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Clinical Trials in Spain / NCT05682872
Active, not recruiting Not applicable

Multifactorial Fall Prevention Program

NCT05682872 · tracked via the Priya Life Science Spain tracker
Sponsor
Castilla-La Mancha Health Service
Phase
Not applicable
Started
2021-03-09
Last updated
2025-07-17

Condition(s) studied

Frail Elderly Syndrome

Investigational drug(s) / intervention(s)

Physical exercise program (VIVIFRAIL) supervised by a physiotherapistAdequacy of the environmentPolypharmacy reviewHealth education related to falls prevention (4 sessions)General AssementEvaluation of patients by an expert groupInformation brochures on the importance of physical exercisePhysical exercise program (VIVIFRAIL) supervised by a primary care doctor or primary care nurseRegular assessment and follow-up by primary care doctor and primary care nurseHealth education related to falls prevention (1 session)

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?

Study 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.

Eligibility

Sex
ALL
Min age
65 Years
Max age
—
Healthy volunteers
Accepted
Inclusion Criteria: * 65 years old or older patients * Live in Talavera de la Reina * Ability to walk at the Health Center * ≥ 3 in the Downton Test * \> 90 in the Barthel Index * Sign the informed consent Exclusion Criteria: * Patients with an intense physical activity * Use of a wheelchair * Amputations or prosthetic limbs * Deafness * Blindness * Moderate or severe cognitive impairment * Vertebral, pelvic or lower limb fractures in the 12 months prior to entering the program * Absolute contraindication to physical exercise

Primary outcome measure(s)

  • Number of falls — 24 months after intervention
    To assess the number of falls in the intervention group and control group to determine if the intervention group has a significantly lower rate of falls.

Trial sites (1)

FacilityCityRegionStatus
Gerencia de Atención Integrada de Talavera de la Reina Talavera de la Reina Toledo

Other trials for the same condition

Involvement of Muscle Mitochondrial Dysfunction in Frailty in Older Adults. Role of Exercise Recruiting
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 NCT05682872 on ClinicalTrials.gov ↗ ← All trials in Spain