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Accident InjuryCHASENCT05886270

Implementation of the Child Housing Assessment for a Safe Environment

A study testing Housing Assessment/Safety Modifications in people with Accident Injury and Home Injury, run by Johns Hopkins Bloomberg School of Public Health at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This implementation study uses a multi-method quantitative and qualitative, non-experimental design to estimate the magnitude of home injury risks, identify strategies for addressing those risks and sustaining those interventions, and to calculate the costs of housing-related modifications to prevent childhood home… Read more about this study

Who is it for?
Ages Up to 7 yearsHealthy volunteers can take part
Conditions the study is for
Accident Injury, Home Injury
What is being tested?
Housing Assessment/Safety Modifications
Could I receive a placebo?
No, everyone receives an active treatment
How many people
300 participants
Where
1 siteUnited States
Study dates
24 Jun 2022to 5 Dec 2025
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Up to 7 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Parent or guardian (or an emancipated minor who meets all other inclusion criteria) whose household is participating in either the GHHI DSS Foster Care Homes Program (FCHP) OR GHHI Amerigroup Maryland Asthma Program (AMAP)
  • Households with at least one child under 7 years of age, or foster care families planning to host a child under 7
  • The child under 7 years of age lives with the parent or legal guardian most of the time
  • Income at or below 80% AMI as defined by US Department of Housing and Urban Development (HUD)
  • A home address in Baltimore City or Baltimore County

Who cannot join

  • Parent or guardian whose household is participating is not in either the GHHI DSS Foster Care Homes Program (FCHP) OR GHHI Amerigroup Maryland Asthma Program (AMAP)
  • Household does not have at least one child under 7 years of age, or foster care families are not planning to host a child under 7
  • The child under 7 years of age does not live with the parent or legal guardian most of the time
  • Income is not at or below 80% AMI as defined by HUD
  • The home address is not in Baltimore City or Baltimore County

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Johns Hopkins Center for Injury Research & Policy

    Baltimore, Maryland, 21205

Other trials in United States

About this study

This implementation study uses a multi-method quantitative and qualitative, non-experimental design to estimate the magnitude of home injury risks, identify strategies for addressing those risks and sustaining those interventions, and to calculate the costs of housing-related modifications to prevent childhood home injuries. The study objectives are to: Aim 1. Implement injury prevention measures based on safety hazards identified using the CHASE Tool within 300 low-income households (at or below 80% AMI) in Baltimore City or County; Aim 2. Determine the costs of the injury prevention measures completed by residents and/or professional providers; Aim 3. Conduct a formative evaluation using mixed methods to 3a. determine feasibility of incorporating injury prevention into residential programs from the perspective of installers and residents, including identifying barriers and facilitators, and 3b. understand the consistency of implementing and maintaining the injury prevention measures across referral sources, by residents and staff.

Read the detailed description

To address the gap between known preventative factors for child home injuries and the uptake of those prevention approaches by high-risk families, the hazards must be systematically and rigorously assessed, and modifications properly implemented and evaluated. Although there are standardized approaches to assess and address particular home health hazards, such as lead paint, asthma, there is no standard tool for injury control. The study team has developed and tested a tool to assess child injury risks in the home (CHASE Tool). The study team has adapted the existing CHASE tool, found in the article by Shields et al 2019, to specify home modifications needed for 15 priority injury hazards that are the focus of this project based on the literature, availability of prevention measures, and the preliminary studies; they include: scalds, falls, fires, crush/cut/pierce injuries, poisonings, and strangulation) however, the time and cost burden to conduct the assessments on a large scale and to implement evidence-based modifications have not been documented, nor is there information available about residents' willingness to accept these modifications. Thus, the investigators propose to combine the child injury prevention expertise of the Johns Hopkins Center for Injury Research and Policy faculty with the home modification and community outreach expertise of Green and Healthy Homes Initiative (GHHI) to demonstrate a new way to improve the safety of children's homes.

The existing CHASE tool, found in the article by Shields et al 2019, has been adapted to specify home modifications needed for 15 priority injury hazards that are the focus of this project based on the literature, availability of prevention measures, and the preliminary studies; they include: scalds, falls, fires, crush/cut/pierce injuries, poisonings, and strangulation.

This project represents the next step in the CHASE project through which the following objectives will be met: Objective 1. Implement injury prevention measures based on safety hazards identified using the CHASE Tool within 300 low-income households (at or below 80% AMI) in Baltimore City or Baltimore County; Objective 2. Determine the costs of the injury prevention measures completed by residents and/or professional providers; Objective 3. Conduct a formative evaluation using mixed methods to 3a. determine feasibility of incorporating injury prevention into residential programs from the perspective of installers and residents, including identifying barriers and facilitators, and 3b. understand the consistency of implementing and maintaining the injury prevention measures across referral sources, by residents and staff.

