Advanced Practice Nurses for Fall Incidence PrevenTion in Very Old Robust Adults
Advanced Practice Nurses for Fall Incidence PrevenTion in Robust Very Old Adults: Protocol for the APN-FIT Hybrid Randomized Controlled Trial
Nantes University Hospital
386 participants
Oct 15, 2024
INTERVENTIONAL
Conditions
Summary
APN-FIT is a hybrid type 1 clinical trial comparing the effect of an APN delivered fall prevention programme with standard care in non-frail patients. All participants will receive a full geriatric assessment at enrolment and, on a voluntary basis, physical activity programmes during the 12-month period. Falls occurring during the study will be recorded at 2, 4, 6, 8, 10 and 12 months after enrolment. An ancillary study will specifically examine implementation outcomes of the tested intervention.
Eligibility
Inclusion Criteria5
- Aged 80 or over;
- Vigorous according to the " Clinical Frailty Scale " (scores 1, 2, 3) ;
- Having a referring primary care physician working in pairs with the local Advanced Practice Nurse;
- affiliated to a Health Care Plan
- Informed and having signed consent to participate in the research.
Exclusion Criteria3
- Under guardianship or trusteeship;
- Unable to travel to the primary care office or unable to follow the adapted physical activity program;
- Poor understanding of French.
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Interventions
At each follow-up (FU), the recommendations of an APN may include : * Referral to a specialized memory assessment in case of cognitive impairment * Psychological FU in the event that APN detects any mood complaints * Ophthalmological and/or ear, nose, and throat consultation if any auditory or visual difficulties is observed * Compression stockings use if orthostatic hypotension is present * Nutritional counseling, with particular emphasis on the intake of protein, in combination with long-term assessment of weight * Supplementation with vitamin D and calcium based to prevent osteoporosis in older adults, especially those at risk of recurrent falls * Proposal of a standardized and personalized physical activity program * Evaluation of medication therapies, especially antipsychotics, blood pressure medication or broad anticholinergics. The STOPPFall tool will be also proposed and coordinated by APN in accordance with the patient's physician * A comprehensive social evaluative approach
Locations(1)
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NCT06617806