Effects of the COTID (Community Occupational Therapist in Dementia) Program and Usual Occupational Therapy Care on Recurrence of Falls at 12 Months in Elderly People With Neurocognitive Disorders Who Had Been Hospitalized for Falls, After Their Return Home

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age75+
SponsorUniversity Hospital, Limoges

About this trial

This project will enable optimization of specific carried out by occupationist for older adults discharged from hospital for falls:

* on the environmental dimension at the participant's home * on the involvement of the caregiver since they are also involved in the care of the patient * on the recurrence of falls and rehospitalizations in order to improve the quality of life by reassuring the elderly person when traveling * on limiting loss of autonomy and staying at home. The occupational therapist will entrust the caregiver with a support role. The participant will feel more involved in the participant's care (thus reducing the feeling of helplessness). His actions will allow him to strengthen his sense of competence and will prevent him from physical and psychological exhaustion.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

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)

Disqualifiers

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)

Trial design

Design model

Parallel

Treatments tested in this trial

  • COTID program

    Behavioral

    COTID is a support program for people with Alzheimer's disease, designed to help them remain at home, including their primary caregiver.

Treatment groups

76 Participants
are divided into 2 treatment groups
Group A: COTID programExperimental treatment 1 intervention
Group B: Routine careNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Assessing the impact of the COTID program

Reference will be falls recurrence

Time frame
12 months

Secondary outcomes

1

Recurrent falls

The cumulative incidence of new falls between the two groups

Time frame
12 months
2

Rehospitalization

The rehospitalization rate

Time frame
12 months
3

Institutional admissions

The rate of institutional admissions

Time frame
12 months
4

Loss of functional autonomy

Scores: Activities of Daily Living, Instrumental Activities of Daily Living

Time frame
12 months

Other outcomes

Sponsors and contacts

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