The Implementation study will be conducted in five phases including the following. Phase 1: Community Engagement. Phase 2: The Enrollment Phase including an initial home visit and assessment for injury risks, CHASE Family Feedback Form creation and education including guidance about needed modifications. Phase 3: Re-Assessment Phase which includes a second home visit to assess change, perform modifications when needed, and survey to understand barriers and facilitators. Phase 4: Follow-Up to measure sustainability of modifications and obtain feedback on the program. Phase 5: Evaluation and Dissemination of results.

The study will enroll a sample of N=300 homes of low-income families with children < 7 years of age who are referred from two of GHHI's currently active programs, Department of Social Services (DSS) Foster Care Homes Program (FCHP, n=200 homes) and Amerigroup Maryland Asthma Program (AMAP, n=100 homes), which are Medicaid eligible children referred from Amerigroup-Maryland into GHHI's asthma home-visiting program.

In addition to completing the three objectives, a user-friendly CHASE Home Safety Modifications Tool Kit and online training module for utilization by other programs working in homes with children will be created and disseminated, thus expanding the potential impact of the present work and HUD's to other housing service providers and beneficiaries nationally.

Being tested
Housing Assessment/Safety Modifications
Medical subject headings
Accidental Injuries

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Housing Assessment/Safety ModificationsOther

    A GHHI Assessor will complete three home visits to assess home injury hazards and provide a scope of work that includes home modifications that directly address each of the identified home injury hazards. The Assessor will also provide do-it-yourself education materials and injury prevention supplies to assist them in completing the modifications.

Study groups in NCT05886270
Study groupRoleWhat they receive
ParticipantsExperimentalThis arm consists of 300 homes of low-income families with children < 7 years of age who are referred from two of GHHI's currently active programs, DSS Foster Care Homes Program, and Amerigroup Maryland Asthma Program.
Receives: Other: Housing Assessment/Safety Modifications

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in number of Poison Storage hazards

    Poison storage injury hazards will be identified using the CHASE Tool. Fail criteria include: "Your medicine is not locked up" and "Your household products are not locked up."

    Measured: Baseline, 1 month, 3 months

  2. Change in number of Smoke Alarms hazards

    Smoke alarm injury hazards will be identified using the CHASE Tool. Fail criteria include: "You do not have a smoke alarm on every level of your home."

    Measured: Baseline, 1 month, 3 months

  3. Change in number of Fire Escape Safety hazards

    Fire escape safety injury hazards will be identified using the CHASE Tool. Fail criteria include: "You do not have at least two exits in all sleeping areas", "Your fire escape exit (door/window) is not working", and "Your fire escape exit(s) are blocked."

    Measured: Baseline, 1 month, 3 months

  4. Change in number of Sprinkler System hazards

    Sprinkler system injury hazards will be identified using the CHASE Tool. Fail criteria include: "Your sprinkler system is leaking."

    Measured: Baseline, 1 month, 3 months

  5. Change in number of Carbon Monoxide Alarm hazards

    Carbon monoxide alarm injury hazards will be identified using the CHASE Tool. Fail criteria include: "You do not have at least one carbon monoxide alarm on each level of the home."

    Measured: Baseline, 1 month, 3 months

  6. Change in number of Electrical Fire and Shock hazards

    Electrical fire and shock injury hazards will be identified using the CHASE Tool. Fail criteria include: "You have a dangerous power strip", "You have a dangerous electrical cord", "You have wires sticking out", "Your electrical receptacle does not have a cover", "Your electrical receptacle is broken", and "Your electrical breaker is broken."

    Measured: Baseline, 1 month, 3 months

  7. Change in number of Electrical Tripping Risk hazards

    Electrical tripping injury hazards will be identified using the CHASE Tool. Fail criteria include: "You have electrical extension cords that pose a trip and fall hazard."

    Measured: Baseline, 1 month, 3 months

  8. Change in number of Hot Water Burn hazards

    Hot water burn injury hazards will be identified using the CHASE Tool. Fail criteria include: "You need to retest the hot water temperature to make sure it is a safe temperature", and "You need a new water heater tank installed."

    Measured: Baseline, 1 month, 3 months

  9. Change in number of Window Fall hazards

    Window fall injury hazards will be identified using the CHASE Tool. Fail criteria include: "Not all of your windows at or above the second level of the home have window stops or guards."

