Advanced Practice Nurses for Fall Incidence PrevenTion in Robust Very Old Adults: Protocol for the APN-FIT Hybrid Randomized Controlled Trial

Status: Recruiting
Location: See location...
Intervention Type: Other
Study Type: Interventional
Study Phase: Not Applicable
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
Participation Requirements
Sex: All
Minimum Age: 80
Healthy Volunteers: f
View:

• 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.

Locations
Other Locations
France
CHU Nantes
RECRUITING
Nantes
Contact Information
Primary
Laure DE DECKER, MD - Pr
laure.dedecker@chu-nantes.fr
02.40.08.79.20
Backup
Cédric RAT, MD - Pr
cedric.rat@univ-nantes.fr
Time Frame
Start Date: 2024-10-15
Estimated Completion Date: 2027-10-31
Participants
Target number of participants: 386
Treatments
Experimental: Advanced Practice Nurse Follow-up
The patient is followed-up by his Advanced Practice Nurse and General Practitionner~The Advanced Practice Nurse (APN) will schedule follow-ups at 1, 3, 6, 9, and 12 months post-inclusion, leveraging their full range of skills and scope of practice. At each follow-up, the APN will ensure that the initial recommendations are being followed and will adjust them according to the patient's progress. The APN will work closely with all actors involved, including the adapted physical activity professional, attending physician, pharmacist, care assistant, and nurse.~As for all participants, two CGAs will be performed at inclusion by APN and at M12 by the research nurse.~An Adapted Physical Activity (APA) program will also be included. Participants will receive an APA falls prevention program consisting of 14 sessions, each lasting 45 minutes, conducted by a professional APA teacher in the comfort of their own home.
No_intervention: Usual Care
Short version: The patient is handled by his General Practitionner as usual after the first CGA~Extended version: As for all participants, two CGAs will be performed at inclusion by APN and at M12 by the research nurse.~An Adapted Physical Activity (APA) program will also be included. Participants will receive an APA falls prevention program consisting of 14 sessions, each lasting 45 minutes, conducted by a professional APA teacher in the comfort of their own home.
Sponsors
Leads: Nantes University Hospital
Collaborators: Pôle Fédératif de Soins Primaires (https://dmg.univ-nantes.fr/c/pole-federatif), Université de Nantes

This content was sourced from clinicaltrials.gov