Study: NCT05682872

Intervention type: BEHAVIORAL
Group type: EXPERIMENTAL
Intervention: Physical exercise program (VIVIFRAIL) supervised by a physiotherapist
Description: Promotion of physical exercise program for frailty and falls prevention in elderly. Muscular strength training, cardiovascular resistance, balance and gait. Initially guided and supervised every 3 months by a physiotherapist.

Intervention type: BEHAVIORAL
Group type: EXPERIMENTAL
Intervention: Adequacy of the environment
Description: A home study and the environment will be made to diagnose fall risks. Guided and supervised by a occupational therapist during a home visit.

Intervention type: BEHAVIORAL
Group type: EXPERIMENTAL
Intervention: Polypharmacy review
Description: Assessment of the medication that patients receives related to fall risks proposing its adjustment. Revised by a primary care doctor different from care routine.

Intervention type: BEHAVIORAL
Group type: EXPERIMENTAL
Intervention: Health education related to falls prevention (4 sessions)
Description: SESSION 1: Fall Risk factors. Pharmacology. Nutrition and falls (Primary Care Doctor and Primary Care Nurse)~SESSION 2: Accident prevention through environmental modification (Occupational Therapist)~SESSION 3: Importance of physical exercise to prevent falls (Physiotherapist)~SESSION 4: Footwear and foot care. How to react to a fall?: what to do and how to get up? (Primary Care Nurse)

Intervention type: BEHAVIORAL
Group type: EXPERIMENTAL
Intervention: General Assement
Description: General assessment (feet, footwear, nutrition, cognitive/psychological, social of risk factors) carried out by Primary Care Doctor and Primary Care Nurse

Intervention type: BEHAVIORAL
Group type: EXPERIMENTAL
Intervention: Evaluation of patients by an expert group
Description: Evaluation of the patient by an expert group (Primary care doctor, primary care nurse, polypharmacy review doctor, occupational therapist, frailty group) and decision-making for correction of fall risk factors.

Intervention type: BEHAVIORAL
Group type: ACTIVE_COMPARATOR
Intervention: Information brochures on the importance of physical exercise
Description: Integrated Assistance Process for prevention falls in elderly. Benefits of physical exercise and fall prevention at home. Prepared by the Junta de Comunidades de Castilla-La Mancha and Servicio de Salud de Castilla-La Mancha.

Intervention type: BEHAVIORAL
Group type: EXPERIMENTAL
Intervention: Information brochures on the importance of physical exercise
Description: Integrated Assistance Process for prevention falls in elderly. Benefits of physical exercise and fall prevention at home. Prepared by the Junta de Comunidades de Castilla-La Mancha and Servicio de Salud de Castilla-La Mancha.

Intervention type: BEHAVIORAL
Group type: ACTIVE_COMPARATOR
Intervention: Physical exercise program (VIVIFRAIL) supervised by a primary care doctor or primary care nurse
Description: Promotion of physical exercise program for frailty and falls prevention in elderly. Muscular strength training, cardiovascular resistance, balance and gait. Supervised by primary care doctor o primary care nurse according to passport recommendations.

Intervention type: BEHAVIORAL
Group type: ACTIVE_COMPARATOR
Intervention: Regular assessment and follow-up by primary care doctor and primary care nurse
Description: General assessment related to falls with the established protocols at primary care routine.

Intervention type: BEHAVIORAL
Group type: ACTIVE_COMPARATOR
Intervention: Health education related to falls prevention (1 session)
Description: There will be a single session. The session will cover the following topics: Fall Risk factors. Pharmacology. Nutrition and falls. Accident prevention through environmental modification. Importance of physical exercise to prevent falls. Footwear and foot care. How to react to a fall?: what to do and how to get up?