Integrated Prevention, Treatment, and Rehabilitation for Toileting-Related Falls
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorQing Yuan
About this trial
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 criteria
Qualifiers
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.
Disqualifiers
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.
Trial design
Treatments tested in this trial
- Individualized Multidimensional Management Program for Toileting-Related Fall Prevention
Treatment groups
300 Participants
are divided into 1 treatment groupSponsors and collaborators
Qing Yuan
Lead sponsor
Chinese PLA General Hospital
Sponsor institution
Source ClinicalTrials.gov