[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"fall\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:fall":25},{"pageToken":4,"total":5,"offset":6,"count":7,"results":8},null,30,0,25,[9,40,79,110,137,166,199,227,254,275,298,324,353,382,410,438,465,493,516,540,569,590,615,645,666],{"id":10,"slug":11,"hasResults":12,"nctId":13,"briefTitle":14,"officialTitle":15,"acronym":4,"eligibilityCriteria":16,"healthyVolunteers":12,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":4,"briefSummary":23,"conditions":24,"keywords":4,"overallStatus":28,"whyStopped":4,"lastUpdateSubmitDate":29,"lastUpdatePostDateStruct":30,"startDateStruct":33,"completionDateStruct":35,"leadSponsor":37,"locationsCount":4},"100053638","groningen-meander-walking-test-in-older-adults-with-balance-problems-100053638",false,"NCT07692373","Groningen Meander Walking Test in Older Adults With Balance Problems","Test-Retest Reliability and Construct Validity of the Groningen Meander Walking Test in Older Adults With Self-Reported Balance Problems and\u002For a History of Falls","Inclusion Criteria:\n\nAged 65 years or older Self-reported balance problems during activities of daily living and\u002For a history of at least one fall within the previous 12 months Able to walk independently with or without a single walking aid Able to understand and follow verbal instructions Willing to provide written informed consent\n\nExclusion Criteria:\n\nPresence of neurological, vestibular, visual, orthopedic, systemic, or medical conditions that may substantially affect gait or balance Acute lower-extremity injury or recent lower-extremity surgery Severe pain preventing completion of the walking or balance tests Cognitive impairment that may limit the ability to understand or follow test instructions Inability to walk independently without personal assistance Use of a rollator","ALL","65 Years",{"count":20,"type":21},70,"ESTIMATED","OBSERVATIONAL","This observational cross-sectional psychometric study aims to examine the test-retest reliability and construct validity of the Groningen Meander Walking Test in older adults with self-reported balance problems and\u002For a history of falls. Participants aged 65 years or older will be recruited from the Orthopedics and Traumatology outpatient clinic of Ordu University Training and Research Hospital. The Groningen Meander Walking Test will be performed twice during the first session and repeated in a second session to assess within-day and between-day reliability. Construct validity will be evaluated using the Timed Up and Go Test, Figure-of-Eight Walking Test, Berg Balance Scale, and Falls Efficacy Scale-International. The study will also explore the ability of the Groningen Meander Walking Test to discriminate between participants with low and increased fall risk according to the Berg Balance Scale.",[25,26,27],"Fall","Gait Disorders in Old Age","Older People","NOT_YET_RECRUITING","2026-07-09",{"date":31,"type":32},"2026-07-13","ACTUAL",{"date":34,"type":21},"2026-07-15",{"date":36,"type":21},"2026-09-01",{"name":38,"class":39},"Ordu University","OTHER",{"id":41,"slug":42,"hasResults":12,"nctId":43,"briefTitle":44,"officialTitle":45,"acronym":46,"eligibilityCriteria":47,"healthyVolunteers":12,"sex":17,"minAge":48,"maxAge":4,"enrollmentInfo":49,"targetDuration":4,"studyType":22,"phases":4,"briefSummary":51,"conditions":52,"keywords":62,"overallStatus":68,"whyStopped":4,"lastUpdateSubmitDate":69,"lastUpdatePostDateStruct":70,"startDateStruct":72,"completionDateStruct":74,"leadSponsor":76,"locationsCount":78},"100637471","balance-gait-and-motion-analysis-in-multiple-sclerosis-100637471","NCT07630311","\"Balance, Gait, and Motion Analysis in Multiple Sclerosis\"","\"Functional Assessment of Balance and Gait and Correlation With Kinetic and Kinematic Parameters in Patients With Multiple Sclerosis: Cross-Sectional Study\"","MS-BALGAIT","Inclusion Criteria:\n\n* Adults (≥ 18 years) with confirmed diagnosis of Multiple Sclerosis\n* Expanded Disability Status Scale (EDSS) score \\\u003C6\n* Ability to ambulate independently without the use of assistive devices\n* Absence of significant orthopedic or neurological conditions affecting mobility\n* Ability to understand and follow verbal instructions.\n\nExclusion Criteria:\n\n* History of injury or surgical intervention to the lower limbs or spine within the past year\n* Any musculoskeletal, neurological, cardiovascular, or other medical condition, other than Multiple Sclerosis, that may significantly affect gait or balance or compromise participant safety during testing.\n* Severe balance impairment or high risk of falling that prevents safe participation in single-leg stance, gait analysis, or obstacle negotiation tasks.","18 Years",{"count":50,"type":21},40,"The goal of this observational cross-sectional study is to investigate the relationship between functional measures of balance and gait and objective kinetic and kinematic parameters in people with Multiple Sclerosis (MS).\n\nThe main questions it aims to answer are:\n\ni) What is the relationship between kinetic and kinematic gait and balance parameters measured using the Vicon motion analysis system and performance on clinical functional assessments in people with Multiple Sclerosis?\n\nii) Which biomechanical parameters are most strongly associated with functional balance, gait, and physical performance outcomes?\n\nParticipants will attend a single laboratory-based assessment session. During this session, they will undergo biomechanical gait and balance analysis using the Vicon motion capture system, complete functional assessments of balance, gait, and physical performance, complete questionnaires assessing fear of falling and fatigue, and undergo assessment of lower-limb spasticity.",[53,54,55,56,57,58,59,60,61,25],"Multiple Sclerosis","Gait Disorders, Neurologic","Postural Balance","Motion Analysis","Biomechanics","Kinetics","Kinematics","Physiotherapy","Fatigue",[53,63,64,56,65,66,67,61,57],"Balance","Gait","Vicon System","Functional Assessments","Physical Performance","RECRUITING","2026-06-21",{"date":71,"type":32},"2026-06-24",{"date":73,"type":32},"2025-09-01",{"date":75,"type":21},"2026-08-30",{"name":77,"class":39},"University of Patras",2,{"id":80,"slug":81,"hasResults":12,"nctId":82,"briefTitle":83,"officialTitle":83,"acronym":4,"eligibilityCriteria":84,"healthyVolunteers":85,"sex":17,"minAge":48,"maxAge":4,"enrollmentInfo":86,"targetDuration":4,"studyType":88,"phases":89,"briefSummary":91,"conditions":92,"keywords":95,"overallStatus":28,"whyStopped":4,"lastUpdateSubmitDate":100,"lastUpdatePostDateStruct":101,"startDateStruct":103,"completionDateStruct":105,"leadSponsor":107,"locationsCount":109},"100635776","the-effect-of-standard-patent-based-and-web-based-smulaton-on-nursng-students-knowledge-and-clncal-sklls-n-fall-rsk-assessment-100635776","NCT07557082","THE EFFECT OF STANDARD PATİENT-BASED AND WEB-BASED SİMULATİON ON NURSİNG STUDENTS' KNOWLEDGE AND CLİNİCAL SKİLLS İN FALL RİSK ASSESSMENT","Inclusion Criteria:\n\n* Be a first-year student in the School of Nursing\n* Be willing to participate in the study\n* Have no absences at any point during the study\n* Have completed both theoretical and clinical training\n* Be willing to remain in the study throughout all phases\n* Be a student who is not currently working or has not previously worked as a nurse\n\nExclusion Criteria:\n\n* Be a graduate of a vocational high school for health sciences\n* Be a student admitted through the Foreign Student Exam (YÖS)\n* Be a student who does not wish to participate in the research\n* Be a student who was admitted to the nursing program through the Vertical Transfer Exam (DGS) after graduating from a program offering an associate's degree in a health-related field",true,{"count":87,"type":21},120,"INTERVENTIONAL",[90],"NA","Introduction: Falls are the most frequently reported and preventable type of safety incident. Patient falls are the most common adverse events in hospitals. This situation impacts clinical outcomes and increases the financial burden on healthcare systems. Simulation is an important component of nursing education because it enhances patient care and ensures patient safety.\n\nObjective: To comparatively examine the effect of standard patient-based and web-based simulation methods, implemented in addition to the same theoretical education provided to nursing students, on students' knowledge levels regarding fall risk assessment and their fall risk assessment skills in clinical practice.\n\nMaterials and Methods: The study was conducted during the spring semester of the 2025-2026 academic year with first-year students in the Department of Nursing at Aydın Adnan Menderes University as part of the Fundamentals of Nursing course. All participating students will complete theoretical classes in the classroom and practical sessions in the laboratory. The study using standard patient and web-based simulation applications will be conducted in the simulation laboratory of the Faculty of Nursing at Aydın Adnan Menderes University. Research data will be collected using the \"Individual Information Form,\" the \"Fall Knowledge Test for Preventing Patient Falls\" prepared in accordance with the literature, and the \"Fall Risk Assessment Skills Rubric.\" Research data will be collected over a 4-month period (February 9 - June 9, 2026). A written permission letter will be obtained from the institution to conduct the study. Participants will be provided with detailed information about the study, and both verbal and written consent will be obtained. For numerically measured data, a normal distribution analysis will be performed; based on the results of this analysis, \"Pearson Chi-square\" and \"t-tests\" will be used for variables showing a normal distribution.\n\nFindings: The research findings will be presented based on the analyses conducted.