Occupational Therapy Group Program on Falls Prevention and Patient Education for the Older Adults Hospitalized
- Conditions
- Fall
- Interventions
- Behavioral: Falls prevention and education giving a demonstration of the usage of technical assistance.
- Registration Number
- NCT03738709
- Lead Sponsor
- University Hospital, Strasbourg, France
- 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.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 136
- 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.
- 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.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Individual Occupational therapy sessions Falls prevention and education giving a demonstration of the usage of technical assistance. In the individual control group, care consists of 6 individual sessions of 45 minutes each, not programmed over 2 weeks and progressive courses. Occupational therapy group sessions Falls prevention and education giving a demonstration of the usage of technical assistance. In the collective experimental group, the care includes 6 group sessions of one hour each, programmed over 2 weeks and progressive courses.
- Primary Outcome Measures
Name Time Method Number of technical assistance and home modifications implemented following discharge in both groups, in regard to the number of recommendations given during the hospitalization. 1 month after hospitalization discharge (patient call #1)
- Secondary Outcome Measures
Name Time Method 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) Balance skills will be measured by the "Equilibre et Vie Quotidienne" scale: scored from 6 (no danger) to 24 (high risk of fall with impossibility to realize the activities)
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) Positive test (pathological) if the subject stops walking when the therapist introduces a conversation
Fear of falling rate At inclusion visit (visit 0; before the occupational therapy) and after the occupational therapy (visit 1; 2 weeks later) Fear of falling will be measured by the Falls Efficacy Scale I \[FES-I\] (score from 16 to 64; higher values represent a stronger fear of falling)
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) 20 items distributed in 4 themes: mobility in decubitus, sitting position, standing position, walking.
Each item rated from 0 (motor skill abnormal) to 1 (motor skill preserved) Total score from 0 to 20; higher values represent preserved motor skillsNumber of falls followed or not by an hospitalization since the discharge. 6 months after the hospitalization discharge (patient call #2) The number of potential falls in the 6 months after discharge will be measured by a telephone call to the patient (if impossible, the call will be placed to his caregiver or nurse).
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) The time of the course (in seconds) is retained as the final score. The test is positive if the score is 14 seconds or more, representing a risk of falling.
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) The score corresponds to the number of footsteps performed by the subject. Pathological score from 13 footsteps.
Trial Locations
- Locations (1)
Service de Soins de Suite et de Réadaptation Gériatrique - Ergothérapie -Hôpitaux Universitaires de Strasbourg
🇫🇷Strasbourg, France