[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100563564":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":24,"centralContacts":28,"locations":37,"responsibleParty":57,"collaborators":59,"id":65,"slug":66,"hasResults":67,"nctId":68,"briefTitle":69,"officialTitle":70,"acronym":71,"eligibilityCriteria":72,"healthyVolunteers":67,"sex":73,"minAge":74,"maxAge":18,"enrollmentInfo":75,"targetDuration":18,"studyType":78,"phases":79,"briefSummary":81,"conditions":82,"keywords":87,"overallStatus":40,"whyStopped":18,"lastUpdateSubmitDate":93,"lastUpdatePostDateStruct":94,"startDateStruct":97,"completionDateStruct":99,"leadSponsor":101,"locationsCount":102},{"fullName":5,"class":6},"Nantes University Hospital","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Advanced Practice Nurse Follow-up","EXPERIMENTAL","The patient is followed-up by his Advanced Practice Nurse and General Practitionner\n\nThe 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.\n\nAs for all participants, two CGAs will be performed at inclusion by APN and at M12 by the research nurse.\n\nAn 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.",[13],"Other: Follow-up by the Advanced Practice Nurse",{"label":15,"type":16,"description":17,"interventionNames":18},"Usual Care","NO_INTERVENTION","Short version: The patient is handled by his General Practitionner as usual after the first CGA\n\nExtended version: As for all participants, two CGAs will be performed at inclusion by APN and at M12 by the research nurse.\n\nAn 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.",null,[20],{"type":6,"name":21,"description":22,"armGroupLabels":23,"otherNames":18},"Follow-up by the Advanced Practice Nurse","At each follow-up (FU), the recommendations of an APN may include :\n\n* Referral to a specialized memory assessment in case of cognitive impairment\n* Psychological FU in the event that APN detects any mood complaints\n* Ophthalmological and\u002For ear, nose, and throat consultation if any auditory or visual difficulties is observed\n* Compression stockings use if orthostatic hypotension is present\n* Nutritional counseling, with particular emphasis on the intake of protein, in combination with long-term assessment of weight\n* Supplementation with vitamin D and calcium based to prevent osteoporosis in older adults, especially those at risk of recurrent falls\n* Proposal of a standardized and personalized physical activity program\n* 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\n* A comprehensive social evaluative approach",[9],[25],{"name":26,"affiliation":5,"role":27},"Laure DE DECKER, MD - Pr","PRINCIPAL_INVESTIGATOR",[29,34],{"name":26,"role":30,"phone":31,"phoneExt":32,"email":33},"CONTACT","02.40.08.79.20","+332","laure.dedecker@chu-nantes.fr",{"name":35,"role":30,"phone":18,"phoneExt":18,"email":36},"Cédric RAT, MD - Pr","cedric.rat@univ-nantes.fr",[38],{"facility":39,"status":40,"city":41,"state":42,"zip":43,"country":44,"countryCode":45,"cosmosGeoPoint":46,"geoPoint":51,"contacts":52},"CHU Nantes","RECRUITING","Nantes","Loire-Atlantique","44","France","FR",{"type":47,"coordinates":48},"Point",[49,50],-1.55336,47.21725,{"lat":50,"lon":49},[53],{"name":54,"role":30,"phone":55,"phoneExt":56,"email":33},"Laure De DECKER, MD PhD","0240083333","+33",{"type":58,"investigatorFullName":18,"investigatorTitle":18,"investigatorAffiliation":18,"oldNameTitle":18,"oldOrganization":18},"SPONSOR",[60,63],{"name":61,"class":62},"Pôle Fédératif de Soins Primaires (https:\u002F\u002Fdmg.univ-nantes.fr\u002Fc\u002Fpole-federatif)","UNKNOWN",{"name":64,"class":6},"Université de Nantes","100563564","advanced-practice-nurses-for-fall-incidence-prevention-in-very-old-robust-adults-100563564",false,"NCT06617806","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","APN-FIT","Inclusion criteria:\n\n* Aged 80 or over;\n* Vigorous according to the \" Clinical Frailty Scale \" (scores 1, 2, 3) ;\n* Having a referring primary care physician working in pairs with the local Advanced Practice Nurse;\n* affiliated to a Health Care Plan\n* Informed and having signed consent to participate in the research.\n\nExclusion criteria:\n\n* Under guardianship or trusteeship;\n* Unable to travel to the primary care office or unable to follow the adapted physical activity program;\n* Poor understanding of French.","ALL","80 Years",{"count":76,"type":77},386,"ESTIMATED","INTERVENTIONAL",[80],"NA","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.",[83,84,85,86],"Fall Prevention","Autonomy of Older People","Frail Elderly","Advanced Practice Nursing",[88,89,90,91,92],"Fall prevention","Aging","Frailty - robustness","Advanced practice nurses","Very old adults","2024-11-13",{"date":95,"type":96},"2024-11-15","ACTUAL",{"date":98,"type":96},"2024-10-15",{"date":100,"type":77},"2027-10-31",{"name":5,"class":6},1]