\n\nConclusion: The results will be presented based on the research findings, and recommendations will be made accordingly.",[93,25,94],"Patient Safety","Simulation Edication",[96,97,98,99],"web-based simulation","standard patient","nursing students","randomized controlled trial","2026-04-23",{"date":102,"type":32},"2026-04-29",{"date":104,"type":21},"2026-04-27",{"date":106,"type":21},"2026-06-12",{"name":108,"class":39},"ESRA ERTUĞRUL",1,{"id":111,"slug":112,"hasResults":12,"nctId":113,"briefTitle":114,"officialTitle":114,"acronym":115,"eligibilityCriteria":116,"healthyVolunteers":12,"sex":17,"minAge":48,"maxAge":4,"enrollmentInfo":117,"targetDuration":4,"studyType":88,"phases":119,"briefSummary":120,"conditions":121,"keywords":124,"overallStatus":28,"whyStopped":4,"lastUpdateSubmitDate":128,"lastUpdatePostDateStruct":129,"startDateStruct":131,"completionDateStruct":133,"leadSponsor":135,"locationsCount":4},"100633819","from-screening-to-safety-implementing-the-al-steadi-initiative-in-assisted-living-communities-100633819","NCT07531641","From Screening to Safety: Implementing the AL-STEADI Initiative in Assisted Living Communities","AL-STEADI","Inclusion Criteria: This is a pragmatic trial. All residents living in one of the seven participating assisted living communities will be potentially eligible. Residents who screen positive for fall risk will be enrolled.\n\n\\-\n\nExclusion Criteria: Not living in one of seven partnering assisted living centers. Not screening at-risk for falls.\n\n\\-",{"count":118,"type":21},700,[90],"The goal of this trial is to test the real-world efficacy of AL-STEADI, a fall prevention program, in seven assisted living centers. We will randomly assign 700 residents from seven assisted living centers who screen at-risk of falling to either existing fall monitoring protocols or the enhanced AL-STEADI fall prevention program. We will evaluate the effect of AL-STEADI on the rate of falls over 12 months. We will also closely monitor implementation fidelity in these seven assisted living centers.",[25,122,123],"Fall Injury Prevention","Fall Prevention",[125,126,127],"assisted living","fall prevention","STEADI","2026-04-09",{"date":130,"type":32},"2026-04-15",{"date":132,"type":21},"2027-06",{"date":134,"type":21},"2029-09",{"name":136,"class":39},"Brown University",{"id":138,"slug":139,"hasResults":12,"nctId":140,"briefTitle":141,"officialTitle":142,"acronym":143,"eligibilityCriteria":144,"healthyVolunteers":85,"sex":17,"minAge":48,"maxAge":4,"enrollmentInfo":145,"targetDuration":4,"studyType":22,"phases":4,"briefSummary":147,"conditions":148,"keywords":149,"overallStatus":68,"whyStopped":4,"lastUpdateSubmitDate":157,"lastUpdatePostDateStruct":158,"startDateStruct":160,"completionDateStruct":162,"leadSponsor":164,"locationsCount":109},"100631667","ai-assisted-fall-prevention-through-evidence-100631667","NCT07503665","AI-assisted Fall Prevention Through Evidence","Safe AI-assisted Fall Prevention Through Evidence","SAFE","Individual interviews with key actors in the implementation\n\nInclusion criteria:\n\n1. Be employed at one of the participating hospitals\n2. Hold a role as a key stakeholder in the implementation work\n3. Have experience with the implementation of the AI-assisted fall prevention\n4. Have the ability to understand and communicate in Swedish\n\nExclusion criteria:\n\n1\\. Have insufficient proficiency in Swedish to participate in an interview or observation and to understand the purpose and content of the study\n\nIndividual interviews with managers\n\nInclusion criteria:\n\n1. Be employed as a manager at one of the participating hospitals\n2. Have experience with the implementation or use of the AI-assisted fall prevention\n3. Have the ability to understand and communicate in Swedish\n\nExclusion criteria:\n\n1\\. Have insufficient proficiency in Swedish to participate in an interview or observation and to understand the purpose and content of the study\n\nIndividual interviews with staff\n\nInclusion criteria:\n\n1. Be employed as staff on a ward at one of the participating hospitals where the AI-assisted fall prevention has been decided to be implemented\n2. Have experience with the implementation or use of the AI-assisted fall prevention\n3. Have the ability to understand and communicate in Swedish\n\nExclusion criteria:\n\n1\\. Have insufficient proficiency in Swedish to participate in an interview or observation and to understand the purpose and content of the study\n\nObservations of staff work\n\nInclusion criteria:\n\n1. Be employed as staff on a ward at one of the participating hospitals where the AI-assisted fall prevention has been decided to be implemented\n2. Have experience with the implementation or use of the AI-assisted fall prevention\n3. Have the ability to understand and communicate in Swedish\n\nExclusion criteria:\n\n1\\. Have insufficient proficiency in Swedish to participate in an interview or observation and to understand the purpose and content of the study\n\nIndividual interviews with patients and family members:\n\nInclusion criteria (for family members, only inclusion criterion 1b applies):\n\n1. Either (a) have been a patient on a ward at one of the participating hospitals where the AI-assisted fall prevention has been implemented, or (b) be a family member involved in the care of a patient who meets the inclusion criteria but lacks the ability to provide informed consent. The family member must be able to understand and communicate in Swedish\n2. Have experience with the AI-assisted fall prevention as part of their care\n3. Have the ability to understand and communicate in Swedish\n4. Be 18 years of age or older\n5. Have the ability to provide informed consent. If there is any uncertainty regarding a patient's ability to provide informed consent, the research team will refrain from conducting the interview.\n\nExclusion criteria:\n\n1. Have insufficient proficiency in Swedish to participate in an interview or observation and to understand the purpose and content of the study\n2. Lack the ability to provide informed consent\n\nWeb-based surveys with staff:\n\nInclusion criteria:\n\n1. Be employed as staff on a ward at one of the participating hospitals where the AI-assisted fall prevention is decided to be implemented.\n\nExclusion criteria:\n\n1. Not being employed on a ward at one of the participating hospitals where the AI-assisted fall prevention is decided to be implemented\n2. Lack the ability to access information and respond to the survey in Swedish\n\nRetrospective medical record data:\n\nInclusion criteria:\n\n1\\. Patients who have been cared for on a ward at one of the participating hospitals where the AI-assisted fall prevention has been implemented, either (a) up to 24 months after implementation or (b) up to 12 months before implementation.\n\nExclusion criteria:\n\n1\\. Patients who have only received care outside the defined time period, meaning not within 24 months after or 12 months before the implementation of the AI-assisted fall prevention\n\nLearning labs:\n\nInclusion criteria:\n\n1. (a) Be employed at one of the participating hospitals and hold a role as a key stakeholder in the implementation work, or be staff or a manager with experience of the implementation or use of the AI-assisted fall prevention; or (b1) have been a patient cared for on a ward at one of the participating hospitals where the AI-assisted fall prevention has been implemented and have experience with the AI-assisted fall prevention as part of their care; or (b2) be a family member of a patient with such experience; or (c) be a patient representative for a patient group, patient organization, or user organization where falls are an identified issue\n2. Have the ability to understand and communicate in Swedish\n\nExclusion criteria:\n\n1. Have insufficient proficiency in Swedish to participate in an interview or observation and to understand the purpose and content of the study\n2. Lack the ability to provide informed consent",{"count":146,"type":21},23425,"The goal of this multi-method study is to investigate how AI-assisted fall-prevention are implemented in routine hospital care what their effects are. The main questions it aims to answer are how these AI systems influence patient safety outcomes, how they affect healthcare professionals work and healthcare resource use, and what factors support or hinder their sustainable integration into hospital environments.",[25],[126,150,151,152,153,154,155,156],"artificial intelligence","hospital","work","patient safety","resource use","implementation","effects","2026-03-25",{"date":159,"type":32},"2026-03-31",{"date":161,"type":32},"2026-01-01",{"date":163,"type":21},"2028-12",{"name":165,"class":39},"Halmstad University",{"id":167,"slug":168,"hasResults":12,"nctId":169,"briefTitle":170,"officialTitle":170,"acronym":171,"eligibilityCriteria":172,"healthyVolunteers":85,"sex":17,"minAge":48,"maxAge":173,"enrollmentInfo":174,"targetDuration":4,"studyType":88,"phases":176,"briefSummary":177,"conditions":178,"keywords":184,"overallStatus":28,"whyStopped":4,"lastUpdateSubmitDate":190,"lastUpdatePostDateStruct":191,"startDateStruct":193,"completionDateStruct":195,"leadSponsor":197,"locationsCount":4},"100614595","bedside-bike-early-mobilization-program-for-inpatients-100614595","NCT07281638","Bedside Bike Early Mobilization Program for Inpatients","BB-STEP","Inclusion Criteria:\n\n* Age 18 years or older\n* Admitted to participating hospital unit within 24 hours or less\n* Expected hospital stay of at least 3 days\n* Able to follow one-step commands\n* Anti-gravity leg strength\n* Informed consent obtained from patient or legally authorized representative\n\nExclusion Criteria:\n\n* Hemodynamic instability requiring vasopressor support with systolic blood pressure \\\u003C90 mmHg\n* Requiring fraction of inspired oxygen (FiO₂) \\>0.6 or positive end-expiratory pressure (PEEP) \\>8 cm H₂O\n* Uncontrolled cardiac arrhythmia\n* Open lower extremity wounds within the pedal arc area\n* Lower limb fracture requiring traction or immobilization\n* Active deep vein thrombosis (DVT) without therapeutic anticoagulation\n* Body mass index (BMI) \\>45 kg\u002Fm² (exceeds device reach limit)\n* Current pregnancy\n* Concurrent enrollment in another interventional clinical trial that would conflict with study procedures or outcomes","110 Years",{"count":175,"type":21},80,[90],"Hospital immobility leads to serious complications including muscle loss, weakness, delirium, pressure ulcers, and blood clots. Despite being medically stable, hospitalized patients spend over 90% of their time in bed due to staffing shortages, fall risks, and limited physical therapy availability. Within one week of admission, patients can lose approximately 2% of thigh muscle mass per day, and nearly half develop clinically significant hospital-acquired weakness.The Bedside Bike is a portable, low-resistance exercise device that clamps securely to hospital beds, allowing