Community Occupational Therapy Program for Preventing Falls in Elderly with Dementia
Effets du Programme COTID (Community Occupational Therapist in Dementia) et d'Une Prise en Soins ergothérapique Habituelle Sur la récidive de Chutes à 12 Mois de Personnes âgées Atteintes de Troubles Neurocognitifs et Ayant été hospitalisées Pour Chute, après Leur Retour à Domicile
This study tests a community program that helps elderly people with dementia stay safe at home and avoid falls by working with their caregivers.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 76 (estimated) |
| Ages | 75 Years and up |
| Sex | All |
| Sponsor | University Hospital, Limoges Academic / other |
| Locations | 1 site (Limoges) |
| Trial ID | NCT06237218 on ClinicalTrials.gov |
What this trial studies
This project focuses on optimizing occupational therapy for elderly individuals with neurocognitive disorders who have been hospitalized due to falls. The COTID program involves assessing the home environment and engaging caregivers to reduce the risk of falls and rehospitalizations. By providing personalized intervention plans, the program aims to enhance the quality of life for participants and empower them in their care. The approach is based on evidence and has been validated in the Netherlands since 2009.
Who should consider this trial
Good fit: Ideal candidates are individuals aged 75 and older, living at home, who have been hospitalized for falls and have mild to moderate dementia.
Not a fit: Patients with serious, life-threatening conditions or those currently receiving regular occupational therapy may not benefit from this program.
Why it matters
Potential benefit: If successful, this program could significantly reduce the recurrence of falls and improve the overall quality of life for elderly patients with dementia.
How similar studies have performed: Similar approaches in occupational therapy have shown success in reducing falls in the general elderly population, indicating potential for this program.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Male or female, at least 75 years old * Living at home (excluding nursing home or long-term care facilities) * Hospitalized for fall * Presenting major mild to moderate dementia (MMSE \> 16) * Accompanied by a caregiver with sufficient presence to meet study procedures: at investigator's discretion at the investigator's discretion * Having given free, informed and written consent signed by the patient * Whose caregiver has given free, informed consent written and signed by him/herself * Affiliated or beneficiary of social security Exclusion Criteria: * With serious, life-threatening pathology(ies) or in palliative care * Participating in an educational fall program on the theme of falls, run by an occupational therapist by an occupational therapist * Receiving regular occupational therapy treatment on the day of inclusion (day care daily hospitalization) * Participating in a clinical research protocol have an impact on the occurrence of a fall (at the investigator's discretion) * Not matching with the fall definition from Kellogg's definition of a fall (loss of consciousness, sudden onset of paralysis paralysis or epileptic seizure) * Presenting a very significant post-fall syndrome: score of 4/4 on the "Get-up early" questionnaire * unable to read or write * Participant under legal guardianship (curator, guardian, legal protector) * Dementia with rapid neurocognitive degeneration degeneration with frontal and language impairment (at the investigator's discretion).
Where this trial is running
Limoges
- Chu Limoges — Limoges, France (Recruiting)
Study contacts
- Study coordinator: Manon BOUTEAUD
- Email: manon.bouteaud@chu-limoges.fr
- Phone: 05 55 05 65 81
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.