Strengthening Equilibrium and Educational Support in Preventing Falls in the Thermal Center

Study Overview
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Brief Summary
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Preventing falls among people 65 years of age or older is a priority to promote healthy aging and reduce the number of hospitalizations, institutionalizations and years lived with disability. A preliminary study carried out at the Balaruc-les-Bains Thermal Center showed that one-third of people aged 65 are at significant risk of falling. Thermal establishments could therefore play a role in initiating measures to prevent falls among people aged 65 and over screened at risk.The main objective is to evaluate the impact on the incidence of falls at 12 months (M12) to add to the usual care (control group) a program combining, during the treatment, adapted physical activities (APA) and a Therapeutic patient education (FTE) followed by an educational follow-up for 12 months (intervention group) for people aged 65 and over who were at risk of falling on arrival at the Thermal

Official Title
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Strengthening Equilibrium and Educational Support in Preventing Falls in the Thermal Center

Conditions
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Prevention of Falls

Intervention / Treatment
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* Other: Adapted Physical Activity (APA)
* Other: Therapeutic Patient Education (ETP)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patient aged 65 and over, Presence of at least one chronic pathology justifying treatment and cure Subject having a history of fall in the last year (at least one fall) Subject having at least one risk factor of falling among the following 3: balance disorder, decreased muscle strength or gait disorder Exclusion Criteria: Subject considered by the investigators as not being able to participate in the program (inability to answer questionnaires, to perform tests, for example). Patient under the protection of justice, under guardianship or curatorship

Ages Eligible for Study
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Minimum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Control arm<br>Curist taking a spa treatment of 3 weeks in the usual conditions for each Center | |
| Experimental: Intervention<br>Addition to the usual cure: -12 adapted physical activity (APA) sessions of 60 minutes to improve the balance , muscular strength, endurance and suppleness without creating additional fatigue for the curists - personalized therapeutic patient education (ETP) with an individual assessment at the beginning of the treatment (1h), 3 group sessions (1h30) and an end-of-cure interview (1h) and an educational follow-up by phone at 3, 6 and 12 months | Other: Adapted Physical Activity (APA)<br>* 12 APA sessions of 60 minutes<br>Other: Therapeutic Patient Education (ETP)<br>* Personalized ETP with 3 group sessions (1h30) and one at the end of the course (1h) and educational follow-up by phone at 3, 6 and 12 months<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Incidence of falls at 12 months | To evaluate the impact on the incidence of falls at 12 months (M12) to add to the usual care (control group) a program combining, during the treatment, adapted physical activities (APA) and therapeutic patient education ( ETP), followed by an educational follow-up for 12 months (intervention group) for people aged 65 and over who were at risk of falling on arrival at the Thermal Center | 12 months |