Strategies for Preventing Falls in the Elderly

NCT ID: NCT06089213

Last Updated: 2023-10-18

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 20 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-01-01
• Study Completion Date: 2023-09-02

Brief Summary

Fall incidents are the third cause of chronic disability in the elderly, according to the World Health Organization (WHO). Recent reviews demonstrate that multifactorial and multicomponent intervention programs are effective in preventing falls in community-dwelling older adults. However, the application of these programs may not be accessible to a large part of the elderly population. The lack of continuity in the treatment of the consequences of falls, as well as the dissemination of prevention measures for this patient profile, could be minimized through the use of information and communication technologies. Method: This will be a randomized clinical trial that aims to evaluate the effects of two fall prevention strategies via telerehabilitation for elderly fallers after admission to an emergency room. It will be carried out by a multidisciplinary team with interventions for eight weeks and monitoring of outcomes over a period of four months. Patients will be evaluated regarding aspects of functionality in the second and month after the interventions and regarding the recurrence of falls during the four-month period. Discussion: The hypothesis is that the programs are viable in terms of accessibility to home training. However, to date, there is no evidence about the differences between these forms of interventions to prevent falls via telecare.

Detailed Description

To compare the effects of two different strategies for preventing falls through telerehabilitation for elderly fallers after admission to an emergency room.

Conditions

Fall; Elderly; Prevention; Telehealth; Physical Therapy

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

Interactive services

Otago exercises performed in "real-time" or "synchronous" mode of digital health care. It consists of direct communication between physiotherapist and the patient.

Group Type: EXPERIMENTAL

real-time intervention

Intervention Type: OTHER

An individual exercise program will be carried out at home, supervised remotely via videoconference.

Remote telemonitoring

Otago exercises performed remotely, using technologies such as messaging apps. It consists of indirect communication between physiotherapist and the patient.

Group Type: ACTIVE_COMPARATOR

real-time intervention

Intervention Type: OTHER

An individual exercise program will be carried out at home, supervised remotely via videoconference.

Interventions

real-time intervention

An individual exercise program will be carried out at home, supervised remotely via videoconference.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• elderly fallers

Exclusion Criteria

• neurological diseases

• Minimum Eligible Age: 60 Years
• Maximum Eligible Age: 99 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Federal University of Health Science of Porto Alegre

OTHER

Sponsor Role: lead

Responsible Party

Éder Kröeff Cardoso

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Hospital de Pronto Socorro

Porto Alegre, Rio Grande do Sul, Brazil

Countries

Brazil

Other Identifiers

HPSPoA

Identifier Type: -

Identifier Source: org_study_id