patients to perform leg and arm cycling exercises safely without leaving their bed. This study will evaluate whether hospitalized patients at Indiana University Health facilities can feasibly and safely use the Bedside Bike to maintain mobility during their hospital stay.This quality improvement study will enroll 80 adult inpatients expected to stay at least 3 days. All participants will receive the Bedside Bike in addition to usual care (standard physical therapy and medical treatment). The study will measure how often patients use the device, whether it is safe (tracking any device-related problems), and whether it may help improve outcomes such as hospital length of stay, functional mobility scores, discharge to home, and rates of hospital-acquired weakness. Participants will have functional assessments at admission and discharge, use the Bedside Bike throughout their hospitalization (targeting at least 15 minutes daily), and be followed for 60 days after discharge to track readmissions, falls, living arrangements, and mortality.",[179,180,181,182,25,183],"Immobility Syndrome","Deep Venous Thrombosis","Delirium","Hospital Acquired Condition","Mobility Limitation",[185,186,187,188,189],"Immobility Harm","Hospital-Acquired Disability","Falls","Deconditioning","In-bed exercise","2026-03-24",{"date":192,"type":32},"2026-03-27",{"date":194,"type":21},"2026-07-05",{"date":196,"type":21},"2026-12-31",{"name":198,"class":39},"Indiana University",{"id":200,"slug":201,"hasResults":12,"nctId":202,"briefTitle":203,"officialTitle":203,"acronym":4,"eligibilityCriteria":204,"healthyVolunteers":85,"sex":17,"minAge":205,"maxAge":206,"enrollmentInfo":207,"targetDuration":4,"studyType":88,"phases":209,"briefSummary":210,"conditions":211,"keywords":213,"overallStatus":68,"whyStopped":4,"lastUpdateSubmitDate":218,"lastUpdatePostDateStruct":219,"startDateStruct":221,"completionDateStruct":222,"leadSponsor":224,"locationsCount":109},"100628232","guangzhou-community-elderly-fall-prevention-appropriate-technology-promotion-project-100628232","NCT07458958","Guangzhou Community Elderly Fall Prevention Appropriate Technology Promotion Project","Inclusion Criteria:\n\n* Between 60 and 80 years old (inclusive).\n* Community-dwelling.\n* Planning to reside at the current address for the next 12 months.\n* Able to walk 50 meters unaided (can use a cane).\n* Experienced one or more falls in the past 2 years, OR Is \"very worried\" or \"somewhat worried\" about falling (even without a fall history).\n* Willing to participate in the 12-month fall prevention program and follow-up assessments.\n* Possesses basic literacy skills (equivalent to elementary school level or above) and is capable of normal communication with the investigators, as judged by the staff.\n* In a stable health condition to participate, as determined by the investigator.\n\nExclusion Criteria:\n\n* Having an acute disease or an acute episode of a chronic disease.\n* Having hearing, vision, or cognitive impairments, or self-reported neurological or psychiatric diseases (e.g., epilepsy, dementia) that prevent normal communication and learning.\n* Self-reported serious diseases (e.g., cardiac, cerebral, renal, hepatic, respiratory, or hematologic systems) and judged by a doctor or on-site assessor as intolerant to physical activity.\n* Diagnosed with conditions that explicitly affect balance function (e.g., vestibular disorders, cerebellar system lesions, vertigo, Ménière's disease).\n* Requires a wheelchair or assistance from another person to walk.\n* Likely to move away from the current residence or be absent for an extended period within the next 6 months.\n* Unwilling to accept the 12-month follow-up.","60 Years","80 Years",{"count":208,"type":21},320,[90],"This Guangzhou-based project uses a randomized controlled trial to test home environment modifications (e.g., anti-slip mats, lighting) for preventing falls among 320 community-dwelling elders. Over 12 months, it assesses effectiveness, cost-efficiency, and scalability, with rigorous quality control and multi-level stakeholder collaboration.",[25,212],"Old Age",[214,215,216,217,123],"Cost-Effectiveness Analysis","Home Hazard Assessment and Modification","RCT","Community-Dwelling Older Adults","2026-03-19",{"date":220,"type":32},"2026-03-23",{"date":161,"type":32},{"date":223,"type":21},"2027-02-01",{"name":225,"class":226},"Guangzhou Center for Disease Control and Prevention","OTHER_GOV",{"id":228,"slug":229,"hasResults":12,"nctId":230,"briefTitle":231,"officialTitle":232,"acronym":4,"eligibilityCriteria":233,"healthyVolunteers":12,"sex":17,"minAge":234,"maxAge":4,"enrollmentInfo":235,"targetDuration":4,"studyType":88,"phases":236,"briefSummary":237,"conditions":238,"keywords":240,"overallStatus":68,"whyStopped":4,"lastUpdateSubmitDate":245,"lastUpdatePostDateStruct":246,"startDateStruct":248,"completionDateStruct":250,"leadSponsor":252,"locationsCount":109},"100626247","comparison-of-smartphone-and-community-based-delivery-of-the-otago-exercise-program-for-fall-risk-in-older-adults-100626247","NCT07433153","Comparison of Smartphone and Community-Based Delivery of the Otago Exercise Program for Fall Risk in Older Adults","Effectiveness of Smartphone-Based Versus Community-Based Otago Exercise Programs for Fall Risk Reduction in Community-Dwelling Older Adults: A Randomized Controlled Trial","Inclusion Criteria:\n\n* Community-dwelling older adults 55 years of age or older\n* Communicate in English\n* Able to ambulate at least 10 meters with or without an assistive device.\n* Cognitively intact based on scoring 18\u002F22 or greater on the Montreal Cognitive Assessment (MoCA)-Blind during a phone screening process\n* Have access to an Android or iOS smartphone\n* Intermediate or high risk of falling, based on World Guidelines for Falls Prevention (Montero-Odasso et al, 2022)\n\nExclusion Criteria:\n\n* Lower limb amputation\n* Visual impairment uncorrectable with lenses\n* Uncontrolled hypertension, diabetes, neurological or musculoskeletal impairment\n* Persistent symptoms of dizziness or lightheadedness\n* Spine or lower-extremity surgery in the past 12 months\n* Self-reported pain of \\>7 on a scale of 0-10","55 Years",{"count":5,"type":21},[90],"The long-term goal of this project is to effectively bridge the research-clinic-community gap and to foster partnerships that support the implementation, utilization, and advocacy of evidence-based fall prevention programs in the older adult community. The Otago Exercise Program (OEP) is an evidence-based fall prevention program that has been shown to reduce falls and fall-related injuries among older adults. Traditionally, OEP is delivered in the home by a physical therapist and focuses on muscle strengthening and balance training. Despite its proven effectiveness, adherence and compliance rates have been low. The personnel and resource demands of program delivery, along with challenges in monitoring participant adherence, represent significant barriers to broader implementation. Alternative delivery systems using remote and community-based platforms may help address these limitations.\n\nSpecific Aim 1: To compare the effectiveness of two delivery modes of the Otago Exercise Program: a remotely delivered, home-based smartphone program and an in-person, community-based program.\n\nSpecific Aim 2: To examine the feasibility, acceptability, and usability of the Otago Exercise Program delivered through both smartphone-based and in-person formats.",[239,25],"Frail Elderly",[241,187,242,243,63,244],"Otago","Smartphone","Group Exercise","Stepping","2026-02-24",{"date":247,"type":32},"2026-02-25",{"date":249,"type":32},"2026-02-16",{"date":251,"type":21},"2026-12-01",{"name":253,"class":39},"Binghamton University",{"id":255,"slug":256,"hasResults":12,"nctId":257,"briefTitle":258,"officialTitle":259,"acronym":4,"eligibilityCriteria":260,"healthyVolunteers":85,"sex":17,"minAge":4,"maxAge":4,"enrollmentInfo":261,"targetDuration":4,"studyType":88,"phases":263,"briefSummary":264,"conditions":265,"keywords":266,"overallStatus":28,"whyStopped":4,"lastUpdateSubmitDate":267,"lastUpdatePostDateStruct":268,"startDateStruct":270,"completionDateStruct":272,"leadSponsor":274,"locationsCount":109},"100623013","the-effect-of-standard-patient-and-web-based-simulation-on-fall-knowledge-and-attitudes-among-nursing-students-100623013","NCT07391111","THE EFFECT OF STANDARD PATIENT AND WEB-BASED SIMULATION ON FALL KNOWLEDGE AND ATTITUDES AMONG NURSING STUDENTS","THE EFFECT OF STANDARD PATIENT AND WEB-BASED SIMULATION APPLICATIONS ON NURSING STUDENTS' KNOWLEDGE AND ATTITUDES TOWARDS FALLS","Inclusion Criteria:Students were included in the study if they were:\n\n* A senior nursing student at Aydın Adnan Menderes University Faculty of Nursing\n* Volunteering to participate in the study\n* Not absent at any time during the study period\n* Working\u002Fnot working as a nurse\n\nExclusion Criteria:\n\n* Graduated from a health vocational high school\n* Admitted through the Foreign Student Exam (YÖS)\n* Graduated from a health-related associate's degree program and then enrolled in the nursing department through the Vertical Transfer Exam (DGS)\n* Students who did not wish to participate in the study were excluded from the study.",{"count":262,"type":21},81,[90],"The most fundamental principle of any healthcare service is \"First, do no harm.\" No one should be harmed in healthcare services. Falls are the most frequently reported and preventable incident among all safety incidents in the hospital environment. However, falls are the most frequently reported incident among all safety incidents. Patient falls are the most common adverse events in hospitals. Patient falls in hospitals cause physiological and psychological harm to patients, affect the timeliness, effectiveness, and efficiency of care, and lead to increases in hospital costs and length of stay. Therefore, preventing falls, which have serious consequences, is of vital importance in terms of patient safety and healthcare quality. Nurses are a group that can sensitively identify and manage issues related to patient safety. Therefore, it is important to identify and reduce the underlying risk factors for falls in patients and to provide appropriate nursing interventions to prevent secondary injuries in patients who have fallen.