Validating a Multifactorial Algorithm to Predict Fall Risk in Community Dwelling Older Persons Aged 65 Years or Older
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Multifactorial algorithm to predict fall risk.
- Who it may be relevant to
- Registry conditions: Aged 65 Years or Older, Community Dwelling Older Adults, Falls Risk, Falls (Accidents) in Old Age. Basic parameters: from 65 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Belgium
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
Falls in older adults have an annual incidence between 23 and 34% for persons of 65 years and older. The lack of transfer of promising research results on falls prevention to daily practice may have several explanations. One of the first concerns for that matter may be a valid and sensitive selection of the persons at risk who are eligible for fall prevention interventions Goals of the prospective obeservational study: 1. To validate a new, comprehensive, multifactorial screeningsintrument to predict the risk on falls in community dwelling, Belgian, older adults (\>65years or older). 2. To optimize the new, comprehensive, multifactorial screeningsintrument and to specify correct cut off scores Researchers will compare the data of the accuracy of new algorithm with the current Belgian policy. Participants will participate in a one-time testing moment, where they will be asked some questions about general characteristics and medical history, followed by two questionnaire and seven physical tests . Based on this data, their fall risk will be assessed. In the year that follows, the older person's fall behavior will be monitored with a monthly falls calender. Participant will be asked to fill out these calenders everyday ('Did you fall today?' YES/NO) and send them at the end of each month to the researchers, digitally or postal.
Detailed description
Two questionnaires:
1. Geriatric Depression Scale - 16 2. Falls Efficacy Scale - International
Seven physical tests:
1. Timed Up and Go 2. Times Up and Go with cognitive dual task (100 (repeatedly) minus 3) 3. Single Limb Stance 4. 5x Sit to Stand 5. 4meter Gait Speed 6. Tinetti 7. Four Balance Test
Interventions
- Diagnostic test Multifactorial algorithm to predict fall risk
In this new multifactorial algorithm we will add baseline data (personal characteristics, medical history, and physical and psychological measurements) to predict an older adults risk on falls. The accuracy of this new model will be tested with a 1-year follow up on falls. The new algorithm is inspired by the study of Lusardi et al. (2017): Lusardi MM, Fritz S, Middleton A, Allison L, Wingood M, Phillips E, Criss M, Verma S, Osborne J, Chui KK. Determining Risk of Falls in Community Dwelling Ol
Primary outcome measures
- Conducted analysis of integraded tests [Time frame: Baseline]
- Number of falls among Belgian, community dwelling older adults [Time frame: 1 year]
Secondary outcome measures (9)
- Depression [Time frame: Baseline]
- Fear of falling [Time frame: Baseline]
- Functional mobility [Time frame: Baseline]
- Executive cognitive capacity [Time frame: Baseline]
- Static Balance [Time frame: Baseline]
- Strength of the lower limbs [Time frame: Baseline]
- Gait speed [Time frame: Baseline]
- Static and dynamic balance [Time frame: Baseline]
- Static Balance [Time frame: Baseline]
Eligibility criteria
Inclusion criteria
- 65years or older
- community dwellers
- absence of surgery or exacerbation of symptoms in the last 6 months
- ability to stand and walk independently (alone), possibly with an walking aid.
Exclusion criteria
- <65 years of age
- surgery within the previous 6 months affecting gait and mobility
- exacerbation of symptoms coming from a diagnosed disease
- older adults with insufficient (language) comprehension to complete the tests and questionnaires
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Observational model
- Cohort
Study locations
Belgium · 1 center
- Ghent University — Ghent
Identifiers
NCT: NCT06961799 · ONZ-2024-0584