Validating a Multifactorial Algorithm to Predict Fall Risk in Community Dwelling Older Persons Aged 65 Years or Older
- Conditions
- Aged 65 Years or OlderCommunity Dwelling Older AdultsFalls RiskFalls (Accidents) in Old Age
- Registration Number
- NCT06961799
- Lead Sponsor
- University Ghent
- Brief Summary
Falls in older adults have an annual incidence between 23 and 34% for persons of 65 years and older. The lack of transfer of promising research results on falls prevention to daily practice may have several explanations. One of the first concerns for that matter may be a valid and sensitive selection of the persons at risk who are eligible for fall prevention interventions
Goals of the prospective obeservational study:
1. To validate a new, comprehensive, multifactorial screeningsintrument to predict the risk on falls in community dwelling, Belgian, older adults (\>65years or older).
2. To optimize the new, comprehensive, multifactorial screeningsintrument and to specify correct cut off scores
Researchers will compare the data of the accuracy of new algorithm with the current Belgian policy.
Participants will participate in a one-time testing moment, where they will be asked some questions about general characteristics and medical history, followed by two questionnaire and seven physical tests . Based on this data, their fall risk will be assessed. In the year that follows, the older person's fall behavior will be monitored with a monthly falls calender. Participant will be asked to fill out these calenders everyday ('Did you fall today?' YES/NO) and send them at the end of each month to the researchers, digitally or postal.
- Detailed Description
Two questionnaires:
1. Geriatric Depression Scale - 16
2. Falls Efficacy Scale - International
Seven physical tests:
1. Timed Up and Go
2. Times Up and Go with cognitive dual task (100 (repeatedly) minus 3)
3. Single Limb Stance
4. 5x Sit to Stand
5. 4meter Gait Speed
6. Tinetti
7. Four Balance Test
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 228
- 65years or older
- community dwellers
- absence of surgery or exacerbation of symptoms in the last 6 months
- ability to stand and walk independently (alone), possibly with an walking aid.
- <65 years of age
- surgery within the previous 6 months affecting gait and mobility
- exacerbation of symptoms coming from a diagnosed disease
- older adults with insufficient (language) comprehension to complete the tests and questionnaires
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Number of falls among Belgian, community dwelling older adults 1 year The number of falls measured with a monthly falls calender
Conducted analysis of integraded tests Baseline Fall risk calculated with the new multifactorial algorithm based on:
* general, personal characteristics
* medical history
* physical measurements
* self reported questionnaires
- Secondary Outcome Measures
Name Time Method Executive cognitive capacity Baseline Measured with the Timed Up and Go in combination with a cognitive dual task (100-3-3-3-...) (seconds)
Static Balance Baseline Measured with the 4 balance test
Static and dynamic balance Baseline Measured with the Tinetti: Performance-Oriented Mobility Assessment
Fear of falling Baseline Measured with the Falls Efficacy Scale (FES-I)
Depression Baseline Measured with the Geriatric Depression Scale (GDS-16)
Functional mobility Baseline Measured with the Timed Up and Go (seconds)
Strength of the lower limbs Baseline Measured with the 5x Sit to Stand (second)
Gait speed Baseline Measured with the 4m Gait Speed (m/s)
Trial Locations
- Locations (1)
Ghent University
🇧🇪Ghent, Belgium
Ghent University🇧🇪Ghent, Belgium