\n\nSimulation is an important part of nursing education because it improves patient care and ensures patient safety. Simulation-based learning provides students with realistic clinical situations, allowing them to practice clinical skills in a safe environment. This enables students to develop their clinical skills, communication, decision-making, and self-efficacy in a risk-free, safe, and structured environment, representing a contemporary teaching approach.\n\nTeaching safe patient care during nursing students' education is one of the most fundamental elements of nursing education. Inadequate nursing knowledge and attitudes increase the risk of falls among patients receiving care. Students with insufficient clinical experience are at high risk of making undesirable errors in patient care. It is important to increase nursing students' knowledge and attitudes regarding falls during their education.\n\nThe standard patient and web-based simulation application offers the closest experience to real clinical situations, providing students with significant potential to become aware of falls they may encounter in practice and prevent potential errors. The increasing importance given to patient safety due to the rising number of fall cases supports the necessity of this research. The aim of this study is to evaluate the effect of standard patient and web-based simulation methods on nursing students' knowledge and attitudes regarding falls.",[93,25,94],[96,97,98,99],"2026-02-02",{"date":269,"type":32},"2026-02-05",{"date":271,"type":21},"2026-01-05",{"date":273,"type":21},"2026-05-22",{"name":108,"class":39},{"id":276,"slug":277,"hasResults":12,"nctId":278,"briefTitle":279,"officialTitle":280,"acronym":281,"eligibilityCriteria":282,"healthyVolunteers":12,"sex":17,"minAge":48,"maxAge":4,"enrollmentInfo":283,"targetDuration":4,"studyType":88,"phases":284,"briefSummary":285,"conditions":286,"keywords":287,"overallStatus":28,"whyStopped":4,"lastUpdateSubmitDate":290,"lastUpdatePostDateStruct":291,"startDateStruct":293,"completionDateStruct":294,"leadSponsor":296,"locationsCount":4},"100622049","intervention-to-master-complex-fall-risk-situations-in-persons-with-multiple-sclerosis-star-100622049","NCT07378566","Intervention to Master Complex Fall Risk Situations in Persons With Multiple Sclerosis (STAR)","Digitally Supported Intervention to Master Complex Fall Risk Situations in Persons With Multiple Sclerosis - a Multicenter Study (STAR)","STAR","Inclusion Criteria:\n\n* Diagnosed with MS\n* Affected ability to walk du to MS according to the participant\n* At least one self-reported fall the last 3 months due to MS according to the participant\n\nExclusion Criteria:\n\n* Unable to walk 100m even with walking device and\u002For pauses.\n* Apparently affected walking ability due to other conditions such as for example orthopedic or other neurological diseases.\n* Difficulty to answer questionnaires written in Swedish",{"count":175,"type":21},[90],"People with multiple sclerosis (MS) have a higher fall risk compared to older people and to the general population. A meta-analysis reported that 56% of those with mild to moderate MS, fell at least once during a 3-month period. The risk of falling seems to peak when the walking distance starts to be affected and when walking aids are introduced and the walking distance is as short as 100 m. Previous studies have identified a number of fall risk factors, both relating to MS- symptoms and contextual factors. In a study published in 2025, we reported the complexity of fallsituations and the interaction between triggering factors, contextual factors and activities and circumstances that occurred before the fall incidents . The symptoms when having MS varies between individuals as well as over time. I the planned randomised, controlled multicenter study we move forward, producing individual fallrisk analyses based upon the findings from the study published in 2025, and offer individual strategies. This has not been studied before. All participants will receive general information on how fall risk can be prevented. Those randomised to control group will be offered the intervention after ending of the study. The study will be conducted in two phases starting with an internal pilot study followed by a full scale randomized controlled trial (RCT).",[53,25],[288,289],"falls","prevention","2026-01-22",{"date":292,"type":32},"2026-01-30",{"date":161,"type":21},{"date":295,"type":21},"2028-12-31",{"name":297,"class":39},"Region Örebro County",{"id":299,"slug":300,"hasResults":12,"nctId":301,"briefTitle":302,"officialTitle":302,"acronym":303,"eligibilityCriteria":304,"healthyVolunteers":12,"sex":17,"minAge":305,"maxAge":4,"enrollmentInfo":306,"targetDuration":4,"studyType":88,"phases":308,"briefSummary":310,"conditions":311,"keywords":4,"overallStatus":68,"whyStopped":4,"lastUpdateSubmitDate":315,"lastUpdatePostDateStruct":316,"startDateStruct":318,"completionDateStruct":320,"leadSponsor":322,"locationsCount":109},"100555571","phase-1-hiv-and-alcohol-research-center-focused-on-polypharmacy-harp-pilot-2-2nd-harp-pilot-intervention-100555571","NCT06513819","HIV and Alcohol Research Center Focused on Polypharmacy (HARP) Pilot 2 (2nd HARP Pilot Intervention)","HARP","Inclusion Criteria:\n\n* HIV+\n* have visited a local VA site in within the past year\n* had an AUDIT-C indicating current alcohol use\n* taking 5 or more non-ART medications, including an NCAM (i.e., benzodiazepines, opioids, muscle relaxants, sleeping medication, and selective serotonin reuptake inhibitors)\n\nExclusion Criteria:\n\n* Inpatient individuals\n* Patients with an Alcohol Use Disorder (AUD) diagnosis in the past 12 months\n* Patients who test positive on the Alcohol Symptom Checklist for moderate or severe AUD during the screening process","50 Years",{"count":307,"type":21},100,[309],"PHASE1","The focus of this pilot will be on falls and neurocognitive symptoms, and the impact of alcohol, cannabis use, and medications on these outcomes. The rationale is that alcohol use at any level may interact with neurocognitively active medications, alcohol, and cannabis use leading to falls and impaired cognition.",[312,313,25,314],"Hiv","Alcohol Drinking","Cannabis Use","2026-01-13",{"date":317,"type":32},"2026-01-15",{"date":319,"type":32},"2025-01-15",{"date":321,"type":21},"2026-06",{"name":323,"class":39},"Yale University",{"id":325,"slug":326,"hasResults":12,"nctId":327,"briefTitle":328,"officialTitle":328,"acronym":329,"eligibilityCriteria":330,"healthyVolunteers":12,"sex":17,"minAge":18,"maxAge":173,"enrollmentInfo":331,"targetDuration":4,"studyType":88,"phases":333,"briefSummary":334,"conditions":335,"keywords":341,"overallStatus":68,"whyStopped":4,"lastUpdateSubmitDate":345,"lastUpdatePostDateStruct":346,"startDateStruct":348,"completionDateStruct":349,"leadSponsor":351,"locationsCount":109},"100609612","the-geriatric-emergency-department-pharmacologic-harm-prevention-project-100609612","NCT07216846","The Geriatric Emergency Department Pharmacologic Harm Prevention Project","GREAT PHARM","Inclusion Criteria:\n\n* Patients over the age of 65 with a ground level fall\n\nExclusion Criteria:\n\n* hospice and\u002For DNR status.",{"count":332,"type":21},1000,[90],"The goal of this project is to determine whether pharmacogenomic testing (using participants' DNA) can help optimize medication prescribing and reduce side effects in older adults taking five or more medications.\n\nThe main questions it aims to answer are:\n\n* Can DNA-based prescribing reduce medication-related side effects, especially falls and fall-related injuries?\n* Does providing pharmacogenomic results to primary care physicians improve medication safety compared with usual care?\n\nResearchers will compare two groups:\n\n1. DNA Care Pathway: Physicians receive patients' DNA results to guide prescribing.\n2. Emergency Department Care Pathway: Physicians provide usual care; DNA results are shared only after study completion.\n\nParticipants will:\n\n* Provide a cheek swab sample for DNA analysis (1 minute).\n* Receive monthly follow-up phone calls for 6 months to track falls, injuries, medication changes, and side effects.\n* Complete a fall and medication calendar.\n* Allow researchers to review primary care physician medical records for study outcomes.\n\nApproximately 1,000 participants will take part, with follow-up lasting about 6-7 months.",[25,336,337,338,339,340],"Fall Accident","Poly Pharmacy","Adverse Drug Events","Pharmacogenomic Drug Interaction","Pharmacogenomic Testing",[25,342,343,344],"Geriatric","Pharmacogenomic","adverse drug event","2026-01-07",{"date":347,"type":32},"2026-01-08",{"date":161,"type":32},{"date":350,"type":21},"2027-12-31",{"name":352,"class":39},"Florida Atlantic University",{"id":354,"slug":355,"hasResults":12,"nctId":356,"briefTitle":357,"officialTitle":358,"acronym":4,"eligibilityCriteria":359,"healthyVolunteers":12,"sex":360,"minAge":205,"maxAge":4,"enrollmentInfo":361,"targetDuration":4,"studyType":88,"phases":363,"briefSummary":364,"conditions":365,"keywords":368,"overallStatus":68,"whyStopped":4,"lastUpdateSubmitDate":373,"lastUpdatePostDateStruct":374,"startDateStruct":376,"completionDateStruct":378,"leadSponsor":380,"locationsCount":109},"100488603","effects-of-fall-prevention-program-on-the-number-of-falls-among-elderly-following-total-knee-replacement-100488603","NCT05642260","Effects of Fall Prevention Program on the Number of Falls Among Elderly Following Total Knee Replacement","The Short- and Long-term Effects of Fall Prevention Program on the Number of Falls Among Elderly Following Total Knee Replacement: a Pragmatic Single-blinded Randomized Controlled Trial.","Inclusion Criteria:\n\n* Female gender.\n* Aged 60 years and older.\n* Diagnosed with primary osteoarthritis of the knee.\n* Underwent unilateral TKR.\n\nExclusion Criteria:\n\n* revision TKR surgery\n* history of systemic inflammatory conditions (i.e., rheumatoid arthritis, Lupus erythematosus),\n* neurological disorders (i.e., multiple sclerosis, Parkinson's disease, stroke)\n* lower limb surgery\u002Ftrauma in the past 12 months\n* have cognitive and\u002For vision impairments\n* post-surgical complications (e.g., infection, intraoperative fracture)\n* any health condition that may preclude them from undertaking physiotherapy.","FEMALE",{"count":362,"type":21},90,[90],"the aim of the proposed research is to investigate the short and long-term effects of integrating a comprehensive fall prevention programme into conventional physiotherapy on the number of falls, balance, and functional ability among elderly following TKR. the investigator hypothesize that conventional physiotherapy integrated with a fall prevention program is more effective than conventional physiotherapy alone in improving balance and functional ability and preventing the occurrence of falls among elderly following TKR.