Occupational Therapy Group Program on Falls Prevention and Patient Education for the Older Adults Hospitalized

NCT03738709 | Unknown

• 1 other identifier: 6790
• Study Type: interventional
• Target: 136
• Locations: 1 country
• Sites: 1

Brief Summary

The primary outcome is to assess the impact of the group program on falls prevention and patient education on home modifications and the implementation of technical assistance. This study aims to demonstrate that a group program on falls prevention and patient education will improve the acceptance and the implementation of recommendations on technical assistance and home modifications following discharge after an hospitalization for fall. The secondary outcome will measure the impact of the group program on the incidence of falls, the number of readmissions, fear of another fall and improvement in walking and balance skills.

Conditions

Fall

Keywords

Prevention; Group; Technical assistance; Fall; Occupational therapy; Hospitalization discharge

Outcome Measures

Primary Outcomes (1)

• Number of technical assistance and home modifications implemented following discharge in both groups, in regard to the number of recommendations given during the hospitalization.

  1 month after hospitalization discharge (patient call #1)

Secondary Outcomes (8)

• Number of technical assistance and home modifications implemented following discharge in both groups, in regard to the number of recommendations given during the hospitalization.

  6 months after hospitalization discharge (patient call #2)

• Number of falls followed or not by an hospitalization since the discharge.

  6 months after the hospitalization discharge (patient call #2)

• Fear of falling rate

  At inclusion visit (visit 0; before the occupational therapy) and after the occupational therapy (visit 1; 2 weeks later)

• Evaluation of balance skills in daily living activities

  At inclusion visit (visit 0; before the occupational therapy) and after the occupational therapy (visit 1; 2 weeks later)

• Evaluation of the walking by the "Stop Walking when Talking" test

  At inclusion visit (visit 0; before the occupational therapy) and after the occupational therapy (visit 1; 2 weeks later)

Study Arms (2)

Occupational therapy group sessions

EXPERIMENTAL

In the collective experimental group, the care includes 6 group sessions of one hour each, programmed over 2 weeks and progressive courses.

Behavioral: Falls prevention and education giving a demonstration of the usage of technical assistance.

Individual Occupational therapy sessions

ACTIVE COMPARATOR

In the individual control group, care consists of 6 individual sessions of 45 minutes each, not programmed over 2 weeks and progressive courses.

Behavioral: Falls prevention and education giving a demonstration of the usage of technical assistance.

Interventions

Falls prevention and education giving a demonstration of the usage of technical assistance. BEHAVIORAL

* Ecological trail to work on balance and walking. * Technical assistance presentation and try-outs within the therapeutic apartment. * Discussion on the perceived feelings over the exercises and the technical assistance submitted. * Falls Education and prevention, screening of the dangerous activities and education on the safe behaviours.

Also known as: Occupational Therapy

Individual Occupational therapy sessions; Occupational therapy group sessions

Eligibility Criteria

• Age: 70 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• Male/Female over 70 years old living at home and not in a nursing home, hospitalized after a fall or for a falls evaluation.
• Mini mental state examination score over or even 20/30.
• The person is planning to return home after discharge.

You may not qualify if:

• Decompensated medical pathologies.
• Severe chronical diseases with symptoms that are not stabilized by medical or non-medical treatments.
• Dizziness/vertigo linked to a vestibular or cerebellar disorder.
• Sensory disability preventing communication and participation in the group.

Sponsors & Collaborators

• University Hospital, Strasbourg, France: lead

Study Sites (1)

Service de Soins de Suite et de Réadaptation Gériatrique - Ergothérapie -Hôpitaux Universitaires de Strasbourg

Strasbourg, 67091, France

RECRUITING

MeSH Terms

Interventions

Occupational Therapy

Intervention Hierarchy (Ancestors)

Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics

Study Officials

• Stéphanie BETTINELLI

  Hôpitaux Universitaires de Strasbourg

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Stéphanie BETTINELLI

CONTACT

(0)3 88 11 55 51; stephanie.bettinelli@chru-strasbourg.fr

Lauriane FISCHER

CONTACT

lauriane.fischer@chru-strasbourg.fr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 26, 2018
• First Posted: November 13, 2018
• Study Start: December 4, 2018
• Primary Completion: January 1, 2022
• Study Completion: June 1, 2022
• Last Updated: December 12, 2018

Record last verified: 2018-12

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)