Prevention for more participation in older ages

Conditions

increasingly frail patients

Christian Werner, Tim Fleiner, Corinna Nerz, Gisela Büchele, Vanessa Haug et al. (9 authors)

BMC Geriatrics2026-03-23

Path model explaining the association between fear of falling and health-related quality of life in (pre-)frail older adults

Tine Sattler, Sophie Gottschalk, Hans‐Helmut König, Tobias Braun, Gisela Büchele et al. (12 authors)

BMC Geriatrics2025-02-072 citations

10.1186/s12877-025-05718-x

Prevention at home in older persons with (pre-)frailty: analysis of participants' recruitment and characteristics of the randomized controlled PromeTheus trial.

Fleiner T, Nerz C, Denkinger M, Bauer JM, Grüneberg C, Dams J, Schäufele M, Büchele G, PromeTheus Study Group, Rapp K, Werner C.

2024-05-232 citations

10.1007/s40520-024-02775-x

Interventions

Group 1: The multi-dimensional intervention extends over 12 months and consists of a) an obligatory core component, b) optional requirement components and c) an optional group component. a) The core

Eligibility

Sex/Gender

All

Age

70 Years to No maximum

Inclusion criteria

Inclusion criteria: - Clinical Frailty Scale categories 4, 5 and 6 (vulnerable; mildly frail; moderately frail) - Age 70 years and older; living at home or in assisted living - Walking distance (with aids) at least 10 m

Exclusion criteria

Exclusion criteria: - Walking distance (without aids and without a break) of 800 m and more; - Does not understand German language; - Visual acuity insufficient to recognize study material; - Neurological diseases (stroke <6 months ago, multiple sclerosis or Parkinson's disease H&Y stage =3); - Tumor diseases, if currently under treatment (e.g. chemotherapy, radiation) or in an advanced stage; - Severe lung or heart disease that requires an (intermittent) supply of oxygen; - limited cognition: Suspicion of dementia

Design outcomes

Primary

Measure	Time frame
Primary endpoint: functional component of the Late-Life Function and Disability Instrument (LLFDI) Subordinated primary endpoint PE 2: University of Alabama at Birmingham Life-Space Assessment (UAB-LSA)	—

Secondary

Measure	Time frame
- Disability component of the LLFDI - Short Physical Performance Battery (SPPB) - Falls and fear of falling (Falls Efficacy Scale International) - Frailty (Fries phenotype; Rockwood Clinical Frailty Scale) - Extent of physical activity (German Physical Activity Questionnaire 50+) - Hospitalization (including emergency room visits) - Institutionalization (days) - Quality of life (EQ 5 D) - Nutritional status (Mini Nutritional Assessment - Short Form) - Loneliness (UCLA loneliness scale) and depression	—

Measure

Time frame

- Disability component of the LLFDI - Short Physical Performance Battery (SPPB) - Falls and fear of falling (Falls Efficacy Scale International) - Frailty (Fries phenotype; Rockwood Clinical Frailty Scale) - Extent of physical activity (German Physical Activity Questionnaire 50+) - Hospitalization (including emergency room visits) - Institutionalization (days) - Quality of life (EQ 5 D) - Nutritional status (Mini Nutritional Assessment - Short Form) - Loneliness (UCLA loneliness scale) and depression

—

Countries

Germany

Contacts

Public ContactMarc Schneider

Robert-Bosch-KrankenhausAbteilung für Geriatrie und Geriatrische Rehabilitation

prometheus@rbk.de071181416624

Outcome results

None listed