\n\nStudy type: The proposed study is a parallel group prospective (24 weeks) randomised single-blinded pragmatic controlled trial.\n\nParticipants: Older adults operated for TKR at Al-Razi orthopedic hospital, who met the inclusion criteria.",[25,366,367],"Osteo Arthritis Knee","Total Knee Replacement",[369,370,126,371,372],"fall","older people","TKR","rehabilitation","2025-12-02",{"date":375,"type":32},"2025-12-09",{"date":377,"type":32},"2023-01-08",{"date":379,"type":21},"2026-09-08",{"name":381,"class":226},"Ministry of Health, Kuwait",{"id":383,"slug":384,"hasResults":12,"nctId":385,"briefTitle":386,"officialTitle":387,"acronym":388,"eligibilityCriteria":389,"healthyVolunteers":12,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":390,"targetDuration":4,"studyType":22,"phases":4,"briefSummary":392,"conditions":393,"keywords":397,"overallStatus":28,"whyStopped":4,"lastUpdateSubmitDate":401,"lastUpdatePostDateStruct":402,"startDateStruct":404,"completionDateStruct":406,"leadSponsor":408,"locationsCount":4},"100605530","incidence-and-factors-of-functional-decline-after-emergency-department-discharge-in-older-adults-with-falls-100605530","NCT07163715","Incidence and Factors of Functional Decline After Emergency Department Discharge in Older Adults With Falls","Prospective Cohort Study on the Incidence and Associated Factors of Decline in Activities of Daily Living Among Older Adults Discharged From the Emergency Department After a Fall","FALL-ADL","Inclusion Criteria:\n\n* Age ≥ 65 years\n* Presentation to the emergency department with a simple (non-injurious) fall\n* Discharged from the ED without hospitalization\n* Cognitively able to answer online or telephone follow-up interviews\n\nExclusion Criteria:\n\n* Falls due to traumatic events other than simple falls\n* Hospital admission required after the fall\n* Presence of acute confusion, dementia, or other severe cognitive impairment\n* Inability to access online or telephone follow-up during the 30-day study period",{"count":391,"type":21},280,"The goal of this observational study is to learn about changes in activities of daily living (ADL) in older adults after being discharged from the emergency department (ED) following a fall.\n\nThe main questions this study aims to answer are:\n\nHow often do older adults experience a decline in their ability to perform daily activities after being discharged from the ED for a fall? What health or lifestyle factors (such as frailty, medications, physical activity, or fear of falling) are related to this decline? Participants will be 65 years or older, admitted to the ED for a simple fall, and discharged without hospitalization. At the time of their ED visit, participants will be asked questions about their health, medications, activity level, and daily functioning. They will then be contacted online or by phone at 7 days and 30 days after discharge to answer follow-up questions.\n\nThis study will help identify how common functional decline is after falls in older adults discharged from the ED, and which factors may predict higher risk. These findings could help improve follow-up care and prevention strategies for older patients.",[25,394,395,396],"Daily Activities","Functional Decline","Older Adults (65 Years and Older)",[187,398,399,400],"Decline fictional status","Decline daily activities","Emergency medicine","2025-09-02",{"date":403,"type":32},"2025-09-09",{"date":405,"type":21},"2025-09-05",{"date":407,"type":21},"2025-12-05",{"name":409,"class":39},"Ege University",{"id":411,"slug":412,"hasResults":12,"nctId":413,"briefTitle":414,"officialTitle":414,"acronym":415,"eligibilityCriteria":416,"healthyVolunteers":12,"sex":17,"minAge":417,"maxAge":4,"enrollmentInfo":418,"targetDuration":4,"studyType":88,"phases":420,"briefSummary":421,"conditions":422,"keywords":426,"overallStatus":68,"whyStopped":4,"lastUpdateSubmitDate":401,"lastUpdatePostDateStruct":431,"startDateStruct":432,"completionDateStruct":434,"leadSponsor":436,"locationsCount":109},"100506488","superiority-of-intelligent-video-surveillance--telealarm-over-telealarm-alone-in-elderly-people-at-risk-of-falling-100506488","NCT05875038","Superiority of Intelligent Video Surveillance + Telealarm Over Telealarm Alone in Elderly People at Risk of Falling","VIGIALARM","Inclusion Criteria:\n\n* Person aged 75 years or more\n* hospitalized in an acute geriatric service or in a geriatric or multipurpose rehabilitation care service\n* If living alone: receiving at least one visit per day from a relative or professional\n* Recent history of fall and monopodal support \\\u003C 5 seconds\n* Able to give informed consent.\n* Return home considered complex by the patient or their relatives due to the risk of falling at home.\n\nExclusion Criteria:\n\n* Under legal protection\n* Not affiliated to a social security system\n* Confined to bed or chair","75 Years",{"count":419,"type":21},395,[90],"Maintaining the elderly at home and preventing them from falling are major public health issues. The vast majority of elderly people wish to remain at home. The fear of a fall with prolonged standing is a frequent reason for institutionalization. There are few procedures that have been shown to be effective in preventing falls and their complications. Prolonged standing on the floor is a major complication that can lead to multiple events, including death.\n\nTele-alarms are widely used in France and in Europe, but their effectiveness in the event of a fall is poor and their use is restrictive (they require physical and mental capacities to activate). However, elderly people at risk of falling are often frail or dependent, suffering from cognitive disorders and sometimes polymorbid, which explains the large number of failures of tele-alarms. There are other alert systems, notably intelligent video surveillance systems such as the VA2CS. This is a video system placed in the home that analyzes the position of subjects in real time using algorithms based on artificial intelligence. The system works continuously without video capture and sends an alert with a photo if a person is lying down after a fall. The alert is confirmed after an operator has checked the photo capture on a dedicated platform. To date, it has a sensitivity and specificity of over 90% (manufacturer's data not published). Its performance is equivalent to other intelligent video surveillance systems published in the literature. This system is autonomous and does not rely on the abilities of the person at risk of falling. Intelligent video surveillance is an innovative technology which has not yet been evaluated in a geriatric care program, nor compared to a reference or analyzed from a quality of life or medico-economic perspective.\n\nThe hypothesis of this study is that intelligent video surveillance allows an exhaustive and early detection of the fall with a faster alert enabling to avoid prolonged standing on the ground and its consequences compared to the tele-alarm alone.",[423,25,424,425],"Intelligent Video Surveillance","Home","Frail Elderly Person",[427,25,428,429,430],"intelligent video surveillance","home","frail elderly person","teleassistance",{"date":403,"type":32},{"date":433,"type":32},"2023-05-16",{"date":435,"type":21},"2026-12",{"name":437,"class":39},"Centre Hospitalier Universitaire, Amiens",{"id":439,"slug":440,"hasResults":12,"nctId":441,"briefTitle":442,"officialTitle":443,"acronym":444,"eligibilityCriteria":445,"healthyVolunteers":12,"sex":17,"minAge":417,"maxAge":4,"enrollmentInfo":446,"targetDuration":4,"studyType":88,"phases":448,"briefSummary":449,"conditions":450,"keywords":451,"overallStatus":68,"whyStopped":4,"lastUpdateSubmitDate":456,"lastUpdatePostDateStruct":457,"startDateStruct":459,"completionDateStruct":461,"leadSponsor":463,"locationsCount":109},"100515402","relation-between-psychoactive-drugs-overdosage-and-severity-of-falls-in-elderly-people-100515402","NCT05991037","Relation Between Psychoactive Drugs Overdosage and Severity of Falls in Elderly People","Consequence of Plasma Concentrations of Psychoactive Drugs Located Beyond Therapeutic Ranges on Severity of Falls in Patients Over 75 Years Old","MEDIFALL","Inclusion Criteria:\n\n* Patient (male, female) aged 75 and over admitted to the emergency room for a fall and for whom hospitalization (in geriatrics or not) after going to the emergency room is planned\n* Patient consuming at least one psychoactive drug from the list provided in the protocol\n* Patient able to move before hospitalization with or without technical assistance\n* Patient who signed the consent\n* Patient subject to the social security system\n\nExclusion Criteria:\n\n* Patient not requiring hospitalization after going to the emergency room\n* Patient having fallen for more than 12 hours before inclusion in the study (time of sampling) \\[risk of excessive elimination of certain drugs with short half-lives\\]\n* Parkinsonian patient or patient who has fallen following a convulsive attack\n* Patient with a life-threatening prognosis in the very short term (state of shock, palliative care planned from the emergency room)\n* Patient in wheelchair or bedridden\n* Adult under legal protection, guardianship, curators\n* Patient not understanding the French language",{"count":447,"type":21},400,[90],"There are many epidemiological data on the relationship between the number or nature of psychoactive medications used and the risk of falling in elderly, but very little on the relationship between the amount of psychoactive medication actually present in the blood and the severity of the fall. However, the inevitable drug-drug interactions related to polypharmacy and the pharmacokinetic modifications related to old age may lead plasma overdose situations which can potentiate the risk of falls but also aggravate these consequences. The investigators therefore propose a study with the objective of verifying whether the proportion of falls with serious traumatic consequences is more frequent in patients over 75 years old, presenting plasma overdoses of psychoactive drugs (plasma concentrations higher than the usual therapeutic concentrations) in regard to those between therapeutic ranges.