G Model EURGER-522; No. of Pages 10 European Geriatric Medicine xxx (2014) xxx–xxx Available online at ScienceDirect www.sciencedirect.com Hot topic in geriatric medicine Living Lab Falls-MACVIA-LR: The falls prevention initiative of the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA) in Languedoc-Roussillon c,d e c c f d g H. Blain , F. Abecassis , P.A. Adnet , B. Alome`ne , M. Amouyal , B. Bardy , M.P. Battesti , c d h c i j k G. Baptista , P.L. Bernard , J. Berthe , C. Boubakri , J. Burille , M.V. Calmels , B. Combe , d d,l m d,n o g D. Delignie`res , A. Dupeyron , G. Dupeyron , O. Engberink , F. Gressard , D. He`ve , p c l c d,q r f D. Jakovenko , C. Jeandel , M. Lapierre , M.S. Le´glise , I. Laffont , C. Laurent , B. Lognos , s d d o j t J.M. Lussert , K. Mandrick , V. Marmelat , P. Martin-Gousset , A. Matheron , G. Mercier , o,u l n k,v,w x j o,y C. Meunier , J. Morel , G. Ninot , F. Nouvel , J.P. Ortiz , M.P. Pasdelou , E. Pastor , d,l d z aa d ab J.Y. Pe´lissier , S. Perrey , M.C. Picot , N. Pinto , S. Ramdani , F. Radier-Pontal , h g ac,ad,ae c j m E. Roye`re , I. Re´dini-Martinez , J.M. Robine , E. Roux , J.L. Savy , Y. Stephan , af c c ag,ah,ai ad l aj D. Strubel , G. Tallon , K. Torre , J.M. Verdier , G. Vergotte , E. Viollet , C. Albinet , ak al,am,an ao,ap al,am aq ar J. Ankri , C. Annweiler , A. Benetos , O. Beauchet , G. Berrut , P. Dargent , as at,au av aw ax aw L. Decker , O. Hanon , M.E. Joe¨l , F. Nourashemi , F. Puisieux , Y. Rolland , au,1 aw ay az ba ap G. Ruault , B. Vellas , A. Vuillemin , C. Becker , N. Holand , J.P. Michel , ap bb bc bd be bf T. Strandberg , A. Bedbrook , S. Granier , T. Camuzat , R. Bourret , N. Best , bg bh bi,bj aa g bk O. Jonquet , J.E. de la Coussaye , J. Mercier , M. Nogue`s , M. Aoustin , P. Domy , bl bm bn,1 a, ,b J. Bringer , P. Auge´ , C. Bourquin , J. Bousquet * a Respiratory Diseases Department, University hospital, Montpellier, France b Inserm U1018, Villejuif, France c Department of Geriatrics, Montpellier University hospital, Montpellier, France d EA 2991 Movement To Health, Euromov, University Montpellier 1, Montpellier, France e Fe´de´ration pharmaceutique me´diterrane´enne (FEDMED), Roujan, France f University Department of General Medicine, Montpellier Medicine Faculty, Montpellier, France g Agence re´gionale de sante´, Montpellier, France h Poˆle de compe´titivite´ eurobiomed PACA-Languedoc-Roussillon, Marseille, France i Socie´te´ publique locale d’exploitation de Balaruc-les-Bains, Balaruc-les-Bains, France j Centre communal d’action sociale, mairie de Juvignac, Juvignac, France k Department of Rheumotology, University hospital, Montpellier, France l Departmentof Physical and Medical Rehabilitation, Nıˆmes University hospital, Nıˆmes, France m Department of Ophtalmology, ARAMAV (association re´insertion aveugles malvoyants), Nıˆmes University hospital, Nıˆmes, France n EA4556 Epsylon, Universite´ Montpellier 1, Montpellier, France o L’ETAPE - Poˆle autonomie sante´, CCAS de Lattes, Lattes, France p Union re´gionale des Professions de soins infirmiers libe´raux du Languedoc-Roussillon, Maison des Professions Libe´rales, Montpellier, France q Department of Physical and Medical Rehabilitation, Montpellier University hospital, Montpellier, France r I2ML, fondation institut me´diterrane´en des me´tiers de la longe´vite´, Nıˆmes, France s Centre communal d’action sociale (CCAS), Mairie, Prades-Le-Lez, France t Unite´ me´dico-e´conomie, de´partement de l’information me´dicale, university Hospital, Montpellier, France u Maire de Lattes, vice-pre´sident agglome´ration de Montpellier, Montpellier, France v Association franc¸aise des ergothe´rapeutes franc¸ais, Boisseron, France w Clinique du positionnement et de la mobilite´, Nıˆmes University hospital, Nıˆmes, France x Union nationale de professions de soins me´decins libe´raux, France y Conseil re´gional de l’Ordre des masseurs kine´sithe´rapeutes, maison des professions libe´rales, Montpellier, France z Department of Public Health, Montpellier University Hospital, Montpellier, France aa Caisse assurance retraite et sante´ au travail Languedoc-Roussillon (CARSAT-LR), Montpellier, France ab Conseil de´partemental de l’Ordre des pharmaciens, maison des professions libe´rales, Montpellier, France * Corresponding author. Tel.: +33 4 67 41 67 00. E-mail address: [email protected] (J. Bousquet). 