Integrated Prevention, Treatment, and Rehabilitation for Toileting-Related Falls

NCT07738354 · tracked via the Priya Life Science China tracker

Sponsor

Qing Yuan

Phase

Not applicable

Started

2026-08

Last updated

2026-07-31

Condition(s) studied

Toileting-Related FallsFall Risk

Investigational drug(s) / intervention(s)

Individualized Multidimensional Management Program for Toileting-Related Fall Prevention

Individualized Multidimensional Management Program for Toileting-Related Fall Prevention: Participants will receive an individualized, multicomponent management program based on standardized multidimensional assessment and risk stratification. The assessment covers urinary function, gait and balance, physical function, psychological and cognitive factors, activities of daily living, caregiver support, and environmental risks related to toileting. The intervention plan will be tailored to each participant's identified modifiable risk factors and clinical indications. Components may include management of urinary symptoms and nocturia, bladder and behavioral training, clinically indicated treatment optimization, neuromodulation or electrical stimulation when appropriate, gait and balance rehabilitation, muscle-strengthening and mobility training, assistive-device adaptation, psychological or cognitive support, caregiver education, scheduled or assisted toileting, and environmental modification. Not all participants will receive every component. Intervention plans may be adju

Study summary

Toileting-related falls may result from a combination of urinary symptoms, impaired gait and balance, reduced muscle strength, cognitive or emotional problems, and unsafe environmental conditions. Older adults and people with disabilities may be especially vulnerable because they frequently require assistance or must move quickly, particularly during nighttime toileting.

This multicenter prospective study will evaluate a comprehensive prevention, treatment, and rehabilitation program for older adults and people with disabilities who are at risk of toileting-related falls. Participants will receive a standardized multidimensional assessment covering urinary function, gait and balance, physical function, psychological and cognitive factors, activities of daily living, previous falls, and environmental risks.

Based on the risks identified, each participant will receive an individualized combination of interventions. These may include urinary symptom management, gait and balance rehabilitation, strength and mobility training, psychological or cognitive support, caregiver education, and modification of the toileting environment. Participants will be followed and reassessed, and their management plans may be adjusted according to changes in risk and clinical condition.

The study will evaluate the feasibility, implementation, and safety of this integrated care program, as well as changes in toileting-related falls, nighttime falls, urinary symptoms, mobility and balance, activities of daily living, and fear of falling.

Eligibility

Sex

ALL

Min age

18 Years

Max age

—

Healthy volunteers

Inclusion Criteria: * Age 18 years or older, with no upper age limit. * Presence of physical disability, functional limitation, loss of independence, or a need for assistance with daily activities. * Presence of at least one risk factor for toileting-related falls, including but not limited to urinary frequency, urinary urgency, nocturia, urinary incontinence, voiding difficulty, overactive bladder, underactive bladder, impaired gait or balance, reduced muscle strength, fear of falling, cognitive or emotional problems, a history of falls, unsafe nighttime toileting, or environmental hazards associated with toileting. * Able and willing to participate in the study assessments and follow-up procedures, with assistance from a caregiver when necessary. * Written informed consent provided by the participant or, when applicable, by a legally authorized representative. Exclusion Criteria: * Acute infection or other acute medical condition requiring immediate treatment that would prevent participation in study assessments or interventions. * Severe or unstable medical condition that, in the investigator's judgment, would make participation unsafe or interfere with study procedures or follow-up. * Severe disturbance of consciousness or other condition that prevents completion of the required assessments and study procedures, even with appropriate assistance. * Inability to participate in the planned follow-up or provide sufficient study-related information. * Any other condition that, in the investigator's judgment, makes the individual unsuitable for participation in the study.

Primary outcome measure(s)

Proportion of Participants Experiencing at Least One Toileting-Related Fall During Follow-up — 6 months
The proportion of participants who experience at least one toileting-related fall during the follow-up period. A toileting-related fall is defined as a fall occurring in association with going to the toilet, using the toilet, transferring on or off the toilet, or returning from the toilet. The proportion will be calculated as the number of participants with at least one toileting-related fall divided by the total number of participants included in the follow-up analysis.

Trial sites (1)

Facility	City	Region	Status
Chinese PLA General Hospital	Beijing	Beijing Municipality

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Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT07738354 on ClinicalTrials.gov ↗ ← All trials in China