\n\nThe aim of this work is to verify if the falls present more severe characters when the psychoactive drug concentrations are beyond the usual therapeutic ranges.",[25],[369,452,453,454,455],"psychoactive drugs","old patients","prescription","plasmatic concentrations","2025-07-22",{"date":458,"type":32},"2025-07-25",{"date":460,"type":32},"2024-05-22",{"date":462,"type":21},"2028-05-30",{"name":464,"class":39},"University Hospital, Caen",{"id":466,"slug":467,"hasResults":12,"nctId":468,"briefTitle":469,"officialTitle":470,"acronym":471,"eligibilityCriteria":472,"healthyVolunteers":12,"sex":17,"minAge":4,"maxAge":4,"enrollmentInfo":473,"targetDuration":4,"studyType":88,"phases":475,"briefSummary":476,"conditions":477,"keywords":479,"overallStatus":68,"whyStopped":4,"lastUpdateSubmitDate":484,"lastUpdatePostDateStruct":485,"startDateStruct":487,"completionDateStruct":489,"leadSponsor":491,"locationsCount":109},"100597422","steps-against-the-burden-of-parkinsons-disease---rct-kiel-100597422","NCT07058285","Steps Against the Burden of Parkinson's Disease - RCT Kiel","Steps Against the Burden of Parkinson's Disease","StepuP","Inclusion criteria\n\n1. Diagnosis of PD according to the MDS Criteria\n2. Hoehn and Yahr stages I to III;\n3. Movement Disorder Society-sponsored version of the Unified Parkinson Disease Rating Scale (MDS-UPDRS) gait sub-score of 1 or more\n4. Signed informed consent to participation\n\nExclusion criteria\n\n* Any known general health condition likely to interfere with or to pose a contraindication to non-medically supervised physical exercise.\n* Moderate or severe depression (BDI-II ≥18)\n* Cognitive impairment which may preclude the possibility to provide a fully informed consent to enrolment.\n* Linguistic comprehension capacity less than 75% in ordinary conversation\n* Severe psychiatric comorbidity which may interfere with compliance to the study protocol\n* History of or current status of substance dependency\n* Unable to walk less than 1 floor\n* Thoracic pain in the last 4 weeks\n* Currently enrolled in other interventional studies\n* Implanted Deep Brain Stimulation device",{"count":474,"type":21},42,[90],"Parkinson's disease (PD) affects over 10 million worldwide, causing unstable gait and falls in 70% of patients despite medication. This leads to confidence loss, isolation, fractures, and hospitalizations. Treadmill training, augmented by mechanical\u002Fvirtual-reality triggers, has proven effective in enhancing gait and reducing falls. However, underlying treadmill training mechanisms are unclear. To personalize training, we'll explore how PD patients benefit and transfer effects to daily life.\n\nThis trial is part of three parallel randomized controlled trials within the Steps Against the Burden of Parkinson's Disease (CT-IDs: 6ef2e427b002, 6ef2e427b003, 6ef2e427b004) project, which will perform a pooled analysis across all sites in addition to individual RCT analyses. Each trial adheres to a shared core protocol while allowing for adaptations in the perturbation protocol, ensuring that data can be combined. Importantly, mechanistic findings and outcomes from this specific RCT will be reported independently, but also as part of a pooled analysis.\n\nIn this trials, PD patients will undergo treadmill training with and without adaptations (perturbations). 12 sessions of treadmill training will be provided, with pre\u002Fpost assessments and a Follow-up 12±2 weeks following T1 with pre\u002Fpost assessments and a Follow-up 12±2 weeks following T1 at 8 to 12 weeks after the post assessment. For post treadmill training a phone app will be offered as a home-based speed dependent walk training intervention. This intervention is an App based training for gait adaptability and allows users to set their own training time and pace. It delivers a rhythmic metronomic beat for three different walking speeds, designed to trigger movement and encourage better walking patterns. Gait improvements are expected, driven by sensorimotor integration improving balance control. Biomechanical data analysis will reveal enhanced foot placement control. Neurophysiological changes will be studied through EEG and EMG, aiming to find improved gait stability with reduced EEG beta power and increased EEG-EMG coherence.\n\nGait improvement in the lab might not correlate with daily-life results. Gait self-efficacy could influence transfer, prompting investigation into mechanistic associations with mobility outcomes. Remote digital tools will assess week-long mobility outcomes, employing machine learning to comprehend why some improve both in lab and life, while others don't. This will uncover mechanisms translating treatment effects into real-world outcomes, aiding personalized intervention development.",[478,25],"Parkinson Disease",[480,481,482,483],"EEG","EMG","perturbation","daily-life gait","2025-06-30",{"date":486,"type":32},"2025-07-10",{"date":488,"type":32},"2024-07-25",{"date":490,"type":21},"2026-04-30",{"name":492,"class":39},"University of Kiel",{"id":494,"slug":495,"hasResults":12,"nctId":496,"briefTitle":497,"officialTitle":498,"acronym":4,"eligibilityCriteria":499,"healthyVolunteers":12,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":500,"targetDuration":4,"studyType":88,"phases":501,"briefSummary":502,"conditions":503,"keywords":505,"overallStatus":68,"whyStopped":4,"lastUpdateSubmitDate":507,"lastUpdatePostDateStruct":508,"startDateStruct":510,"completionDateStruct":512,"leadSponsor":514,"locationsCount":109},"100545864","feasibility-of-fabric-orthosis-for-knee-support-in-elderly-gait-improvement-100545864","NCT06387459","Feasibility of Fabric Orthosis for Knee Support in Elderly Gait Improvement","Safety and Feasibility of Knee Extensor Muscle-mimicking, Fabric-type Orthosis on Gait in Geriatric Patients: Pilot Clinical Trial","Inclusion Criteria:\n\nEligibility for participation in the study requires that all the following criteria are met:\n\n1. Age: Participants must be 65 years of age or older.\n2. Comprehension and Compliance: Able to fully understand and comply with the instructions and study procedures.\n3. Mobility-Impacting Conditions: Must have at least one of the following conditions affecting mobility: (1)Sarcopenia:\n\n   * Muscle Strength: Handgrip strength of \\\u003C28 kg for men and \\\u003C18 kg for women.\n   * Muscle Function: Short Physical Performance Battery (SPPB) score of 8 or less.\n   * Muscle Mass: Bioelectrical impedance analysis (BIA) showing muscle mass \\\u003C7.0 kg\u002Fm² for men and \\\u003C5.7 kg\u002Fm² for women. (2)Diabetes:\n   * Diagnosed distal symmetric polyneuropathy.\n   * Sensory impairments in toes or feet. (3)Knee Osteoarthritis:\n   * Kellgren-Lawrence grade ≥2.\n   * Persistent pain (≥3 months) with a severity of at least 3 on the Numerical Rating Scale (NRS).\n\nExclusion Criteria:\n\nIndividuals meeting any of the following criteria will be excluded from study participation:\n\n1. Inability to Consent: Unable to provide informed consent or not willing to participate in the study procedures.\n2. Severe Sensory or Motion Limitations: Including severe visual or vestibular impairments that could increase the risk of falling.\n3. Communication Barriers: Significant hearing, speech, or language problems that would hinder communication with study personnel.\n4. Independent Walking Inability: Cannot walk independently without the aid of a walking device.\n5. Other Significant Diseases or Conditions:\n\n   * Neurological disorders that affect walking ability (e.g., stroke, Parkinson's disease).\n   * Orthopedic or musculoskeletal conditions severely affecting lower limb function.\n   * Severe cardiovascular conditions including uncontrolled hypertension or heart failure.\n   * Respiratory diseases requiring regular oxygen therapy.\n   * Active cancer treatment or cancer treatment within the past 3 years (except basal cell carcinoma or localized prostate cancer).\n   * Severe psychiatric disorders like schizophrenia or bipolar disorder.\n6. Other Exclusionary Factors:\n\n   * Past severe orthopedic surgeries on lower limbs which might affect gait and mobility.\n   * Severe back pain or any other condition affecting mobility not already listed.",{"count":5,"type":21},[90],"This pilot clinical trial assesses the safety and feasibility of a novel fabric-type orthosis designed to mimic the knee extensor muscles and improve gait in elderly patients with mobility impairments due to conditions like sarcopenia, diabetes, or knee osteoarthritis. The study aims to test this orthosis in a real- world setting to see if it can enhance mobility and stability for elderly individuals, potentially reducing falls and improving quality of life. A total of 30 participants aged 65 and older will be recruited to use this orthosis across multiple sessions, where their gait will be analyzed under various conditions to measure the device's impact on walking speed, stability, and muscle activation.",[64,25,504],"Orthotic Devices",[506],"Geriatric patient","2025-06-08",{"date":509,"type":32},"2025-06-11",{"date":511,"type":32},"2024-07-31",{"date":513,"type":21},"2026-05-14",{"name":515,"class":39},"Seoul National University Hospital",{"id":517,"slug":518,"hasResults":12,"nctId":519,"briefTitle":520,"officialTitle":521,"acronym":4,"eligibilityCriteria":522,"healthyVolunteers":85,"sex":17,"minAge":523,"maxAge":4,"enrollmentInfo":524,"targetDuration":4,"studyType":22,"phases":4,"briefSummary":525,"conditions":526,"keywords":528,"overallStatus":68,"whyStopped":4,"lastUpdateSubmitDate":532,"lastUpdatePostDateStruct":533,"startDateStruct":535,"completionDateStruct":537,"leadSponsor":539,"locationsCount":109},"100545295","predicting-fall-risk-in-stroke-patients-using-a-machine-learning-model-and-multi-sensor-data-100545295","NCT06380049","Predicting Fall Risk in Stroke Patients Using a Machine Learning Model and Multi-Sensor Data","Development and Validation of a Machine Learning-based Model to Predict a High-risk Group for Falls Using Multi-sensor Signals in Stroke Patients","Stroke Participants\n\nInclusion Criteria:\n\n* 19 years and older\n* the onset of the stroke is less than 3months ago\n* Lower extremity weakness due to stroke (MMT =\\\u003C 4 grade)\n* Cognitive ability to follow commands\n\nExclusion Criteria:\n\n* stroke recurrence\n* other neurological abnormalities (e.g. parkinson's disease).