Clinical Impact of a Digital Home-based Falls Prevention Program on Elderly People
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Biofeedback device, Education on falls risk, Medication review, Visual and auditory screening.
- Кому может быть актуально
- Состояния в реестре: Fall. Базовые параметры: от 65 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Португалия
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
Clinical Impact of a Digital Home-based Falls Prevention Program on Elderly People - a Randomized Controlled Trial
Обзор
This study is a single-center, prospective, non-blind, parallel-group, randomized controlled trial with an experimental and a control group with the aim of evaluating the clinical impact of a home-based falls prevention program using a new biofeedback system on community-dwellers older adults with fall risk in comparison with standard of care. The experimental group will perform a 12-week exercise program at home, under remote monitoring from a clinical team, whereas the control group will benefit from standard medical care currently in place at the participating primary care facility. The hypothesis is that the home-based falls prevention program will lead to a lower risk of falling than standard medical care.
Вмешательства
- Устройство Biofeedback device
12-week exercise program performed through the device - Поведенческое Education on falls risk
Education on falls risk factors and how to minimize them - Другое Medication review
Medication will be reviewed to reduce sedative drugs and minimize interactions - Диагностический тест Visual and auditory screening
Patients will go through visual and auditory screening as part of their regular care
Первичные конечные точки
- Change in the 5 Times Sit to Stand Test [Срок оценки: Baseline; week 4; week 8; week 12 and then week 24]
Вторичные конечные точки (3)
- Change in the Timed Up and Go Test score [Срок оценки: Baseline; week 4; week 8; week 12 and then week 24]
- Change in the Berg Balance Scale [Срок оценки: Baseline; week 4; week 8; week 12 and then week 24]
- Change in the Shorts Falls Efficacy Scale-International [Срок оценки: Baseline; week 4; week 8; week 12 and then week 24]
Критерии участия
Критерии включения
- Patients aged over 65 years old
- Ability to walk at least 20 meters, unaided or with unilateral support
- Ability to understand motor complex commands
- Mini-Mental State Examination (MMSE) score > 24 points
- Functional independence for instrumental activities of daily living
- Risk of recurrent falls, defined as 5xSST score > 15,00 seconds
Критерии исключения
- Patients residing in nursing homes, daycare units or assisted-living facilities
- Aphasia, dementia or psychiatric comorbidity, significantly interfering with communication or compliance with a home-based exercise program
- Severe visual our hearing, interfering with communication or with compliance to a home-based exercise program
- Cardiac, respiratory or other condition incompatible with at least 30 minutes of light to moderate physical activity
- Osteoarticular conditions (e.g. severe osteoarthrosis), which prevent the patient from complying with a home-based exercise program
- Patients with neurologic conditions (e.g. stroke, multiple sclerosis, Parkinson's disease)
- Other medical complications, which prevent the patient from complying with a home-based exercise program
- Illiteracy
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Да
Дизайн исследования
- Распределение
- Рандомизированное
- Модель
- Параллельные группы
- Маскирование
- Открытое
- Основная цель
- Профилактика
Центры проведения
Португалия · 1 центр
- USF Aldoar — Porto
Идентификаторы
NCT: NCT03750500 · SH-RCT-FP-01