Effects of an intervention based on case management on neuropsychological factors in faller older people: randomized clinical trial

• Grant number: 20/07720-2
• Support Opportunities: Scholarships in Brazil - Scientific Initiation
• Start date: June 01, 2021
• End date: August 31, 2023
• Field of knowledge: Interdisciplinary Subjects
• Principal Investigator: Juliana Hotta Ansai
• Grantee: João Vitor Businaro Florido
• Host Institution: Centro de Ciências Biológicas e da Saúde (CCBS). Universidade Federal de São Carlos (UFSCAR). São Carlos , SP, Brazil
• Associated scholarship(s): 22/04501-3 - Use of a treadmill gait adaptability test involving unpredictable obstacles and stepping targets to assess fall risk, BE.EP.IC

Abstract

Falls are directly related to morbidity and mortality in older people. Multifactorial and individualized approaches based on risk factors for falls are needed. Objective: To verify the effects of an intervention based on case management on neuropsychological factors in community-dwelling faller older people. Method: A single-blind randomized clinical trial will be conducted, with participants over 60 years old, and with a history of at least two falls in the last year. The assessment will take place in two moments, initially and after 16 weeks of intervention. Assessors blinded to the intervention will collect anamnesis data and neuropsychological factors (Addenbrooke Cognitive Examination - revised version, Mini Mental State Exam, Verbal Fluency Test, Geriatric Depression Scale and Falls Efficacy Scale-International). The Control Group will not carry out any intervention. The Intervention Group will be resigned to a case management for fallers, lasting 16 weeks, once a week. The intervention will address multidimensional assessment of risk factors for falls, discussion about the identified risk factors, preparation of an individualized intervention plan with the participant, application, monitoring and review of the plan. For analyzes, a significance level of ± = 0.05 will be adopted and the SPSS software (22.0) will be used to perform the statistical tests. The analysis will be carried out by intention of treatment. Expected results: It is expected to identify improvement on neuropsychological risk factors in the Intervention Group, and thereby to minimize the incidence of falls and other consequences in faller older people. (AU)