Multifactorial Fall Prevention Program

Summary

The main objective is evaluate the effectiveness of a Multifactorial Pilot Program on the Prevention of Falls in people aged 65 or over during 4 years at Gerencia de Atención Integrada de Talavera de la Reina.

Conditions

• Frail Elderly Syndrome

Interventions

BEHAVIORAL

Physical exercise program (VIVIFRAIL) supervised by a physiotherapist

Promotion of physical exercise program for frailty and falls prevention in elderly. Muscular strength training, cardiovascular resistance, balance and gait. Initially guided and supervised every 3 months by a physiotherapist.

BEHAVIORAL

Adequacy of the environment

A home study and the environment will be made to diagnose fall risks. Guided and supervised by a occupational therapist during a home visit.

BEHAVIORAL

Polypharmacy review

Assessment of the medication that patients receives related to fall risks proposing its adjustment. Revised by a primary care doctor different from care routine.

BEHAVIORAL

Health education related to falls prevention (4 sessions)

SESSION 1: Fall Risk factors. Pharmacology. Nutrition and falls (Primary Care Doctor and Primary Care Nurse) SESSION 2: Accident prevention through environmental modification (Occupational Therapist) SESSION 3: Importance of physical exercise to prevent falls (Physiotherapist) SESSION 4: Footwear and foot care. How to react to a fall?: what to do and how to get up? (Primary Care Nurse)

BEHAVIORAL

General Assement

General assessment (feet, footwear, nutrition, cognitive/psychological, social of risk factors) carried out by Primary Care Doctor and Primary Care Nurse

BEHAVIORAL

Evaluation of patients by an expert group

Evaluation of the patient by an expert group (Primary care doctor, primary care nurse, polypharmacy review doctor, occupational therapist, frailty group) and decision-making for correction of fall risk factors.

BEHAVIORAL

Information brochures on the importance of physical exercise

Integrated Assistance Process for prevention falls in elderly. Benefits of physical exercise and fall prevention at home. Prepared by the Junta de Comunidades de Castilla-La Mancha and Servicio de Salud de Castilla-La Mancha.

BEHAVIORAL

Physical exercise program (VIVIFRAIL) supervised by a primary care doctor or primary care nurse

Promotion of physical exercise program for frailty and falls prevention in elderly. Muscular strength training, cardiovascular resistance, balance and gait. Supervised by primary care doctor o primary care nurse according to passport recommendations.

BEHAVIORAL

Regular assessment and follow-up by primary care doctor and primary care nurse

General assessment related to falls with the established protocols at primary care routine.

BEHAVIORAL

Health education related to falls prevention (1 session)

There will be a single session. The session will cover the following topics: Fall Risk factors. Pharmacology. Nutrition and falls. Accident prevention through environmental modification. Importance of physical exercise to prevent falls. Footwear and foot care. How to react to a fall?: what to do and how to get up?

Sponsors & Collaborators

• Colegio Oficial de Terapeutas Ocupacionales de Castilla - La Mancha

  collaborator UNKNOWN

• Fundación Eurocaja Rural

  collaborator UNKNOWN

• Fundación Hestia

  collaborator UNKNOWN

• Unidad de Apoyo a la Investigación de la Gerencia de Atención Integrada de Talavera de la Reina

  collaborator UNKNOWN

• Decathlon España S.A.U.

  collaborator UNKNOWN

• Castilla-La Mancha Health Service

  lead OTHER

Principal Investigators

• Nuria García Bonilla · Gerencia de Atención Integrada de Talavera de la Reina

Study Design

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

DOUBLE

Model

PARALLEL

Eligibility

Min Age

65 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2021-03-09

Primary Completion

2026-10-09

Completion

2026-11-09

Countries

• Spain

Study Locations