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

Launched by UNIVERSITY HOSPITAL, LIMOGES · Jan 23, 2024

Keywords

ClinConnect Summary

This clinical trial is studying the effects of a special program called the COTID (Community Occupational Therapist in Dementia) Program on preventing falls in elderly individuals who have recently been discharged from the hospital. The focus is on helping older adults, aged 75 and older, who have mild to moderate dementia and have experienced falls. The program aims to make their home environment safer, involve their caregivers in their care, and ultimately improve their quality of life by reducing the chances of falling again and needing to go back to the hospital.

To participate, individuals must be living at home and have had a fall that required hospitalization. They should also have a caregiver who can help with the study. Participants can expect to work closely with an occupational therapist who will provide tailored support to both them and their caregiver, empowering them and helping them feel more confident in daily activities. It’s important to know that those with serious health issues or specific types of dementia may not be eligible for this study.

Gender

ALL

Eligibility 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).