Prevention of Falls
Conditions
Brief summary
Preventing falls among people 65 years of age or older is a priority to promote healthy aging and reduce the number of hospitalizations, institutionalizations and years lived with disability. A preliminary study carried out at the Balaruc-les-Bains Thermal Center showed that one-third of people aged 65 are at significant risk of falling. Thermal establishments could therefore play a role in initiating measures to prevent falls among people aged 65 and over screened at risk.The main objective is to evaluate the impact on the incidence of falls at 12 months (M12) to add to the usual care (control group) a program combining, during the treatment, adapted physical activities (APA) and a Therapeutic patient education (FTE) followed by an educational follow-up for 12 months (intervention group) for people aged 65 and over who were at risk of falling on arrival at the Thermal
Interventions
12 APA sessions of 60 minutes
Personalized ETP with 3 group sessions (1h30) and one at the end of the course (1h) and educational follow-up by phone at 3, 6 and 12 months
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient aged 65 and over, * Presence of at least one chronic pathology justifying treatment and cure * Subject having a history of fall in the last year (at least one fall) * Subject having at least one risk factor of falling among the following 3: balance disorder, decreased muscle strength or gait disorder
Exclusion criteria
* Subject considered by the investigators as not being able to participate in the program (inability to answer questionnaires, to perform tests, for example). * Patient under the protection of justice, under guardianship or curatorship
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of falls at 12 months | 12 months | To evaluate the impact on the incidence of falls at 12 months (M12) to add to the usual care (control group) a program combining, during the treatment, adapted physical activities (APA) and therapeutic patient education ( ETP), followed by an educational follow-up for 12 months (intervention group) for people aged 65 and over who were at risk of falling on arrival at the Thermal Center |
Countries
France