Clinical and Medico-economic Evaluation of the Cohort "People at Risk of Falling"

NCT ID: NCT03545529

Last Updated: 2019-12-27

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

NA

Total Enrollment

14 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-02-16

Study Completion Date

2019-10-12

Brief Summary

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The goal of this study is to evaluate the effectiveness of the IsereADOM service package compared to conventional follow-up on the risk of recurrence of falls at 6 months in frail elderly subjects.

There is a medico-economic goal too, is to conduct a cost-utility analysis of the IsereADOM service bundle compared to conventional 6-month follow-up from the community perspective in the cheat population at risk of re-offending.

Detailed Description

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Conditions

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Fall Patients

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Innovative supported

In addition to usual care, patients benefit from connected tools (telealarm, numeric communication diary...) and from a strong accompaniment with a referent person who help better the patient.

Group Type EXPERIMENTAL

Innovativ supported

Intervention Type OTHER

addition of connected tools and stronger accompaniment to prevent falls

conventional supported

Patients benefit from usual care

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Innovativ supported

addition of connected tools and stronger accompaniment to prevent falls

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patient falling at least 2 times in the year preceding the inclusion, one of them has been reported or consulted by a health care service ;
* Patient fragile and loss of autonomy: level of dependence with GIR 3, 4 and 5 ;
* Patient domiciled in the department of Isère ;
* Patient who can be followed regularly for 6 months ;
* Patient benefiting from an assistance plan : APA, PAP, CARSAT ;
* Patient affiliated with social security or beneficiary of such a scheme ;
* Patient able to read, write and understand French ;
* Patient having signed informed consent to participate.

Exclusion Criteria

* Patient without professional or family carer of proximity ;
* Patient with moderate to severe cognitive impairment defined by MMS \<23 ;
* Patient residing in a nursing home or institution for dependent person ;
* Persons referred to in Articles L1121-5 to L1121-8 of the CSP (corresponds to all persons protected: pregnant woman, parturient, mother who is breastfeeding, person deprived of liberty by judicial or administrative decision, person subject of a legal protection measure).
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Grenoble

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pascal COUTURIER, MD

Role: PRINCIPAL_INVESTIGATOR

CHU Grenoble Alpes

Locations

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Centre Hospitalier Pierre Oudot

Bourgoin, , France

Site Status

CHU Grenoble-Alpes

Grenoble, , France

Site Status

Centre Hospitalier de Voiron

Voiron, , France

Site Status

Countries

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France

References

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Gillespie LD, Robertson MC, Gillespie WJ, Sherrington C, Gates S, Clemson LM, Lamb SE. Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2012 Sep 12;2012(9):CD007146. doi: 10.1002/14651858.CD007146.pub3.

Reference Type BACKGROUND
PMID: 22972103 (View on PubMed)

Moyer VA; U.S. Preventive Services Task Force. Prevention of falls in community-dwelling older adults: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2012 Aug 7;157(3):197-204. doi: 10.7326/0003-4819-157-3-201208070-00462.

Reference Type BACKGROUND
PMID: 22868837 (View on PubMed)

Gates S, Smith LA, Fisher JD, Lamb SE. Systematic review of accuracy of screening instruments for predicting fall risk among independently living older adults. J Rehabil Res Dev. 2008;45(8):1105-16.

Reference Type BACKGROUND
PMID: 19235113 (View on PubMed)

Payen JF, Chanques G, Mantz J, Hercule C, Auriant I, Leguillou JL, Binhas M, Genty C, Rolland C, Bosson JL. Current practices in sedation and analgesia for mechanically ventilated critically ill patients: a prospective multicenter patient-based study. Anesthesiology. 2007 Apr;106(4):687-95; quiz 891-2. doi: 10.1097/01.anes.0000264747.09017.da.

Reference Type BACKGROUND
PMID: 17413906 (View on PubMed)

Manca A, Hawkins N, Sculpher MJ. Estimating mean QALYs in trial-based cost-effectiveness analysis: the importance of controlling for baseline utility. Health Econ. 2005 May;14(5):487-96. doi: 10.1002/hec.944.

Reference Type BACKGROUND
PMID: 15497198 (View on PubMed)

Related Links

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http://www.fragilite.org

Repérage et maintien de l'autonomie des personnes agées fragiles

Other Identifiers

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38RC16.044

Identifier Type: -

Identifier Source: org_study_id