Conditions

Spinal Cord Injuries (SCI)

Multiple Sclerosis

Study ID

NCT07167680

Start date

Sep 1, 2025

Status verified date

May, 2026

Completion date

Dec 1, 2027

Anticipated

Primary completion date

Aug 1, 2026

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Inclusion Criteria:

  • 18 years old or older.
  • History of Multiple Sclerosis (MS) or Spinal Cord Injury (SCI).
  • Able to transfer independently or with minimal to moderate assistance.
  • Unable to walk 25 feet or more
  • Have experienced at least 1 fall in the past three years.
  • Have a care partner to assist the participant when practicing physical skills.
  • Have access to a smartphone/iPad.
  • Have a stable internet connection.

Exclusion Criteria:

  • Multiple sclerosis exacerbation in the past 30 days, or are unable to remain in an upright position for an hour.
  • Impaired cognition (a score of 10 or above on the Short Blessed Test).

Study Design

Enrollment

120 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Prevention

Interventions and Outcome Measures

Arms

experimental: Individualized reduction of falls (iROLL) Group

iROLL group participants will be educated about fall prevention and management strategies using the individualized reduction of falls (iROLL) mobile application (app)

active comparator: Stopping Elderly Accidents, Deaths & Injuries (STEADI) Program Group

STEADI group participants will be educated about fall prevention and management strategies using Centers for Disease Control and Prevention entitled: Stopping Elderly Accidents, Deaths \& Injuries (STEADI) program.

Interventions

Individualized reduction of falls (iROLL)

The iROLL program is a 6-week fall prevention and management program for people living with spinal cord injury (SCI) and multiple sclerosis (MS) who use wheelchairs and scooters. The program's overall goals are to reduce fall frequency, improve functional mobility skills, decrease fear of falling, increase quality of life, and increase community participation. It uses many active learning strategies such as: goal setting, journaling, small group discussions, practicing skills, and homework to apply content to one's daily life.

Stopping Elderly Accidents, Deaths & Injuries (STEADI)

The CDC's Stopping Elderly Accidents, Deaths \& Injuries (STEADI) initiative is a coordinated approach to fall prevention for older adults. It focuses on helping healthcare providers implement clinical fall prevention strategies, including screening for fall risk, assessing modifiable risk factors, and intervening to reduce risk.

Primary outcome measure

  • Functional Assessment of Currently Employed Technology Scale [ Time Frame: Baseline ]
  • Fall Concerns Scale for Wheelchair and Scooter Users [ Time Frame: Baseline, Post-Intervention (Week 6 and Week 14) ]
  • Falls Prevention Strategies Survey [ Time Frame: Baseline, Post-Intervention (Week 6 and Week 14) ]
  • The Fall Management Scale [ Time Frame: Baseline, Post-Intervention (Week 6 and Week 14) ]
  • Fall Prevention and Management Questionnaire [ Time Frame: Baseline, Post-Intervention (Week 6 and Week 14) ]
  • Community Participation Indicators Questionnaire [ Time Frame: Baseline, Post-Intervention (Week 6 and Week 14) ]
  • Transfer Assessment Instrument Questionnaire [ Time Frame: Baseline, Post-Intervention (Week 6 and Week 14) ]
  • Wheelchair Skills Test - Questionnaire [ Time Frame: Baseline, Post-Intervention (Week 6 and Week 14) ]
  • System Usability Scale [ Time Frame: Post-Intervention (Week 6) ]
  • Usefulness, Satisfaction, and Ease of Use Questionnaire [ Time Frame: Post-Intervention (Week 6) ]
  • Mobile App Rating Scale [ Time Frame: Post-Intervention (Week 6) ]

Central Contacts and Locations

Central contacts

Laura Rice, PhD, MPT, ATP

217-333-4650ricela@illinois.edu

Harshal Mahajan, Ph.D.

217-300-7048mahajan6@illinois.edu

Locations

Disability Participation and Quality of Life (DPQOL) Laboratory

Recruiting

Urbana, Illinois, United States, 61801

Contacts

Laura Rice, PhD, MPT, ATP

217-333-4650dpqol-lab@illinois.edu

Principal Investigator:

Laura Rice, PhD, MPT, ATP

More Information

Sponsor

University of Illinois at Urbana-Champaign

Last update posted

May 11, 2026

Last verified

May, 2026

Keywords

  • wheelchair
  • fall prevention
  • mobile application
  • spinal cord injury
  • multiple sclerosis
  • education

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by University of Illinois at Urbana-Champaign on 2026-05-11.