Clinical trial NCT03738709: Occupational Therapy Group Program on Falls Prevention and Patient Education for the Older Adults Hospitalized
Official title: Occupational Therapy Group Program on Falls Prevention and Patient Education for the Older Adults Hospitalized in Service de Soins de Suite et de Réadaptation Gériatrique (SSRG) at Hôpitaux Universitaires de Strasbourg (HUS)
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Fall
Keywords: Prevention
Group
Technical assistance
Fall
Occupational therapy
Hospitalization discharge
Lead sponsor: University Hospital, Strasbourg, France
Sponsor class: OTHER
First posted: 2018-11-13
Enrollment: 136
Sex: ALL
Minimum age (years): 70
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

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.


Eligibility criteria: Inclusion Criteria:

* 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.

Exclusion Criteria:

* 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.

Primary outcomes:
measure: Number of technical assistance and home modifications implemented following discharge in both groups, in regard to the number of recommendations given during the hospitalization.
timeFrame: 1 month after hospitalization discharge (patient call #1)
Secondary outcomes:
measure: Number of technical assistance and home modifications implemented following discharge in both groups, in regard to the number of recommendations given during the hospitalization.
timeFrame: 6 months after hospitalization discharge (patient call #2)
measure: Number of falls followed or not by an hospitalization since the discharge.
timeFrame: 6 months after the hospitalization discharge (patient call #2)
measure: Fear of falling rate
timeFrame: At inclusion visit (visit 0; before the occupational therapy) and after the occupational therapy (visit 1; 2 weeks later)
measure: Evaluation of balance skills in daily living activities
timeFrame: At inclusion visit (visit 0; before the occupational therapy) and after the occupational therapy (visit 1; 2 weeks later)
measure: Evaluation of the walking by the "Stop Walking when Talking" test
timeFrame: At inclusion visit (visit 0; before the occupational therapy) and after the occupational therapy (visit 1; 2 weeks later)
measure: Evaluation of the motor skills by the Minimum Motor Test
timeFrame: At inclusion visit (visit 0; before the occupational therapy) and after the occupational therapy (visit 1; 2 weeks later)
measure: Evaluation of the walking speed by the Timed Up and Go test.
timeFrame: At inclusion visit (visit 0; before the occupational therapy) and after the occupational therapy (visit 1; 2 weeks later)
measure: Evaluation of the number of footsteps in a 10 meters walk, by the Walk test on 10 meters.
timeFrame: At inclusion visit (visit 0; before the occupational therapy) and after the occupational therapy (visit 1; 2 weeks later)
Other outcomes:
Locations:
city: Strasbourg
country: France
facility: Service de Soins de Suite et de Réadaptation Gériatrique - Ergothérapie -Hôpitaux Universitaires de Strasbourg
Study officials:
affiliation: Hôpitaux Universitaires de Strasbourg
name: Stéphanie BETTINELLI
role: PRINCIPAL_INVESTIGATOR
References: