Strategies for Preventing Falls in the Elderly

Elderly Clinical Trial

— Telehealth  

Official title:

Effects of Two Strategies for Preventing Falls in the Elderly Through Telerehabilitation: A Randomized Clinical Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT06089213
• Other study ID #: HPSPoA
• Status: Completed
• Phase: N/A
• Start date: January 1, 2021
• Est. completion date: September 2, 2023

Study information

• Verified date: October 2023
• Source: Federal University of Health Science of Porto Alegre
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

Description:

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

Recruitment information / eligibility

• Status: Completed
• Enrollment: 20
• Est. completion date: September 2, 2023
• Est. primary completion date: September 1, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 60 Years to 99 Years

Eligibility

Inclusion Criteria:

• elderly fallers

Exclusion Criteria:

• neurological diseases

Related Conditions & MeSH terms

• Elderly
• Fall
• Physical Therapy
• Prevention
• Telehealth

Intervention

Other:
• real-time intervention
An individual exercise program will be carried out at home, supervised remotely via videoconference.

Locations

Country	Name	City	State
Brazil	Hospital de Pronto Socorro	Porto Alegre	RS

Sponsors (1)

Lead Sponsor	Collaborator
Federal University of Health Science of Porto Alegre

Country where clinical trial is conducted

Brazil, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Rate of Falls	After the intervention periods, participants will be followed for another 16 weeks. Every week, recurrences of falls will be recorded via telephone calls. You will be asked whether there were falls in the period	four months
Secondary	Concern of falls	The assessment will consist of Self-efficacy tests for Falls	through study completion, an average of 1 year
Secondary	Balance	The assessment will consist of Timed-Up and Go test	through study completion, an average of 1 year
Secondary	Arms Muscle strength	Palm Grip Strength	through study completion, an average of 1 year
Secondary	Legs Muscle strength	Sitting and Rising from a Chair tests	through study completion, an average of 1 year
Secondary	Functionality	Katz Index on elderly functionality evaluation for the analysis of basic activities	through study completion, an average of 1 year