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Frail Elderly SyndromeDodgersNCT05682872

Multifactorial Fall Prevention Program

A study testing Physical exercise program (VIVIFRAIL) supervised by a physiotherapist, Adequacy of the environment and Polypharmacy review in people with Frail Elderly Syndrome, run by Castilla-La Mancha Health Service at 1 site in Spain.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

The main objective is evaluate the effectiveness of a Multifactorial Pilot Program on the Prevention of Falls in people aged 65 or over during 4 years at Gerencia de Atención Integrada de Talavera de la Reina. Read more about this study

Who is it for?
Ages 65 years and olderHealthy volunteers can take part
Conditions the study is for
Frail Elderly Syndrome
What is being tested?
Physical exercise program (VIVIFRAIL) supervised by a physiotherapist, Adequacy of the environment and Polypharmacy review
Could I receive a placebo?
No, everyone receives an active treatment
How many people
264 participants
Where
1 siteSpain
Study dates
9 Mar 2021to 9 Nov 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 65 years and older
  • All sexes
  • Healthy volunteers accepted
  • Older adult

Who may be able to join

  • 65 years old or older patients
  • Live in Talavera de la Reina
  • Ability to walk at the Health Center
  • ≥ 3 in the Downton Test
  • > 90 in the Barthel Index
  • Sign the informed consent

Who cannot join

  • Patients with an intense physical activity
  • Use of a wheelchair
  • Amputations or prosthetic limbs
  • Deafness
  • Blindness
  • Moderate or severe cognitive impairment
  • Vertebral, pelvic or lower limb fractures in the 12 months prior to entering the program
  • Absolute contraindication to physical exercise

Trial locations and contacts

1 site in 1 country.

Spain1 site
  • Gerencia de Atención Integrada de Talavera de la Reina

    Talavera de la Reina, Toledo, 45600

Other trials in Spain

About this study

Official title: Multifactorial Fall Prevention Program in People Aged 65 or Over of an Urban Area of Talavera de la Reina

The main objective is evaluate the effectiveness of a Multifactorial Pilot Program on the Prevention of Falls in people aged 65 or over during 4 years at Gerencia de Atención Integrada de Talavera de la Reina.

Read the detailed description

Introduction: Falls are a major global public health problem. Falls are the second leading cause of death from unintentional injuries in the world. The highest mortality rates correspond to 60 years old people. 20-30% suffer from moderate-serious injuries (hip fractures, head injuries...), that reduce mobility and independence, increasing the risk of premature death. Moreover, there are more than 400 risk factors. Most can be modified to decrease the risk of falling.

Objective: To evaluate the effectiveness of a Multifactorial Pilot Program on the Prevention of Falls in people aged 65 or over during 4 years at Gerencia de Atención Integrada de Talavera de la Reina.

Material and methods: Randomized clinical trial with 264 patients is carried out. 65 years old or older patients are recruited from primary care (≥ 1 positive response in the Frailty Screening Test, or ≥ 3 in the Downton Test and > 90 in the Barthel Index). Falls risk is assessed using validated scales. Experimental group receive multifactorial intervention (based on the GBPC "Prevention of Falls and reduction of Injuries derived from falls" - RNAO). Control group receive recommendations (physical exercise, health education on risk factors, footwear, exercise, home adaptation, nutrition, …). Variables are presented with their frequency distribution. Qualitative variables as median and range, and quantitatives with their mean and standard deviation. Association between qualitative variables are evaluated with Pearson's Chi-square test. Student's t test be used when the distribution of the variable adjusts to normality. The null hypothesis will be rejected with an error α less than 0.05.

Expected benefits: It is expected to reduce the risk of falls in 30-35% of 65 years old people or older in the urban area of Talavera de la Reina. It would mean great savings and improve the quality of life. It is expected to increase the years of healthy life. It is intended to provide health professionals with a tool to make clinical decisions based on evidence on the prevention of falls to be used as a unified work protocol at Gerencia de Atención Integrada de Talavera de la Reina.

Being tested
Physical exercise program (VIVIFRAIL) supervised by a physiotherapist, Adequacy of the environment, Polypharmacy review, Health education related to falls prevention (4 sessions), General Assement
Keywords
risk of falls, prevention, clinical trial

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Physical exercise program (VIVIFRAIL) supervised by a physiotherapistBehavioural

    Promotion of physical exercise program for frailty and falls prevention in elderly. Muscular strength training, cardiovascular resistance, balance and gait. Initially guided and supervised every 3 months by a physiotherapist.