\n* severely impaired cognition\n* serious and complex medical conditions(e.g. active cancer)\n* cardiac pacemaker or other implanted electronic system\n\nHealth Participants\n\nInclusion Criteria:\n\n* 19 years and older\n* Individuals who fully understand the necessity of the study and have voluntarily consented to participate as subjects\n\nExclusion Criteria:\n\n* other neurological abnormalities (e.g. parkinson's disease).\n* severely impaired cognition\n* serious and complex medical conditions(e.g. active cancer)\n* cardiac pacemaker or other implanted electronic system","19 Years",{"count":362,"type":21},"The study assesses a machine learning model developed to predict fall risk among stroke patients using multi-sensor signals. This prospective, multicenter, open-label, sponsor-initiated confirmatory trial aims to validate the safety and efficacy of the model which utilizes electromyography (EMG) signals to categorize patients into high-risk or low-risk fall categories. The innovative approach hopes to offer a predictive tool that enhances preventative strategies in clinical settings, potentially reducing fall-related injuries in stroke survivors.",[527,25],"Stroke",[529,530,531],"Predict model","Machin leanning","Electromyography","2025-05-30",{"date":534,"type":32},"2025-06-02",{"date":536,"type":32},"2024-05-20",{"date":538,"type":21},"2026-04-28",{"name":515,"class":39},{"id":541,"slug":542,"hasResults":12,"nctId":543,"briefTitle":544,"officialTitle":545,"acronym":4,"eligibilityCriteria":546,"healthyVolunteers":85,"sex":17,"minAge":4,"maxAge":4,"enrollmentInfo":547,"targetDuration":4,"studyType":88,"phases":549,"briefSummary":550,"conditions":551,"keywords":555,"overallStatus":68,"whyStopped":4,"lastUpdateSubmitDate":560,"lastUpdatePostDateStruct":561,"startDateStruct":563,"completionDateStruct":565,"leadSponsor":567,"locationsCount":109},"100462990","prosenior-prevention-of-pressure-ulcers-malnutrition-poor-oral-health-and-falls-among-older-persons-receiving-municipal-health-care-and-are-registered-in-the-quality-registry-senior-alert-100462990","NCT05308862","PROSENIOR. Prevention of Pressure Ulcers, Malnutrition, Poor Oral Health and Falls Among Older Persons Receiving Municipal Health Care and Are Registered in the Quality Registry Senior Alert","Prevention of Pressure Ulcers, Malnutrition, Poor Oral Health and Falls Among Older Persons Receiving Municipal Health Care and Are Registered in the Quality Registry Senior Alert","Inclusion Criteria:\n\n* Nursing homes registering in Senior Alert, which is a national quality registry\n\nExclusion Criteria:\n\n* not meetin inclusion criteria",{"count":548,"type":21},330,[90],"Inclusion criteria for study I and II is nurse aides, registered nurses and managers working in nursing homes who register in Senior Alert. To develop an intervention aiming to reduce the risk of pressure ulcers, malnutrition, poor oral health and falls among older persons in nursing homes, workshops will be conducted in collaboration with nurse aides, registered nurses and managers (study I). Cluster randomization is going to take place via a computerized program prior to the workshops meaning that only those nurse aides, registered nurses and managers working in nursing homes allocated to the intervention group are going to develop an intervention together with the research group and then test it (study II). The remaining nurse aides, registered nurses and managers working in nursing homes in the control group continue with regular care.",[25,552,553,554],"Pressure Ulcer","Malnutrition","Oral Health",[556,557,558,559],"Prevention","Older people","Nursing care","Complex intervention","2025-05-07",{"date":562,"type":32},"2025-05-09",{"date":564,"type":32},"2022-01-19",{"date":566,"type":21},"2025-12-31",{"name":568,"class":39},"Malmö University",{"id":570,"slug":571,"hasResults":12,"nctId":572,"briefTitle":573,"officialTitle":574,"acronym":4,"eligibilityCriteria":575,"healthyVolunteers":85,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":576,"targetDuration":4,"studyType":88,"phases":577,"briefSummary":578,"conditions":579,"keywords":4,"overallStatus":28,"whyStopped":4,"lastUpdateSubmitDate":580,"lastUpdatePostDateStruct":581,"startDateStruct":583,"completionDateStruct":585,"leadSponsor":587,"locationsCount":109},"100343350","clinical-impact-of-a-digital-home-based-falls-prevention-program-on-elderly-people-100343350","NCT03750500","Clinical Impact of a Digital Home-based Falls Prevention Program on Elderly People","Clinical Impact of a Digital Home-based Falls Prevention Program on Elderly People - a Randomized Controlled Trial","Inclusion Criteria:\n\n1. Patients aged over 65 years old\n2. Ability to walk at least 20 meters, unaided or with unilateral support\n3. Ability to understand motor complex commands\n4. Mini-Mental State Examination (MMSE) score \\> 24 points\n5. Functional independence for instrumental activities of daily living\n6. Risk of recurrent falls, defined as 5xSST score \\> 15,00 seconds\n\nExclusion Criteria:\n\n1. Patients residing in nursing homes, daycare units or assisted-living facilities\n2. Aphasia, dementia or psychiatric comorbidity, significantly interfering with communication or compliance with a home-based exercise program\n3. Severe visual our hearing, interfering with communication or with compliance to a home-based exercise program\n4. Cardiac, respiratory or other condition incompatible with at least 30 minutes of light to moderate physical activity\n5. Osteoarticular conditions (e.g. severe osteoarthrosis), which prevent the patient from complying with a home-based exercise program\n6. Patients with neurologic conditions (e.g. stroke, multiple sclerosis, Parkinson's disease)\n7. Other medical complications, which prevent the patient from complying with a home-based exercise program\n8. Illiteracy",{"count":307,"type":21},[90],"This study is a single-center, prospective, non-blind, parallel-group, randomized controlled trial with an experimental and a control group with the aim of evaluating the clinical impact of a home-based falls prevention program using a new biofeedback system on community-dwellers older adults with fall risk in comparison with standard of care.\n\nThe experimental group will perform a 12-week exercise program at home, under remote monitoring from a clinical team, whereas the control group will benefit from standard medical care currently in place at the participating primary care facility.\n\nThe hypothesis is that the home-based falls prevention program will lead to a lower risk of falling than standard medical care.",[25],"2024-12-04",{"date":582,"type":32},"2024-12-06",{"date":584,"type":21},"2025-05",{"date":586,"type":21},"2026-11",{"name":588,"class":589},"Sword Health, SA","INDUSTRY",{"id":591,"slug":592,"hasResults":12,"nctId":593,"briefTitle":594,"officialTitle":594,"acronym":595,"eligibilityCriteria":596,"healthyVolunteers":12,"sex":17,"minAge":205,"maxAge":205,"enrollmentInfo":597,"targetDuration":4,"studyType":88,"phases":598,"briefSummary":599,"conditions":600,"keywords":603,"overallStatus":68,"whyStopped":4,"lastUpdateSubmitDate":607,"lastUpdatePostDateStruct":608,"startDateStruct":610,"completionDateStruct":612,"leadSponsor":613,"locationsCount":109},"100542611","evaluate-the-results-of-fall-prevention-in-older-adults-with-type-2-diabetes-mellitus-100542611","NCT06345118","Evaluate the Results of Fall Prevention in Older Adults With Type 2 Diabetes Mellitus","FallT2DMOLD","Inclusion Criteria:\n\nFor the first objective (Cross-sectional study):\n\n* Type 2 diabetic patients diagnosed using American Diabetes Association 2022 criteria\n* HbA1c ≥ 7.0 and ≤ 9%\n* Age ≥ 60 and ≤ 80\n\nFor the second objective (Longitudinal study):\n\n* All patients recruited from the first objective are at moderate or high risk of falls according to the criteria of World Guidelines for Falls Prevention and Management for Older Adults - British Geriatric Society.\n\nExclusion Criteria:\n\n* Acute diabetic complications\n* Patients are in the acute phase of musculoskeletal disorders: acute gout, progressing low-grade arthritis, acute joint pain due to joint degeneration, sciatic pain, and infectious arthritis.\n* Patients suffer from conditions significantly affecting cognition and mobility: sequelae of stroke (with weakness, limb paralysis), muscular weakness, limb disabilities, severe heart failure, severe cognitive decline, and psychiatric disorders.\n* Patients have been bedridden due to illness for more than one month within the past three months up to the recruitment time.\n* Patients with cardiovascular diseases: chest pain, uncontrolled blood pressure ≥160\u002F100 mmHg, untreated cardiac arrhythmia, a history of congestive heart failure, severe valvular heart disease, myocarditis or pericarditis, and hypertrophic cardiomyopathy.",{"count":175,"type":21},[90],".This randomized controlled clinical trial aims to evaluate the effects of fall prevention in older adults with type 2 diabetes mellitus. The main questions it aims to answer are:\n\n* Describe the current situation of falls, the risk of falls, and some related factors in elderly type 2 diabetic patients\n* Evaluate the results of fall prevention and related factors in the study population.\n\nParticipants will be randomly divided into control and intervention groups. The intervention group will be trained to follow the Otago Training Program as the primary fall prevention method. On the other hand, the control group will receive the standard care following the treatment guidelines for type 2 diabetes mellitus and other comorbidities.\n\nAt the end of the intervention, the study will mainly compare the rate of fall incidents after 6 months of intervention as well as other physical performance tests.",[601,25,602],"Diabetes Mellitus, Type 2","Elderly Patient",[604,605,606],"Falls prevention","Diabetes Mellitus type2","Elderly patient","2024-11-12",{"date":609,"type":32},"2024-11-13",{"date":611,"type":32},"2024-03-01",{"date":566,"type":21},{"name":614,"class":226},"National Geriatric Hospital",{"id":616,"slug":617,"hasResults":12,"nctId":618,"briefTitle":619,"officialTitle":620,"acronym":4,"eligibilityCriteria":621,"healthyVolunteers":85,"sex":17,"minAge":18,"maxAge":622,"enrollmentInfo":623,"targetDuration":4,"studyType":88,"phases":624,"briefSummary":625,"conditions":626,"keywords":628,"overallStatus":28,"whyStopped":4,"lastUpdateSubmitDate":636,"lastUpdatePostDateStruct":637,"startDateStruct":639,"completionDateStruct":641,"leadSponsor":643,"locationsCount":109},"100559402","a-specific-dance-intervention-in-older-adults-in-hong-kong-100559402","NCT06563661","A Specific Dance Intervention in Older Adults in Hong Kong","The Efficacy of a Specific Dance Intervention to Improve the Balance and Reduce the Risks of Falls (SDIIBRF) in Older Adults: A Randomised Controlled Trial","Inclusion Criteria:\n\n1. age 65 or above;\n2. a total score of less than 25\u002F28 in the Tinetti Performance Oriented Mobility Assessment (POMA) scale.