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)
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 136
- 试验地点
- 2
- 主要终点
- Number of technical assistance and home modifications implemented following discharge in both groups, in regard to the number of recommendations given during the hospitalization.
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 70 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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/
- •The person is planning to return home after discharge.
排除标准
- •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.
研究组 & 干预措施
Occupational therapy group sessions
In the collective experimental group, the care includes 6 group sessions of one hour each, programmed over 2 weeks and progressive courses.
干预措施: Falls prevention and education giving a demonstration of the usage of technical assistance. (Behavioral)
Individual Occupational therapy sessions
In the individual control group, care consists of 6 individual sessions of 45 minutes each, not programmed over 2 weeks and progressive courses.
干预措施: Falls prevention and education giving a demonstration of the usage of technical assistance. (Behavioral)
结局指标
主要结局
Number of technical assistance and home modifications implemented following discharge in both groups, in regard to the number of recommendations given during the hospitalization.
时间窗: 1 month after hospitalization discharge (patient call #1)
次要结局
- Number of technical assistance and home modifications implemented following discharge in both groups, in regard to the number of recommendations given during the hospitalization.(6 months after hospitalization discharge (patient call #2))
- Evaluation of balance skills in daily living activities(At inclusion visit (visit 0; before the occupational therapy) and after the occupational therapy (visit 1; 2 weeks later))
- Evaluation of the walking by the "Stop Walking when Talking" test(At inclusion visit (visit 0; before the occupational therapy) and after the occupational therapy (visit 1; 2 weeks later))
- Fear of falling rate(At inclusion visit (visit 0; before the occupational therapy) and after the occupational therapy (visit 1; 2 weeks later))
- Evaluation of the motor skills by the Minimum Motor Test(At inclusion visit (visit 0; before the occupational therapy) and after the occupational therapy (visit 1; 2 weeks later))
- Number of falls followed or not by an hospitalization since the discharge.(6 months after the hospitalization discharge (patient call #2))
- Evaluation of the walking speed by the Timed Up and Go test.(At inclusion visit (visit 0; before the occupational therapy) and after the occupational therapy (visit 1; 2 weeks later))
- Evaluation of the number of footsteps in a 10 meters walk, by the Walk test on 10 meters.(At inclusion visit (visit 0; before the occupational therapy) and after the occupational therapy (visit 1; 2 weeks later))