Clinical and Medico-economic Evaluation of the Cohort "People at Risk of Falling"
PARC
Medico-economic Assessment of a "IsereADOM" Package of Services Versus Conventional Monitoring in the Care of a Population of Frail Elderly People With Loss of Autonomy.
1 other identifier
interventional
14
1 country
3
Brief Summary
The goal of this study is to evaluate the effectiveness of the IsereADOM service package compared to conventional follow-up on the risk of recurrence of falls at 6 months in frail elderly subjects. There is a medico-economic goal too, is to conduct a cost-utility analysis of the IsereADOM service bundle compared to conventional 6-month follow-up from the community perspective in the cheat population at risk of re-offending.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Feb 2018
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 16, 2018
CompletedFirst Submitted
Initial submission to the registry
February 28, 2018
CompletedFirst Posted
Study publicly available on registry
June 4, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 12, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
October 12, 2019
CompletedDecember 27, 2019
December 1, 2019
1.2 years
February 28, 2018
December 26, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
comparison of the number of falls according to the innovative or non-innovative care of frail elderly people
The outcome measure is the number of falls with hospitalization collected through administrative data from health facilities
6 months
Study Arms (2)
Innovative supported
EXPERIMENTALIn addition to usual care, patients benefit from connected tools (telealarm, numeric communication diary...) and from a strong accompaniment with a referent person who help better the patient.
conventional supported
NO INTERVENTIONPatients benefit from usual care
Interventions
addition of connected tools and stronger accompaniment to prevent falls
Eligibility Criteria
You may qualify if:
- Patient fragile and loss of autonomy: level of dependence with GIR 3, 4 and 5 ;
- Patient domiciled in the department of Isère ;
- Patient who can be followed regularly for 6 months ;
- Patient benefiting from an assistance plan : APA, PAP, CARSAT ;
- Patient affiliated with social security or beneficiary of such a scheme ;
- Patient able to read, write and understand French ;
- Patient having signed informed consent to participate.
You may not qualify if:
- Patient without professional or family carer of proximity ;
- Patient with moderate to severe cognitive impairment defined by MMS \<23 ;
- Patient residing in a nursing home or institution for dependent person ;
- Persons referred to in Articles L1121-5 to L1121-8 of the CSP (corresponds to all persons protected: pregnant woman, parturient, mother who is breastfeeding, person deprived of liberty by judicial or administrative decision, person subject of a legal protection measure).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (3)
Centre Hospitalier Pierre Oudot
Bourgoin, 38300, France
CHU Grenoble-Alpes
Grenoble, 38043, France
Centre Hospitalier de Voiron
Voiron, 38500, France
Related Publications (5)
Gillespie LD, Robertson MC, Gillespie WJ, Sherrington C, Gates S, Clemson LM, Lamb SE. Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2012 Sep 12;2012(9):CD007146. doi: 10.1002/14651858.CD007146.pub3.
PMID: 22972103BACKGROUNDMoyer VA; U.S. Preventive Services Task Force. Prevention of falls in community-dwelling older adults: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2012 Aug 7;157(3):197-204. doi: 10.7326/0003-4819-157-3-201208070-00462.
PMID: 22868837BACKGROUNDGates S, Smith LA, Fisher JD, Lamb SE. Systematic review of accuracy of screening instruments for predicting fall risk among independently living older adults. J Rehabil Res Dev. 2008;45(8):1105-16.
PMID: 19235113BACKGROUNDPayen JF, Chanques G, Mantz J, Hercule C, Auriant I, Leguillou JL, Binhas M, Genty C, Rolland C, Bosson JL. Current practices in sedation and analgesia for mechanically ventilated critically ill patients: a prospective multicenter patient-based study. Anesthesiology. 2007 Apr;106(4):687-95; quiz 891-2. doi: 10.1097/01.anes.0000264747.09017.da.
PMID: 17413906BACKGROUNDManca A, Hawkins N, Sculpher MJ. Estimating mean QALYs in trial-based cost-effectiveness analysis: the importance of controlling for baseline utility. Health Econ. 2005 May;14(5):487-96. doi: 10.1002/hec.944.
PMID: 15497198BACKGROUND
Related Links
Study Officials
- PRINCIPAL INVESTIGATOR
Pascal COUTURIER, MD
CHU Grenoble Alpes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 28, 2018
First Posted
June 4, 2018
Study Start
February 16, 2018
Primary Completion
April 12, 2019
Study Completion
October 12, 2019
Last Updated
December 27, 2019
Record last verified: 2019-12
Data Sharing
- IPD Sharing
- Will not share