  • Adequacy of the environmentBehavioural

    A home study and the environment will be made to diagnose fall risks. Guided and supervised by a occupational therapist during a home visit.

  • Polypharmacy reviewBehavioural

    Assessment of the medication that patients receives related to fall risks proposing its adjustment. Revised by a primary care doctor different from care routine.

  • Health education related to falls prevention (4 sessions)Behavioural

    SESSION 1: Fall Risk factors. Pharmacology. Nutrition and falls (Primary Care Doctor and Primary Care Nurse)

    SESSION 2: Accident prevention through environmental modification (Occupational Therapist)

    SESSION 3: Importance of physical exercise to prevent falls (Physiotherapist)

    SESSION 4: Footwear and foot care. How to react to a fall?: what to do and how to get up? (Primary Care Nurse)

  • General AssementBehavioural

    General assessment (feet, footwear, nutrition, cognitive/psychological, social of risk factors) carried out by Primary Care Doctor and Primary Care Nurse

  • Evaluation of patients by an expert groupBehavioural

    Evaluation of the patient by an expert group (Primary care doctor, primary care nurse, polypharmacy review doctor, occupational therapist, frailty group) and decision-making for correction of fall risk factors.

  • Information brochures on the importance of physical exerciseBehavioural

    Integrated Assistance Process for prevention falls in elderly. Benefits of physical exercise and fall prevention at home. Prepared by the Junta de Comunidades de Castilla-La Mancha and Servicio de Salud de Castilla-La Mancha.

  • Physical exercise program (VIVIFRAIL) supervised by a primary care doctor or primary care nurseBehavioural

    Promotion of physical exercise program for frailty and falls prevention in elderly. Muscular strength training, cardiovascular resistance, balance and gait. Supervised by primary care doctor o primary care nurse according to passport recommendations.

  • Regular assessment and follow-up by primary care doctor and primary care nurseBehavioural

    General assessment related to falls with the established protocols at primary care routine.

  • Health education related to falls prevention (1 session)Behavioural

    There will be a single session. The session will cover the following topics: Fall Risk factors. Pharmacology. Nutrition and falls. Accident prevention through environmental modification. Importance of physical exercise to prevent falls. Footwear and foot care. How to react to a fall?: what to do and how to get up?

Study groups in NCT05682872
Study groupRoleWhat they receive
Experimental GroupExperimentalExperimental group receive multifactorial intervention (based on the GBPC "Prevention of Falls and reduction of Injuries derived from falls" - RNAO).
Receives: Behavioral: Physical exercise program (VIVIFRAIL) supervised by a physiotherapist; Behavioral: Adequacy of the environment; Behavioral: Polypharmacy review; Behavioral: Health education related to falls prevention (4 sessions); Behavioral: General Assement; Behavioral: Evaluation of patients by an expert group; Behavioral: Information brochures on the importance of physical exercise
Control GroupActive comparatorControl group receive activities on falls prevention by Primary Care professionals on a care routine.
Receives: Behavioral: Information brochures on the importance of physical exercise; Behavioral: Physical exercise program (VIVIFRAIL) supervised by a primary care doctor or primary care nurse; Behavioral: Regular assessment and follow-up by primary care doctor and primary care nurse; Behavioral: Health education related to falls prevention (1 session)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of falls

    To assess the number of falls in the intervention group and control group to determine if the intervention group has a significantly lower rate of falls.

    Measured: 24 months after intervention

Secondary outcomes (2)
  1. Number of falls that have been treated in hospital

    Evaluate the number of falls that have been treated in hospital due to fractures or trauma resulting from falls

    Measured: 24 months after intervention

  2. Euroqol-5D-5L

    Evaluate the impact on the quality of life in people over 65 years of age who live in the community and who participate in this program

    Measured: 24 months after intervention

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Jan 2023
  2. Study start9 Mar 2021
  3. Primary completion9 Oct 2026 (estimated)
  4. Study completion9 Nov 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
264 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05682872
Sponsor's protocol ID
57/2020
Acronym
Dodgers
Status last verified
Jul 2025
First submitted
13 Dec 2022
Last updated
17 Jul 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Aranda-Gallardo M, Morales-Asencio JM, Canca-Sanchez JC, Toribio-Montero JC. Circumstances and causes of falls by patients at a Spanish acute care hospital. J Eval Clin Pract. 2014 Oct;20(5):631-7. doi: 10.1111/jep.12187. Epub 2014 Jun 5.

