Elderly Patient at Risk of Loss of Mobility, Exercise - Primary Care, Prevention, Care Pathways
NCT02847871 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 39
Last updated 2025-12-19
Summary
Loss of mobility is predictive of a loss of autonomy and is often the first sign of functional decline. Loss of mobility is also associated with poor perceived quality of life, depressive symptoms, high risk of adverse events such as falls and fractures, to an increased risk to input in institution and mortality's increase.
Consequences and frequency of loss of mobility make essential its identification, evaluation and the practice of preventive measures in primary care.
The implementation of effective interventions in primary care to prevent or delay the loss of mobility is a public health priority.
PRISME-3P program aims to develop and evaluate a dedicated care pathway, in primary care, based on a personalized multimodal intervention: screening, support combining physician, teaching exercises by a specialized Monitor in Adapted Physical Activities (MAPA) and nutritional counseling.
Conditions
- Elderly Patient (>70 Years)
- Loss of Mobility
Interventions
- BEHAVIORAL
-
PRISME-3P program
PRISM-3P program will consist on a visit in the geriatric centre: * Consultation with the geriatrician to rule a condition associated with loss of mobility and not known until now. * Perform a nutritional assessment by a dietician followed by appropriate care management. * Educational activity based on exercises and physical activity and balance: MAPA teaches exercises to develop strength and balance; gives tips to increase time spent on non-sedentary activities and enhance endurance followed by a monthly phone coaching. * At 3 months, in case of no improvement of the SPPB score of 1 point, a training of 10 weeks with two sessions per week will be perform by the MAPA individually or in small patients groups; * Implementation of a information exchange processing (mail, phone and book binding) between the various stakeholders.
Sponsors & Collaborators
-
Hospices Civils de Lyon
lead OTHER
Principal Investigators
-
Marc BONNEFOY, Pr · Hospices Civils de Lyon
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-05-16
- Primary Completion
- 2021-03-01
- Completion
- 2021-03-01
Countries
- France
Study Locations
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