A multimodal and multidisciplinary program to prevent loss of mobility in patients aged over 70 years: study protocol of a multicenter cluster randomized study in primary care (the PRISME-3P study)

BMC Geriatrics

Amna Klich¹  Thomas Gilbert²  Marc Bonnefoy²  Laurent Villeneuve³  Sylvie Bin-Dorel³  Marine Dupuis³  Sofia Perrotin⁴  Laurent Letrilliart⁵ 

[1] Hospices Civils de Lyon, Service de Biostatistique;Hospices Civils de Lyon, Service de Médecine Gériatrique, Centre Hospitalier Lyon-Sud;Hospices Civils de Lyon, Unité de Recherche Clinique, Pôle Information Médicale Evaluation Recherche;University Lyon, Université Claude Bernard Lyon 1, Collège universitaire de médecine générale;University Lyon, Université Claude Bernard Lyon 1, Université Saint-Etienne, Collège universitaire de médecine générale;

关键词: Mobility;    Exercise;    Nutrition;    Primary care;    Prevention;    Elderly patients;   

DOI  :  10.1186/s12877-019-1059-5

来源: DOAJ

【 摘 要 】

Abstract Background Reduced mobility is the first sign of functional decline and can lead to dependency in elderly people. Screening for the risk of mobility limitation in this population is an important public health issue to prevent further disabilities. Despite the current lack of guidelines, primary care healthcare providers may have a central role to play in this type of screening. Multi-domain physical exercise interventions in older persons have shown some efficacy/effectiveness on frailty status, yet, to the best of our knowledge, no published study has focused on patients screened in primary care. Method The PRISME-3P study is a national, interventional, multicenter, cluster randomized trial. Patients over 70 years of age will be systematically screened by their general practitioner (GP) on the basis of clinical criteria of mobility limitation. To avoid contamination bias, the unit of randomization will be the GP practice. In the intervention group, patients will consult a geriatrician and a dietician, and will receive a physical training program from a personal trainer who will demonstrate the exercises and provide follow-up coaching. The control group will receive standard care. The primary outcome will be the change in Short Physical Performance Battery (SPPB) scores between inclusion and 6-months follow-up. Discussion We expect an improvement of the SPPB between inclusion and 6 months of follow-up. Trial registration This study is registered in ClinicalTrials.gov (NCT02847871, 27 July 2016).

【 授权许可】

Unknown