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Prevention of Falls in General Practitioner for Community-dwelling Older Adults [PreFalls]

NCT ID: NCT01032252

Last Updated: 2020-12-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

378 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-04-30

Study Completion Date

2012-03-31

Brief Summary

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The primary aim of this two-year project for falls prevention is to reduce number of falls and fall incidence in community-dwelling people of 65 years and older in the setting of general practitioners. In addition a reduction of fall-related injuries, reduction of fall-related risk factors and preservation of Quality of Life is to be achieved.

A second goal of this study is the implementation of standardized assessment for fall risk factors as well as building up a network between instructors for fall prevention exercise and general practitioners.

Detailed Description

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Health related consequences of falls are underestimated. In comparison to different health related risk factors like hypertension etc. falls and their risks are being underestimated by many physicians. Regardless of the high relevance of falls for the elderly as well as the Health Care System, risk of falling is only rarely being assessed. The reasons for this are manifold. Insufficient assessment of risk of falling are one of the reasons. Many registered doctors with their own practice do not use a standardized assessment of risk of falling that is quick and effective. Additionally, patients rarely report occurred falls to their physicians because they don't know the implications or are afraid of subsequently losing their independence.

Physicians already assessing their senior patients' risk of falling lack the possibility to assign them to according ambulatory interventions since these scarcely exist in Bavaria. Chances for improvement are: standardized assessment of risk of falling needed to uncover senior patients' risk of falling quickly, reliably and efficiently at their family physician's. At the same time area-wide programs to effectively reduce falls by targeting individual behavior as well as general conditions must be provided to maintain the independence of individual senior citizens.

Conditions

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Accidental Falls/Prevention & Control Risk Assessment General Practitioner Education Humans Multicenter Study Randomized Controlled Trial

Keywords

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fall prevention general practitioners setting implementation network community dwelling older adults exercise intervention

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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observational

Control group: followed by monthly falls calenders and four testing periods

Group Type NO_INTERVENTION

No interventions assigned to this group

Exercise group

16 week intervention, and followed by monthly fall calenders as well as 4 testing periods

Group Type EXPERIMENTAL

Exercise intervention

Intervention Type OTHER

16 week exercise once a week of 60 minutes intervention by trained fall prevention instructors and a home program.

Intervention includes strength/power training, balance/gait training, behavioral aspects and perceptual and functional training.

Interventions

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Exercise intervention

16 week exercise once a week of 60 minutes intervention by trained fall prevention instructors and a home program.

Intervention includes strength/power training, balance/gait training, behavioral aspects and perceptual and functional training.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Target group are community-dwelling senior citizens aged 65 years or above with an increased risk of falling.
* Increased risk of falling are seen by:

* history of falls
* fear of falling
* chair rise \> 10 sec./TUG \> 10 sec./ subjective \& objective balance deficits

Exclusion Criteria

* Elderly people not living independently or suffering from physical or mental restrictions that do not allow the participation in an exercise program or the assessment of risk of falling
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Technical University of Munich

OTHER

Sponsor Role collaborator

University of Erlangen-Nürnberg Medical School

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Monika Siegrist, PhD

Role: PRINCIPAL_INVESTIGATOR

Department of Medicine, Division of Prevention and Sports Medicine TU Munich

Ellen Freiberger, PhD

Role: PRINCIPAL_INVESTIGATOR

Department of Sport Science, University of Erlangen-Nürnberg

Locations

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Department of Medicine, Division of Prevention and Sports Medicine TU Munich

Munich, , Germany

Site Status

Countries

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Germany

References

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Blank WA, Freiberger E, Siegrist M, Landendoerfer P, Linde K, Schuster T, Pfeifer K, Schneider A, Halle M. An interdisciplinary intervention to prevent falls in community-dwelling elderly persons: protocol of a cluster-randomized trial [PreFalls]. BMC Geriatr. 2011 Feb 17;11:7. doi: 10.1186/1471-2318-11-7.

Reference Type BACKGROUND
PMID: 21329525 (View on PubMed)

Other Identifiers

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FAU061209TUM

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

FAU061209TUM

Identifier Type: -

Identifier Source: org_study_id