[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100649837":3},{"organization":4,"armGroups":7,"interventions":14,"overallOfficials":19,"centralContacts":20,"locations":26,"responsibleParty":41,"collaborators":19,"id":45,"slug":46,"hasResults":47,"nctId":48,"briefTitle":49,"officialTitle":50,"acronym":19,"eligibilityCriteria":51,"healthyVolunteers":47,"sex":52,"minAge":53,"maxAge":19,"enrollmentInfo":54,"targetDuration":19,"studyType":57,"phases":58,"briefSummary":60,"conditions":61,"keywords":64,"overallStatus":67,"whyStopped":19,"lastUpdateSubmitDate":68,"lastUpdatePostDateStruct":69,"startDateStruct":72,"completionDateStruct":74,"leadSponsor":76,"locationsCount":77},{"fullName":5,"class":6},"Chinese PLA General Hospital","OTHER",[8],{"label":9,"type":10,"description":11,"interventionNames":12},"Integrated Multidimensional Management Program","EXPERIMENTAL","Participants will receive a comprehensive, individualized, multidimensional management program for the prevention of toileting-related falls. Following standardized assessment of urinary function, gait and balance, physical function, psychological and cognitive factors, activities of daily living, and environmental risks, participants will receive a tailored combination of interventions according to their identified risk factors and clinical indications. Interventions may include urinary symptom management, bladder training, medication optimization, neuromodulation or electrical stimulation when indicated, gait and balance rehabilitation, strength and mobility training, psychological or cognitive support, caregiver education, assisted or scheduled toileting, and environmental modification. Intervention plans may be adjusted during follow-up based on reassessment, clinical response, adherence, and safety.",[13],"Other: Individualized Multidimensional Management Program for Toileting-Related Fall Prevention",[15],{"type":6,"name":16,"description":17,"armGroupLabels":18,"otherNames":19},"Individualized Multidimensional Management Program for Toileting-Related Fall Prevention","Participants will receive an individualized, multicomponent management program based on standardized multidimensional assessment and risk stratification. The assessment covers urinary function, gait and balance, physical function, psychological and cognitive factors, activities of daily living, caregiver support, and environmental risks related to toileting.\n\nThe intervention plan will be tailored to each participant's identified modifiable risk factors and clinical indications. Components may include management of urinary symptoms and nocturia, bladder and behavioral training, clinically indicated treatment optimization, neuromodulation or electrical stimulation when appropriate, gait and balance rehabilitation, muscle-strengthening and mobility training, assistive-device adaptation, psychological or cognitive support, caregiver education, scheduled or assisted toileting, and environmental modification.\n\nNot all participants will receive every component. Intervention plans may be adju",[9],null,[21],{"name":22,"role":23,"phone":24,"phoneExt":19,"email":25},"Qing Yuan, MD, PhD","CONTACT","+8618910980422","qyuanmd@outlook.com",[27],{"facility":5,"status":19,"city":28,"state":29,"zip":30,"country":31,"countryCode":32,"cosmosGeoPoint":33,"geoPoint":38,"contacts":39},"Beijing","Beijing Municipality","100039","China","CN",{"type":34,"coordinates":35},"Point",[36,37],116.39723,39.9075,{"lat":37,"lon":36},[40],{"name":22,"role":23,"phone":24,"phoneExt":19,"email":19},{"type":42,"investigatorFullName":43,"investigatorTitle":44,"investigatorAffiliation":5,"oldNameTitle":19,"oldOrganization":19},"SPONSOR_INVESTIGATOR","Qing Yuan","Chinese PLAGH","100649837","integrated-prevention-treatment-and-rehabilitation-for-toileting-related-falls-100649837",false,"NCT07738354","Integrated Prevention, Treatment, and Rehabilitation for Toileting-Related Falls","Construction, Validation, and Demonstration of a Comprehensive Prevention, Treatment, and Rehabilitation System for Toileting-Related Falls in Older Adults and People With Disabilities","Inclusion Criteria:\n\n* Age 18 years or older, with no upper age limit.\n* Presence of physical disability, functional limitation, loss of independence, or a need for assistance with daily activities.\n* 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.\n* Able and willing to participate in the study assessments and follow-up procedures, with assistance from a caregiver when necessary.\n* Written informed consent provided by the participant or, when applicable, by a legally authorized representative.\n\nExclusion Criteria:\n\n* Acute infection or other acute medical condition requiring immediate treatment that would prevent participation in study assessments or interventions.\n* Severe or unstable medical condition that, in the investigator's judgment, would make participation unsafe or interfere with study procedures or follow-up.\n* Severe disturbance of consciousness or other condition that prevents completion of the required assessments and study procedures, even with appropriate assistance.\n* Inability to participate in the planned follow-up or provide sufficient study-related information.\n* Any other condition that, in the investigator's judgment, makes the individual unsuitable for participation in the study.","ALL","18 Years",{"count":55,"type":56},300,"ESTIMATED","INTERVENTIONAL",[59],"NA","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.\n\nThis 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.\n\nBased 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.\n\nThe 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.",[62,63],"Toileting-Related Falls","Fall Risk",[62,65,66],"Fall Prevention","Older Adults","NOT_YET_RECRUITING","2026-07-27",{"date":70,"type":71},"2026-07-31","ACTUAL",{"date":73,"type":56},"2026-08",{"date":75,"type":56},"2028-12",{"name":43,"class":6},1]