vallen falling fear of falling
Conditions
Interventions
A multifaceted fall prevention program for frail elders to reduce fear of
falling and fall incidence rate, consisting of physical and cognitive
components. Moreover, it includes a trainings program
Sponsors
Universitair Medisch Centrum Sint Radboud
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Patients: -age: 70 years or older -experience of a fall at least once in the past 6 months -living in their own home or in a home for the aged -availability of a primary caregiver who cares for the subject at least once a week -ability to walk 15 meters independently (usage of a walking aid is permitted) -life expectancy of more than 6 months as judged by their geriatrician;Caregiver: - caring for the patient at least once a week - sufficient cognitive capacity to advise and supervise the patient during the training and fall registration;Additional inclusion criterion for variability measurements: Caregiver need to be 70 years or older.
Exclusion criteria
Exclusion criteria: -dyads of patients and caregivers in whom outcome assessment is highly unlikely to succeed, for -example because they proved not to be able to register falls in the three months before randomization;Additional criteria for patients: -suffering from Parkinson*s disease (Hoehn and Yahr rating scale score equal to or higher than 3) -severe cognitive impairment (MMSE cut off score equal to or less than 13 out of 30)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| In patients the falls incidence rate, fear of falling (FES) and quality of life (MOS-20) are the primary outcome measures. Total observation time of falls will be 6 months after start of the intervention. | — |
Secondary
| Measure | Time frame |
|---|---|
| In patients the secondary outcome measures are fall risk, quality of life, balance confidence, depression and general anxiety, functional performance in activities of daily life, physical activity, mobility, gait parameters, body sway and biomarkers of endothelial function and frailty. For the caregiver the secondary outcome measures are sense of competence, caregiver*s burden and mood. Intraindividual variability of cognition, balance and gait in both patients and caregivers. Cost-effectiveness of the intervention. | — |
Countries
Netherlands
Outcome results
None listed