    PubMed 24902772
  • Viana TS, Martin MR, Crespo FN, Rodriguez EM, Merino GM, Ruiz JM, Lorenzo IL, Quintas CG. [What is the real incidence of falls in hospitals?]. Enferm Clin. 2011 Sep-Oct;21(5):271-4. doi: 10.1016/j.enfcli.2011.02.011. Epub 2011 Jun 30. Spanish.

    PubMed 21719335
  • Silva Gama ZA, Gomez Conesa A, Sobral Ferreira M. [Epidemiology of falls in the elderly in Spain: a systematic review, 2007]. Rev Esp Salud Publica. 2008 Jan-Feb;82(1):43-55. doi: 10.1590/s1135-57272008000100004. Spanish.

    PubMed 18398550
  • Ambrose AF, Cruz L, Paul G. Falls and Fractures: A systematic approach to screening and prevention. Maturitas. 2015 Sep;82(1):85-93. doi: 10.1016/j.maturitas.2015.06.035. Epub 2015 Jun 26.

    PubMed 26255681
  • Gillespie LD, Robertson MC, Gillespie WJ, Sherrington C, Gates S, Clemson LM, Lamb SE. Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2012 Sep 12;2012(9):CD007146. doi: 10.1002/14651858.CD007146.pub3.

    PubMed 22972103
  • Hopewell S, Adedire O, Copsey BJ, Boniface GJ, Sherrington C, Clemson L, Close JC, Lamb SE. Multifactorial and multiple component interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2018 Jul 23;7(7):CD012221. doi: 10.1002/14651858.CD012221.pub2.

    PubMed 30035305
  • Sherrington C, Michaleff ZA, Fairhall N, Paul SS, Tiedemann A, Whitney J, Cumming RG, Herbert RD, Close JCT, Lord SR. Exercise to prevent falls in older adults: an updated systematic review and meta-analysis. Br J Sports Med. 2017 Dec;51(24):1750-1758. doi: 10.1136/bjsports-2016-096547. Epub 2016 Oct 4.

    PubMed 27707740
  • Kyrdalen IL, Moen K, Roysland AS, Helbostad JL. The Otago Exercise Program performed as group training versus home training in fall-prone older people: a randomized controlled Trial. Physiother Res Int. 2014 Jun;19(2):108-16. doi: 10.1002/pri.1571. Epub 2013 Dec 11.

    PubMed 24339273
  • Izquierdo M, Casas-Herrero A, Zambm-Ferraresi F, Martínez-Velilla N, Alonso-Bouzón C, Rodríguez-Mañas L, et al. A Practical Guide for Prescribing a Multi-Component Physical Training Program to prevent weakness and falls in People over 70. 2017. http://www.vivifrail.com/resources.

  • Sepulveda-Loyola W, Rodriguez-Sanchez I, Perez-Rodriguez P, Ganz F, Torralba R, Oliveira DV, Rodriguez-Manas L. Impact of Social Isolation Due to COVID-19 on Health in Older People: Mental and Physical Effects and Recommendations. J Nutr Health Aging. 2020;24(9):938-947. doi: 10.1007/s12603-020-1469-2.

    PubMed 33155618
  • Jutkowitz E, Gitlin LN, Pizzi LT, Lee E, Dennis MP. Cost effectiveness of a home-based intervention that helps functionally vulnerable older adults age in place at home. J Aging Res. 2012;2012:680265. doi: 10.1155/2012/680265. Epub 2011 Aug 16.

    PubMed 21876812

Questions about this trial

What is this clinical trial studying?

A study testing Physical exercise program (VIVIFRAIL) supervised by a physiotherapist, Adequacy of the environment and Polypharmacy review in people with Frail Elderly Syndrome, run by Castilla-La Mancha Health Service at 1 site in Spain.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 17 Jul 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of falls (time frame: 24 months after intervention). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05682872, which also lists 11 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Jul 2025.

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