1 Deceased authors. http://dx.doi.org/10.1016/j.eurger.2014.07.010 1878-7649/ß 2014 Elsevier Masson SAS and European Union Geriatric Medicine Society. All rights reserved. Please cite this article in press as: Blain H, et al. Living Lab Falls-MACVIA-LR: The falls prevention initiative of the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA) in Languedoc-Roussillon. Eur Geriatr Med (2014), http://dx.doi.org/10.1016/ j.eurger.2014.07.010 G Model EURGER-522; No. of Pages 10 2 H. Blain et al. / European Geriatric Medicine xxx (2014) xxx–xxx ac Inserm Research Unit 988, Paris, France ad Inserm Research Unit 710, Montpellier, France ae E´cole pratique des hautes e´tudes (EPHE), Paris, France af Department of Geriatrics, Nıˆmes University hospital, Nıˆmes, France ag EPHE, section des sciences de la vie et de la terre, Paris, France ah UMR S 710, universite´ Montpellier 2, Montpellier, France ai Institut transdisciplinaire d’e´tudes du vieillissement, Montpellier, France aj CeRCA, UMR-CNRS 7295, Poitiers, France ak Gerontology Center, Site Sainte-Pe´rine, universite´ de Versailles St-Quentin, Paris, France al Department of Geriatric Medicine, Angers University Hospital, UPRES EA4638, Angers, France am University of Angers, UNAM, Research Center on Autonomy and Longevity (CeRAL), Angers, France an Robarts Research Institute, Department of Medical Biophysics, Schulich School of Medicine and Dentistry, University of Western Ontario, London, ON, Canada ao Department of Geriatrics, Nancy University Hospital, Inserm U1116, Lorraine University, Nancy, France ap European Union Geriatric Medicine Society, EUGMS, France aq Ge´rontopoˆle autonomie longe´vite´, Nantes University hospital, Nantes, France ar Universite´ Paris-Sud, UMR 1018, Villejuif, France as UFR STAPS UCBN, UMR 1075, Caen, France at Broca Hospital, University Paris Descartes, EA 4468, Paris, France au French Society of Geriatrics and Gerontology, Socie´te´ franc¸aise de ge´riatrie et ge´rontologie, Suresnes, France av LEGOS, Dauphine University, Paris, France aw Ge´rontopoˆle de Toulouse, Toulouse, France ax Department of Geriatrics, Lille University Hospital, Lille, France ay UFR STAPS, Universite´ de Lorraine, Nancy, France az Robert Bosch Hospital, Stuttgart, Germany ba Norwegian Society of Geriatrics, Oslo, Norway bb MACVIA-LR, Contre les maladies chroniques pour un vieillissement actif en Languedoc Roussilon, European Innovation Partnership on Active and Healthy Ageing Reference Site, France bc University Hospital, Nıˆmes, France bd Assistant Director General, re´gion Languedoc-Roussillon, France be Directeur Ge´ne´ral Adjoint, Montpellier University Hospital, Montpellier, France bf Assistant Director General, Nıˆmes University Hospital, Nıˆmes, France bg Medical Commission, Montpellier University Hospital, Montpellier, France bh Emergency Department, Nıˆmes University Hospital, Nıˆmes, France bi Department of Physiology, Montpellier University Hospital, Montpellier, France bj Vice President for Research, University Montpellier 1, Montpellier, France bk Directeur ge´ne´ral, University Hospital, Montpellier, France bl Dean, Montpellier Medical School, Montpellier, France bm Pre´sident, University Montpellier, Montpellier, France bn Pre´sident, re´gion Languedoc-Roussillon, France A R T I C L E I N F O A B S T R A C T Article history: Falls represent a major cause of burden and death in older adults. The MACVIA-LR (fighting chronic Received 28 July 2014 diseases for active and healthy ageing in Languedoc-Roussillon) falls initiative is a cross-cutting Living Accepted 28 July 2014 Lab based on the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA) at the Available online xxx regional level. It covers all action plans (A1, A2, A3, B3, C2 and D4) of the EIP on AHA. The Living Lab will: (i) raise awareness, (ii) drive attitude change with respect to falls and falls prevention and (iii) improve Keywords: access to information on falls prevention. It aims to reduce fall-related hospitalisations by 30% in 2020 in Active and healthy ageing the re´gion Languedoc-Roussillon (LR). It includes: (i) a falls prevention clinic for the assessment of Falls subjects (with a falls risk) in the two teaching hospitals of Montpellier and Nıˆmes, (ii) the Regional Prevention MACVIA-LR Ageing Institute (CARSAT-LR), (iii) the Low Vision Institute of Nıˆmes, (iv) the Lattes Social Welfare Centre, (v) the home automation Institut me´diterrane´en des me´tiers de longe´vite´, (vi) teaching, training and European Innovation Partnership coaching as well as (vii) industrial partnership. Two care pathways have been developed (stroke and falls) and are being applied to remote rural areas of the re´gion. The MACVIA-falls prevention initiative is an output of the EIP on AHA. ß 2014 Elsevier Masson SAS and European Union Geriatric Medicine Society. All rights reserved. 1. Introduction The re´gion Languedoc-Roussillon (LR) is the umbrella organisa- tion for an interconnected and integrated project on AHA. It covers European Innovation Partnerships (EIP) attempt to enhance EU the 3 pillars of the EIP on AHA [3]. All of the sub-activities (A1, A2, competitiveness and tackle societal challenges by fostering A3, B3, C2 and D4) are included in MACVIA-LR which has a strong innovation. Active and Healthy Ageing (AHA) is a major societal political commitment and involves all stakeholders (public, challenge common to all countries and to all populations private, patients and policy makers). It is one of the reference [1].