Aged
Conditions
Interventions
Elderly people from the community and with a history of at least two falls in the last year will be distributed into two groups (Intervention Group and Control Group), both are expected to comprise 50
N03.219.463.800
Sponsors
Universidade Federal de São Carlos
Universidade Federal de São Carlos
Eligibility
Age
60 Years to 95 Years
Inclusion criteria
Inclusion criteria: Age 60 or older up to 95; living in Brazil; not institutionalized; history of at least two falls in the last 12 months; ability to walk alone with or without gait assistance; availability to participate in the evaluations and interventions; with access and familiarity with virtual communication with audio and camera; or that has a relative or caregiver with access and familiarity with virtual communication with audio and camera; familiarity with virtual communication with audio and camera
Exclusion criteria
Exclusion criteria: Involvement in regular and systematized physical activity with a total duration of 150 minutes per week; severe and uncorrected hearing or visual disorder that makes communication difficult during the assessment and intervention; motor sequelae of stroke; active inflammatory diseases and neurological diseases that interfere with the risk of falls; such as advanced Parkinson's disease (stage 5 of the modified Hoehn and Yahr Scale and not being in regular use of antiparkinsonian medications); Multiple Sclerosis; Huntington's disease; dementia; uncontrolled vestibulopathy; epilepsy; and traumatic brain injury; taking associated medications that indicate the presence of these diseases; absence or instability of internet for the proper conduct of the evaluations and follow-up of the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate the effects of case management associated with a program for falls prevention in community-dwelling fallen elderly. Using the case management method, we will observe through an initial assessment, containing sociodemographic data such as age, sex, color, marital status, years of schooling, living alone, income and general health such as use of medications, presence of morbidities, history of falls, hospitalization, level of physical activity, functional activities and risk for fracture, assessment of motor measures, neuropsychological measures, safety of the environment, foot and shoe, the risk and education on falls. The intervention will take place for 16 weeks and then a reassessment will be done after 16 weeks, after 6 weeks the same assessment will be done. Also, at the end of the intervention, the participants will answer two questionnaires, one about satisfaction with the intervention and another about adherence to the intervention. The occurrence of falls will be collected from the beginning to 1 year of follow-up by means of a falls diary. The health economic evaluation will be performed after 1 year of follow-up. Falls will be tracked using a falls calendar that will be given to the volunteer at the beginning of the intervention. The volunteer will be asked to fill out the calendar from baseline to 1 year of follow-up. | — |
Secondary
| Measure | Time frame |
|---|---|
| To verify adherence and satisfaction to an intervention based on case management based intervention in community-dwelling elderly fallers. Using the case management method, we will observe through an initial assessment, containing sociodemographic data such as age, sex, color, marital status, years of schooling, living alone, income and general health such as use of medications, presence of morbidities, history of falls, hospitalization, level of physical activity, functional activities and risk for fracture, assessment of motor measures, neuropsychological measures, safety of the environment, foot and footwear, the risk and education on falls. The intervention will take place for 16 weeks and then a re-evaluation will take place after 16 weeks, after 6 weeks the same evaluation will take place. Also, at the end of the intervention, the participants will answer two questionnaires, one about satisfaction with the intervention and another about adherence to the intervention. The occurrence of falls will be collected from the beginning to 1 year of follow-up by means of a falls diary. The health economic evaluation will be performed after 1 year of follow-up. Falls will be tracked using a falls calendar that will be given to the volunteer at the beginning of the intervention. The volunteer will be asked to fill out the calendar from baseline to 1 year of follow-up.;To verify which sociodemographic and clinical factors influence adherence and satisfaction to this intervention. Using the case management method, we will observe through an initial assessment, containing sociodemographic data such as age, sex, color, marital status, years of schooling, living alone, income and general health such as use of medications, presence of morbidities, history of falls, hospitalization, level of physical activity, functional activities and risk for fracture, assessment of motor measures, neuropsychological measures, safety of the environment, foot and footwear, the risk and edu | — |
Countries
Brazil
Contacts
Public ContactKarina Say
Universidade Federal de São Carlos
Outcome results
None listed