Integrated Prevention, Treatment, and Rehabilitation for Toileting-Related Falls

Starting soon · Not applicable

Conditions studied: Toileting-Related Falls, Fall Risk

In brief

Toileting-related falls may result from a combination of urinary symptoms, impaired gait and balance, reduced muscle strength, cognitive or emotional problems, and unsafe environmental conditions. Older adults and people with disabilities may be especially vulnerable because they frequently require assistance or must move quickly, particularly during nighttime toileting. This multicenter prospective study will evaluate a comprehensive prevention, treatment, and rehabilitation program for older adults and people with disabilities who are at risk of toileting-related falls. Participants will receive a standardized multidimensional assessment covering urinary function, gait and balance, physical function, psychological and cognitive factors, activities of daily living, previous falls, and environmental risks. Based on the risks identified, each participant will receive an individualized combination of interventions. These may include urinary symptom management, gait and balance rehabilitation, strength and mobility training, psychological or cognitive support, caregiver education, and modification of the toileting environment. Participants will be followed and reassessed, and their management plans may be adjusted according to changes in risk and clinical condition. The study will evaluate the feasibility, implementation, and safety of this integrated care program, as well as changes in toileting-related falls, nighttime falls, urinary symptoms, mobility and balance, activities of daily living, and fear of falling.

Key facts

Study ID

NCT07738354

Run by

Qing Yuan

People needed

300

Starts

2026-08-01

Expected to finish

2028-12-01

Last updated by the study team

2026-07-31

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Age 18 years or older, with no upper age limit.
• Presence of physical disability, functional limitation, loss of independence, or a need for assistance with daily activities.
• Presence of at least one risk factor for toileting-related falls, including but not limited to urinary frequency, urinary urgency, nocturia, urinary incontinence, voiding difficulty, overactive bladder, underactive bladder, impaired gait or balance, reduced muscle strength, fear of falling, cognitive or emotional problems, a history of falls, unsafe nighttime toileting, or environmental hazards associated with toileting.
• Able and willing to participate in the study assessments and follow-up procedures, with assistance from a caregiver when necessary.
• Written informed consent provided by the participant or, when applicable, by a legally authorized representative.

You may not qualify if…

• Acute infection or other acute medical condition requiring immediate treatment that would prevent participation in study assessments or interventions.
• Severe or unstable medical condition that, in the investigator's judgment, would make participation unsafe or interfere with study procedures or follow-up.
• Severe disturbance of consciousness or other condition that prevents completion of the required assessments and study procedures, even with appropriate assistance.
• Inability to participate in the planned follow-up or provide sufficient study-related information.
• Any other condition that, in the investigator's judgment, makes the individual unsuitable for participation in the study.

Where it is running

• Chinese PLA General Hospital — Beijing, Beijing Municipality, China

Full record on ClinicalTrials.gov

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