Strengthening Equilibrium and Educational Support in Preventing Falls in the Thermal Center (RESPECT)

University Hospital Center (CHU)

Status: Completed

Conditions: Prevention of Falls

Treatments: Other: Therapeutic Patient Education (ETP); Other: Adapted Physical Activity (APA)

Study type: Interventional

Funder types: Other

Identifiers

NCT03622554

UF7664

Details and patient eligibility

About

Preventing falls among people 65 years of age or older is a priority to promote healthy aging and reduce the number of hospitalizations, institutionalizations and years lived with disability. A preliminary study carried out at the Balaruc-les-Bains Thermal Center showed that one-third of people aged 65 are at significant risk of falling. Thermal establishments could therefore play a role in initiating measures to prevent falls among people aged 65 and over screened at risk.The main objective is to evaluate the impact on the incidence of falls at 12 months (M12) to add to the usual care (control group) a program combining, during the treatment, adapted physical activities (APA) and a Therapeutic patient education (FTE) followed by an educational follow-up for 12 months (intervention group) for people aged 65 and over who were at risk of falling on arrival at the Thermal

Enrollment: 269 patients

Sex: All

Ages: 65+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patient aged 65 and over,
• Presence of at least one chronic pathology justifying treatment and cure
• Subject having a history of fall in the last year (at least one fall)
• Subject having at least one risk factor of falling among the following 3: balance disorder, decreased muscle strength or gait disorder

Exclusion criteria

• Subject considered by the investigators as not being able to participate in the program (inability to answer questionnaires, to perform tests, for example).
• Patient under the protection of justice, under guardianship or curatorship

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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269 participants in 2 patient groups

Control arm

No Intervention group

Description:

Curist taking a spa treatment of 3 weeks in the usual conditions for each Center

Intervention

Experimental group

Description:

Addition to the usual cure: -12 adapted physical activity (APA) sessions of 60 minutes to improve the balance , muscular strength, endurance and suppleness without creating additional fatigue for the curists - personalized therapeutic patient education (ETP) with an individual assessment at the beginning of the treatment (1h), 3 group sessions (1h30) and an end-of-cure interview (1h) and an educational follow-up by phone at 3, 6 and 12 months

Treatment:

Other: Therapeutic Patient Education (ETP)

Other: Adapted Physical Activity (APA)