    Measured: Baseline, 1 month, 3 months

  10. Change in number of Accidental Strangulation hazards

    Accidental strangulation injury hazards will be identified using the CHASE Tool. Fail criteria include: "Your blinds pose a hazard (you do not have cord protectors or cordless blinds/shades)", and "Your blinds/curtains are not cordless, cord protected, or cord unprotected but inaccessible to the child."

    Measured: Baseline, 1 month, 3 months

  11. Change in number of Stair Fall hazards

    Stair fall injury hazards will be identified using the CHASE Tool. Fail criteria include: "Your interior stairs are unsafe", "Your carpet is loose", "Your handrails are defective", and "Your railings are defective."

    Measured: Baseline, 1 month, 3 months .

  12. Change in number of Bathroom Fall hazards

    Bathroom fall injury hazards will be identified using the CHASE Tool. Fail criteria include: "Your shower or tub floor surface needs to be deep cleaned before non-slip decals can be applied", "Your shower or tub floor surface needs to be cleaned before non-slip decals can be applied", "You do not have grab bars in your bath tub(s)/shower(s)", and "You do not have a secured, structurally sound shower door."

    Measured: Baseline, 1 month, 3 months

  13. Change in number of Protruding Nail hazards

    Protruding nails will be identified using the CHASE Tool. Fail criteria include: "You have nails or screws that stick out of the walls and floors that could hurt someone."

    Measured: Baseline, 1 month, 3 months

  14. Change in number of Falling Furniture hazards

    Falling furniture injury hazards will be identified using the CHASE Tool. Fail criteria include: "You have an entertainment center(s) > 3 ft. above the ground that is not secured to the wall", "You have a book case in the room that is not secured to the wall", "You have a flat screen TV in the room that is not secured to the wall", "You have a traditional TV in the room that is not secured to the wall", and "You have a stove that is not secured to the wall or cabinet/counter."

    Measured: Baseline, 1 month, 3 months

  15. Change in number of Stair Gate hazards

    Stair gate injury hazards will be identified using the CHASE Tool. Fail criteria include: "You do not have a stair gate installed at the top or bottom of the stairs on the 2nd, and if applicable, 3rd floor", "Not all the stair gates at the top of the stairs are hardware mounted", and "The basement does not have a stair gate at the bottom of the stairs and the top of the stairs, if there is no door at the top of the stairs."

    Measured: Baseline, 1 month, 3 months

Secondary outcomes (3)
  1. Cost of installing injury prevention measures

    Determine the costs of the injury prevention measures completed by residents and/or professional providers.

    Measured: 1 month, 3 months

  2. Change in participants' self-reported rates of experienced barriers and facilitators to incorporating injury prevention tools in their home.

    The Health Belief Model Questionnaire will be used to determine the feasibility of incorporating injury prevention into residential programs. Feasibility will be measured by participants' self-reported rates of experienced barriers and facilitators to incorporating injury prevention tools in their home.

    Measured: Baseline, 1 month, 3 months

  3. Change in qualitative descriptions of participants' confidence to make and maintain injury prevention measures in their home.

    The Follow-Up Interview will be used to understand the consistency of implementing and maintaining the injury prevention measures across participants. Consistency will be measured by participants' qualitative descriptions of their confidence to make and maintain the changes.

    Measured: 1 month, 3 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 Jun 2023
  2. Study start24 Jun 2022
  3. Primary completion5 Dec 2025
  4. Study completion5 Dec 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Model description
A total of 300 homes in Baltimore City and Baltimore County will be studied, which will be referred from two of GHHI's currently active programs, DSS Foster Care Homes Program (FCHP, n=200 homes) and Amerigroup Maryland Asthma Program (AMAP, n=100 homes), which are Medicaid eligible children referred from Amerigroup-Maryland into GHHI's asthma home-visiting program. The investigators selected families in FCHP and AMAP because they are a representative and generalizable population of low-income children known to have a greater risk of home injuries.
Masking
None (open label)
Enrolment
300 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05886270
Sponsor's protocol ID
MDHHU0059-20
Other IDs
IRB00018899
Acronym
CHASE
Status last verified
Dec 2025
First submitted
4 Aug 2022
Last updated
22 Dec 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Housing Assessment/Safety Modifications in people with Accident Injury and Home Injury, run by Johns Hopkins Bloomberg School of Public Health at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 22 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in number of Poison Storage hazards (time frame: Baseline, 1 month, 3 months). The study lists 15 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Dec 2025.

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