Strategies for Preventing Falls in the Elderly

NCT06089213 | Completed

• 1 other identifier: HPSPoA
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

Fall incidents are the third cause of chronic disability in the elderly, according to the World Health Organization (WHO). Recent reviews demonstrate that multifactorial and multicomponent intervention programs are effective in preventing falls in community-dwelling older adults. However, the application of these programs may not be accessible to a large part of the elderly population. The lack of continuity in the treatment of the consequences of falls, as well as the dissemination of prevention measures for this patient profile, could be minimized through the use of information and communication technologies. Method: This will be a randomized clinical trial that aims to evaluate the effects of two fall prevention strategies via telerehabilitation for elderly fallers after admission to an emergency room. It will be carried out by a multidisciplinary team with interventions for eight weeks and monitoring of outcomes over a period of four months. Patients will be evaluated regarding aspects of functionality in the second and month after the interventions and regarding the recurrence of falls during the four-month period. Discussion: The hypothesis is that the programs are viable in terms of accessibility to home training. However, to date, there is no evidence about the differences between these forms of interventions to prevent falls via telecare.

Conditions

Fall; Elderly; Prevention; Telehealth; Physical Therapy

Outcome Measures

Primary Outcomes (1)

• Rate of Falls

  After the intervention periods, participants will be followed for another 16 weeks. Every week, recurrences of falls will be recorded via telephone calls. You will be asked whether there were falls in the period

  four months

Secondary Outcomes (5)

• Concern of falls

  through study completion, an average of 1 year

• Balance

  through study completion, an average of 1 year

• Arms Muscle strength

  through study completion, an average of 1 year

• Legs Muscle strength

  through study completion, an average of 1 year

• Functionality

  through study completion, an average of 1 year

Study Arms (2)

Interactive services

EXPERIMENTAL

Otago exercises performed in "real-time" or "synchronous" mode of digital health care. It consists of direct communication between physiotherapist and the patient.

Other: real-time intervention

Remote telemonitoring

ACTIVE COMPARATOR

Otago exercises performed remotely, using technologies such as messaging apps. It consists of indirect communication between physiotherapist and the patient.

Other: real-time intervention

Interventions

real-time intervention OTHER

An individual exercise program will be carried out at home, supervised remotely via videoconference.

Interactive services; Remote telemonitoring

Eligibility Criteria

• Age: 60 Years - 99 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• elderly fallers

You may not qualify if:

• neurological diseases

Sponsors & Collaborators

• Federal University of Health Science of Porto Alegre: lead

Study Sites (1)

Hospital de Pronto Socorro

Porto Alegre, Rio Grande do Sul, 90880-370, Brazil

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: September 26, 2023
• First Posted: October 18, 2023
• Study Start: January 1, 2021
• Primary Completion: September 1, 2023
• Study Completion: September 2, 2023
• Last Updated: October 18, 2023

Record last verified: 2023-10

Data Sharing

• IPD Sharing: Will not share

Locations

BR (1)