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Multifactorial Fall Prevention Program
Sponsor: Castilla-La Mancha Health Service
Summary
The main objective is evaluate the effectiveness of a Multifactorial Pilot Program on the Prevention of Falls in people aged 65 or over during 4 years at Gerencia de Atención Integrada de Talavera de la Reina.
Official title: Multifactorial Fall Prevention Program in People Aged 65 or Over of an Urban Area of Talavera de la Reina
Key Details
Gender
All
Age Range
65 Years - Any
Study Type
INTERVENTIONAL
Enrollment
264
Start Date
2021-03-09
Completion Date
2026-11-09
Last Updated
2025-07-17
Healthy Volunteers
Yes
Conditions
Interventions
Physical exercise program (VIVIFRAIL) supervised by a physiotherapist
Promotion of physical exercise program for frailty and falls prevention in elderly. Muscular strength training, cardiovascular resistance, balance and gait. Initially guided and supervised every 3 months by a physiotherapist.
Adequacy of the environment
A home study and the environment will be made to diagnose fall risks. Guided and supervised by a occupational therapist during a home visit.
Polypharmacy review
Assessment of the medication that patients receives related to fall risks proposing its adjustment. Revised by a primary care doctor different from care routine.
Health education related to falls prevention (4 sessions)
SESSION 1: Fall Risk factors. Pharmacology. Nutrition and falls (Primary Care Doctor and Primary Care Nurse) SESSION 2: Accident prevention through environmental modification (Occupational Therapist) SESSION 3: Importance of physical exercise to prevent falls (Physiotherapist) SESSION 4: Footwear and foot care. How to react to a fall?: what to do and how to get up? (Primary Care Nurse)
General Assement
General assessment (feet, footwear, nutrition, cognitive/psychological, social of risk factors) carried out by Primary Care Doctor and Primary Care Nurse
Evaluation of patients by an expert group
Evaluation of the patient by an expert group (Primary care doctor, primary care nurse, polypharmacy review doctor, occupational therapist, frailty group) and decision-making for correction of fall risk factors.
Information brochures on the importance of physical exercise
Integrated Assistance Process for prevention falls in elderly. Benefits of physical exercise and fall prevention at home. Prepared by the Junta de Comunidades de Castilla-La Mancha and Servicio de Salud de Castilla-La Mancha.
Physical exercise program (VIVIFRAIL) supervised by a primary care doctor or primary care nurse
Promotion of physical exercise program for frailty and falls prevention in elderly. Muscular strength training, cardiovascular resistance, balance and gait. Supervised by primary care doctor o primary care nurse according to passport recommendations.
Regular assessment and follow-up by primary care doctor and primary care nurse
General assessment related to falls with the established protocols at primary care routine.
Health education related to falls prevention (1 session)
There will be a single session. The session will cover the following topics: Fall Risk factors. Pharmacology. Nutrition and falls. Accident prevention through environmental modification. Importance of physical exercise to prevent falls. Footwear and foot care. How to react to a fall?: what to do and how to get up?
Locations (1)
Gerencia de Atención Integrada de Talavera de la Reina
Talavera de la Reina, Toledo, Spain