Clinical and Medico-economic Evaluation of the Cohort People at Risk of Falling

Study Overview
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Brief Summary
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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.

Official Title
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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.

Conditions
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Fall Patients

Intervention / Treatment
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* Other: Innovativ supported


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria : Patient falling at least 2 times in the year preceding the inclusion, one of them has been reported or consulted by a health care service ; 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. Exclusion Criteria : 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).

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: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Innovative supported<br>In 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. | Other: Innovativ supported<br>* addition of connected tools and stronger accompaniment to prevent falls<br>|
| No Intervention: conventional supported<br>Patients benefit from usual care | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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 |