\n\nExclusion Criteria:\n\n1. a total score of less than 24\u002F30 in the Chinese version of the Mini-Mental State Examination (MMSE-C);\n2. the existence of any untreated cerebral vascular disease, Parkinson's disease, or any other major neurological deficit;\n3. the existence of any medical condition that can affect their safety during dance training sessions;\n4. unable to stand independently for at least 15 minutes without a walking aid;\n5. unable to walk independently indoor for at least 20 metres without a walking aid;\n6. previous experience of dance training;\n7. currently participating in any other formal exercise programme.","99 Years",{"count":307,"type":21},[90],"This study is a fully-powered randomised controlled trial and an essential follow-up study of our pilot work. The 21-style specific dance intervention to improve the balance and reduce the risks of falls (SDIIBRF) was suggested to be interesting, achievable, and compliable, according to the participants' feedback in the investigators' pilot work. Due to the expertly-designed and specifically-designed characteristics of the 21 dance styles in the SDIIBRF for improving balance and reducing risk of falls in older adults, the dance steps included in the SDIIBRF are unique and are largely different from the dance interventions that have already been reported in the literature. Based on the encouraging results of the preliminary efficacy in the investigators' pilot work and dance being a mind-body exercise, the investigators hypothesise that the specific dance programme will be efficacious in reducing the frequency of falls (primary outcome measure), improving the balance (secondary outcome measure for the main fall risk factor), and reducing the physical and psychological fall risk factors (secondary outcome measures) in Hong Kong's at-risk older adults. The findings could provide important new evidence for a feasible option for older adults as an innovative fall prevention exercise programme. The research question is \"Can the 21-style SDIIBRF reduce the frequency of falls, improve the balance, and reduce the fall risks in Hong Kong's older adults at moderate to high risk of falling? Therefore, the aim of this proposed study is to examine the efficacy of the 21-style SDIIBRF in reducing the frequency of falls, improving the balance, and reducing the fall risks in Hong Kong's older adults by comparing it with a wait-list control.",[25,627],"Age Problem",[629,630,604,631,63,632,633,634,635],"Efficacy","Dance programme","Older adults","Risk of falling","Fall risk factors","Hong Kong SAR","Randomised controlled trial","2024-08-21",{"date":638,"type":32},"2024-08-23",{"date":640,"type":21},"2024-12-01",{"date":642,"type":21},"2026-05-31",{"name":644,"class":39},"The Hong Kong Polytechnic University",{"id":646,"slug":647,"hasResults":12,"nctId":648,"briefTitle":649,"officialTitle":649,"acronym":4,"eligibilityCriteria":650,"healthyVolunteers":85,"sex":17,"minAge":205,"maxAge":651,"enrollmentInfo":652,"targetDuration":4,"studyType":88,"phases":653,"briefSummary":654,"conditions":655,"keywords":4,"overallStatus":28,"whyStopped":4,"lastUpdateSubmitDate":658,"lastUpdatePostDateStruct":659,"startDateStruct":661,"completionDateStruct":663,"leadSponsor":664,"locationsCount":78},"100558009","does-participation-in-a-fall-preparedness-program-improve-fall-efficacy-among-older-adults-100558009","NCT06545539","Does Participation in a Fall Preparedness Program Improve Fall Efficacy Among Older Adults","Inclusion Criteria:\n\n* Adults age 60 and up\n* able to participate in exercise program\n\nExclusion criteria:\n\n* Adults age \\\u003C60 year old\n* severe medical condition that prohibits the ability to participate in an exercise program\n* 6CIT score that indicates severely impaired cognition.\n\nSevere medical conditions will be screed by a licensed Physical Therapist. Under the Ohio Practice Act, physical therapists in Ohio are permitted to differently diagnosis. The class participants will be community-dwelling older adults who are less likely to come to participate in an exercise class if they have any severe medical conditions.\n\nAny participants with mild cognitive impairment who are not excluded from the study will be offered simplified instructions by the licensed physical therapist performing the assessments. They will also be offered increased verbal, visual, and tactile cues as needed throughout the program to ensure understanding.","105 Years",{"count":5,"type":21},[90],"The purpose of this study is to determine if a fall preparedness program can reduce the fear of falling in older adults and subsequently improve their function and reduce falls with injury.\n\nParticipants will perform baseline measures 4 weeks before intervention and again at the start of intervention. They will perform a 12-week intervention and then complete outcome measures again at the conclusion of the program.",[656,25,657],"Fall Injury","Falls (Accidents) in Old Age","2024-08-09",{"date":660,"type":32},"2024-08-13",{"date":662,"type":21},"2024-08-01",{"date":196,"type":21},{"name":665,"class":39},"Youngstown State University",{"id":667,"slug":668,"hasResults":12,"nctId":669,"briefTitle":670,"officialTitle":671,"acronym":672,"eligibilityCriteria":673,"healthyVolunteers":85,"sex":17,"minAge":4,"maxAge":4,"enrollmentInfo":674,"targetDuration":4,"studyType":88,"phases":675,"briefSummary":676,"conditions":677,"keywords":684,"overallStatus":68,"whyStopped":4,"lastUpdateSubmitDate":690,"lastUpdatePostDateStruct":691,"startDateStruct":693,"completionDateStruct":695,"leadSponsor":696,"locationsCount":109},"100556240","sumamos-excelencia-project-implementation-of-best-practices-in-clinical-practice-thrid-edition-100556240","NCT06522529","Sumamos Excelencia Project: Implementation of Best Practices in Clinical Practice (Thrid Edition)","SUMAMOS EXCELENCIA Project: Assessment of Implementation of Best Practices in a National Health System (Thrid Edition)","SE24","Inclusion Criteria:\n\n1. Unit inclusion criteria:\n\n   * NHS units and nursing homes which voluntary adhere to the project.\n   * NHS units and nursing homes providing direct patient care and commit to implement evidence-based recommendations on hand hygiene and one of the following topics: pain assessment and management, urinary incontinence management, obesity prevention and breastfeeding promotion, Smoking Cessation, falls prevention, pressure injuries prevention. For the purposes of this study, a \"unit\" is defined as any service, centre or institution that delivers health services to a homogeneous group of patients who share similar characteristics.\n2. Patient inclusion criteria: The study will include all patients attended in the units participating in the study, who meet the following criteria, depending on the recommendations to be implemented in each unit:\n\n   1. Pain:\n\n      * People susceptible to suffering some type of pain regardless of age.\n      * Patients treated in acute or chronic health institutions (Hospitals, Nursing Homes or Primary Care).\n   2. Urinary incontinence:\n\n      \\- Patients 18 years or older.\n\n      \\- Patients with uncomplicated stress, urge or mixed urinary incontinence\n\n      \\- At least 7 days of admission or possibility of continuity of care preferably up to 6 weeks.\n   3. Obesity:\n\n      * Babies and preschool children up to 12 years old.\n      * For ages 2 to 12 years (inclusive), children must not be overweight or obese 1 year prior to baseline measurement (in February 2021 or at the closest review to February 2021 at which BMI is recorded).\n      * Good general health.\n   4. Breastfeeding:\n\n      * Lactating people.\n      * Healthy neonates of gestational age greater than 36 weeks, with birth weight greater than or equal to 2500 gr.\n      * Couples and relatives within the support network.\n      * Postpartum period and up to 6 months of life of the baby (183 days of life, included).\n      * In primary care, only non-urgent care will be included.\n   5. Smoking Cessation:\n\n      \\- ≥ 18 years of age\n      * Smokers\n   6. Pressure injury prevention:\n\n      \\- Adults population (≥ 18 years).\n      * Admitted to hospitals, nursing homes or included in home care programmes.\n      * Patients at risk of developing pressure injuries.\n   7. Falls prevention:\n\n      * Adults aged 65 years or older, and adults aged 18 years or older who may potentially present problems in walking as a result of neurological or traumatic diseases, medication, or who suffer from loss of strength or drowsiness.\n   8. Hand hygiene:\n\n      \\- All health professionals who care for patients in the units participating in the study.\n\n      Exclusion Criteria:\n\n      \\-",{"count":447,"type":21},[90],"There is a gap between research and clinical practice, leading to variability in decision-making. Multifaceted implementation strategies are for improving implementation of best practices. Quasi-experimental, multicentre, before and after. Primary care, hospital units and nursing homes, and the patients attended at both. Implementation of evidence-based recommendations by application of a multifaceted implementation strategy (training, audit, context analysis, local strategies design, feedback, facilitation). Data will be collected at baseline and, during the first year of follow up, at months (4,8,12)",[678,679,680,681,682,683,25],"Pain","Obesity, Childhood","Breast Feeding","Incontinence, Urinary","Smoking Cessation","Pressure Injury",[685,686,687,688,689],"Implementation","Implementation science","Evidence-based practice","Nursing","Quality of Health Care","2024-07-24",{"date":692,"type":32},"2024-07-26",{"date":694,"type":21},"2024-09-01",{"date":292,"type":21},{"name":697,"class":226},"Instituto de Salud Carlos III"]