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Advanced Practice Nurses for Fall Incidence PrevenTion in Very Old Robust Adults
Sponsor: Nantes University Hospital
Summary
APN-FIT is a hybrid type 1 clinical trial comparing the effect of an APN delivered fall prevention programme with standard care in non-frail patients. All participants will receive a full geriatric assessment at enrolment and, on a voluntary basis, physical activity programmes during the 12-month period. Falls occurring during the study will be recorded at 2, 4, 6, 8, 10 and 12 months after enrolment. An ancillary study will specifically examine implementation outcomes of the tested intervention.
Official title: Advanced Practice Nurses for Fall Incidence PrevenTion in Robust Very Old Adults: Protocol for the APN-FIT Hybrid Randomized Controlled Trial
Key Details
Gender
All
Age Range
80 Years - Any
Study Type
INTERVENTIONAL
Enrollment
386
Start Date
2024-10-15
Completion Date
2027-10-31
Last Updated
2024-11-15
Healthy Volunteers
No
Interventions
Follow-up by the Advanced Practice Nurse
At each follow-up (FU), the recommendations of an APN may include : * Referral to a specialized memory assessment in case of cognitive impairment * Psychological FU in the event that APN detects any mood complaints * Ophthalmological and/or ear, nose, and throat consultation if any auditory or visual difficulties is observed * Compression stockings use if orthostatic hypotension is present * Nutritional counseling, with particular emphasis on the intake of protein, in combination with long-term assessment of weight * Supplementation with vitamin D and calcium based to prevent osteoporosis in older adults, especially those at risk of recurrent falls * Proposal of a standardized and personalized physical activity program * Evaluation of medication therapies, especially antipsychotics, blood pressure medication or broad anticholinergics. The STOPPFall tool will be also proposed and coordinated by APN in accordance with the patient's physician * A comprehensive social evaluative approach
Locations (1)
CHU Nantes
Nantes, Loire-Atlantique, France