Effects of the COTID (Community Occupational Therapist in Dementia) Program and Usual Occupational Therapy Care on Recurrence of Falls At 12 Months in Elderly People with Neurocognitive Disorders Who Had Been Hospitalized for Falls, After Their Return Home
NCT ID: NCT06237218
Last Updated: 2024-12-16
Study Results
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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RECRUITING
NA
76 participants
INTERVENTIONAL
2024-07-29
2027-03-08
Brief Summary
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* on the environmental dimension at the participant's home
* on the involvement of the caregiver since they are also involved in the care of the patient
* on the recurrence of falls and rehospitalizations in order to improve the quality of life by reassuring the elderly person when traveling
* on limiting loss of autonomy and staying at home. The occupational therapist will entrust the caregiver with a support role. The participant will feel more involved in the participant's care (thus reducing the feeling of helplessness). His actions will allow him to strengthen his sense of competence and will prevent him from physical and psychological exhaustion.
Detailed Description
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Occupational therapy assessment in the patient's home is an effective approach to reducing falls in the general population. Indeed, the occupational therapist's care consists of carrying out a complete assessment to highlight the links that exist between a person and their abilities, their occupations in the broad sense and the environment in which their occupations take place. The occupational therapist then proposes a personalized intervention plan (objectives and means) and follow-up which may consist of the installation of technical and technological aids, home design, advice and information for people and their caregivers.
The COTID (Community Occupational Therapist in Dementia) program is a tool for describing the stages of an occupational therapy program based on evidence (scenario-based), according to a systemic approach focused on older people with dementia and their caregivers. This has been validated and widely used in the Netherlands since 2009. Indeed, it has shown its effectiveness in terms of successfully keeping elderly people with dementia at home but also in preventing the risk of caregiver burnout. through systemic care for the couple.
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
QUADRUPLE
Study Groups
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COTID program
The intervention takes place entirely in the homes of elderly people with neurocognitive disorders.
It takes an average of 10 hours of intervention per treatment, spread over 5 to 10 weeks.
The COTID program is divided into several phases:
* Phase A: Problem definition and analysis
* Phase B: Formulation of objectives and treatment plan
* Phase C: Implementation of the treatment plan.
COTID program
COTID is a support program for people with Alzheimer's disease, designed to help them remain at home, including their primary caregiver.
Routine care
Patient's needs without a COTID program.
No interventions assigned to this group
Interventions
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COTID program
COTID is a support program for people with Alzheimer's disease, designed to help them remain at home, including their primary caregiver.
Eligibility Criteria
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Inclusion Criteria
* Living at home (excluding nursing home or long-term care facilities)
* Hospitalized for fall
* Presenting major mild to moderate dementia (MMSE \> 16)
* Accompanied by a caregiver with sufficient presence to meet study procedures: at investigator's discretion at the investigator's discretion
* Having given free, informed and written consent signed by the patient
* Whose caregiver has given free, informed consent written and signed by him/herself
* Affiliated or beneficiary of social security
Exclusion Criteria
* Participating in an educational fall program on the theme of falls, run by an occupational therapist by an occupational therapist
* Receiving regular occupational therapy treatment on the day of inclusion (day care daily hospitalization)
* Participating in a clinical research protocol have an impact on the occurrence of a fall (at the investigator's discretion)
* Not matching with the fall definition from Kellogg's definition of a fall (loss of consciousness, sudden onset of paralysis paralysis or epileptic seizure)
* Presenting a very significant post-fall syndrome:
score of 4/4 on the "Get-up early" questionnaire
* unable to read or write
* Participant under legal guardianship (curator, guardian, legal protector)
* Dementia with rapid neurocognitive degeneration degeneration with frontal and language impairment (at the investigator's discretion).
75 Years
ALL
Yes
Sponsors
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University Hospital, Limoges
OTHER
Responsible Party
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Locations
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Chu Limoges
Limoges, , France
Countries
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Central Contacts
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Facility Contacts
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Manon BOUTEAUD
Role: primary
Other Identifiers
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87RI21_0009_ErgoFallsPilote
Identifier Type: -
Identifier Source: org_study_id