European Geriatric Medicine 5 (2014) 416425

Hot topic in geriatric medicine

Living Lab Falls-MACVIA-LR: The falls prevention initiative of theEuropean Innovation Partnership on Active and Healthy Ageing(EIP on AHA) in Languedoc-Roussillon

H. Blain c,d, F. Abecassis e, P.A. Adnet c, B. Alomene c, M. Amouyal f, B. Bardy d, M.P. Battesti g,G. Baptista c, P.L. Bernard d, J. Berthe h, C. Boubakri c, J. Burille i, M.V. Calmels j, B. Combe k,D. Delignieres d, A. Dupeyron d,l, G. Dupeyron m, O. Engberink d,n, F. Gressard o, D. Heve g,D. Jakovenko p, C. Jeandel c, M. Lapierre l, M.S. Leglise c, I. Laffont d,q, C. Laurent r, B. Lognos f,J.M. Lussert s, K. Mandrick d, V. Marmelat d, P. Martin-Gousset o, A. Matheron j, G. Mercier t,C. Meunier o,u, J. Morel l, G. Ninot n, F. Nouvel k,v,w, J.P. Ortiz x, M.P. Pasdelou j, E. Pastor o,y,J.Y. Pelissier d,l, S. Perrey d, M.C. Picot z, N. Pinto aa, S. Ramdani d, F. Radier-Pontal ab,E. Royere h, I. Redini-Martinez g, J.M. Robine ac,ad,ae, E. Roux c, J.L. Savy j, Y. Stephan m,D. Strubel af, G. Tallon c, K. Torre c, J.M. Verdier ag,ah,ai, G. Vergotte ad, E. Viollet l, C. Albinet aj,J. Ankri ak, C. Annweiler al,am,an, A. Benetos ao,ap, O. Beauchet al,am, G. Berrut aq, P. Dargent ar,L. Decker as, O. Hanon at,au, M.E. Joel av, F. Nourashemi aw, F. Puisieux ax, Y. Rolland aw,G. Ruault au,1, B. Vellas aw, A. Vuillemin ay, C. Becker az, N. Holand ba, J.P. Michel ap,T. Strandberg ap, A. Bedbrook bb, S. Granier bc, T. Camuzat bd, R. Bourret be, N. Best bf,O. Jonquet bg, J.E. de la Coussaye bh, J. Mercier bi,bj, M. Nogues aa, M. Aoustin g, P. Domy bk,J. Bringer bl, P. Auge bm, C. Bourquin bn,1, J. Bousquet a,*,b

a Respiratory Diseases Department, University hospital, Montpellier, Franceb Inserm U1018, Villejuif, Francec Department of Geriatrics, Montpellier University hospital, Montpellier, Franced EA 2991 Movement To Health, Euromov, University Montpellier 1, Montpellier, Francee Federation pharmaceutique mediterraneenne (FEDMED), Roujan, Francef University Department of General Medicine, Montpellier Medicine Faculty, Montpellier, Franceg Agence regionale de sante, Montpellier, Franceh Pole de competitivite eurobiomed PACA-Languedoc-Roussillon, Marseille, Francei Societe publique locale dexploitation de Balaruc-les-Bains, Balaruc-les-Bains, Francej Centre communal daction sociale, mairie de Juvignac, Juvignac, Francek Department of Rheumotology, University hospital, Montpellier, Francel Departmentof Physical and Medical Rehabilitation, Nmes University hospital, Nmes, Francem Department of Ophtalmology, ARAMAV (association reinsertion aveugles malvoyants), Nmes University hospital, Nmes, Francen EA4556 Epsylon, Universite Montpellier 1, Montpellier, Franceo LETAPE - Pole autonomie sante, CCAS de Lattes, Lattes, Francep Union regionale des Professions de soins infirmiers liberaux du Languedoc-Roussillon, Maison des Professions Liberales, Montpellier, Franceq Department of Physical and Medical Rehabilitation, Montpellier University hospital, Montpellier, Francer I2ML, fondation institut mediterraneen des metiers de la longevite, Nmes, Frances Centre communal daction sociale (CCAS), Mairie, Prades-Le-Lez, Francet Unite medico-economie, departement de linformation medicale, university Hospital, Montpellier, Franceu Maire de Lattes, vice-president agglomeration de Montpellier, Montpellier, Francev Association francaise des ergotherapeutes francais, Boisseron, Francew Clinique du positionnement et de la mobilite, Nmes University hospital, Nmes, Francex Union nationale de professions de soins medecins liberaux, Francey Conseil regional de lOrdre des masseurs kinesitherapeutes, maison des professions liberales, Montpellier, Francez Department of Public Health, Montpellier University Hospital, Montpellier, Franceaa Caisse assurance retraite et sante au travail Languedoc-Roussillon (CARSAT-LR), Montpellier, Franceab Conseil departemental de lOrdre des pharmaciens, maison des professions liberales, Montpellier, France

Available online at

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* Corresponding author. Tel.: +33 4 67 41 67 00.

E-mail address: anna.bedbrook@inserm.fr (J. Bousquet).1 Deceased authors.

http://dx.doi.org/10.1016/j.eurger.2014.07.010

1878-7649/ 2014 Elsevier Masson SAS and European Union Geriatric Medicine Society. All rights reserved.

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H. Blain et al. / European Geriatric Medicine 5 (2014) 416425 417

ac Inserm Research Unit 988, Paris, Francead Inserm Research Unit 710, Montpellier, Franceae Ecole pratique des hautes etudes (EPHE), Paris, Franceaf Department of Geriatrics, Nmes University hospital, Nmes, Franceag EPHE, section des sciences de la vie et de la terre, Paris, Franceah UMR S 710, universite Montpellier 2, Montpellier, Franceai Institut transdisciplinaire detudes du vieillissement, Montpellier, Franceaj CeRCA, UMR-CNRS 7295, Poitiers, Franceak Gerontology Center, Site Sainte-Perine, universite de Versailles St-Quentin, Paris, Franceal Department of Geriatric Medicine, Angers University Hospital, UPRES EA4638, Angers, Franceam University of Angers, UNAM, Research Center on Autonomy and Longevity (CeRAL), Angers, Francean Robarts Research Institute, Department of Medical Biophysics, Schulich School of Medicine and Dentistry, University of Western Ontario, London, ON,

Canadaao Department of Geriatrics, Nancy University Hospital, Inserm U1116, Lorraine University, Nancy, Franceap European Union Geriatric Medicine Society, EUGMS, Franceaq Gerontopole autonomie longevite, Nantes University hospital, Nantes, Francear Universite Paris-Sud, UMR 1018, Villejuif, Franceas UFR STAPS UCBN, UMR 1075, Caen, Franceat Broca Hospital, University Paris Descartes, EA 4468, Paris, Franceau French Society of Geriatrics and Gerontology, Societe francaise de geriatrie et gerontologie, Suresnes, Franceav LEGOS, Dauphine University, Paris, Franceaw Gerontopole de Toulouse, Toulouse, Franceax Department of Geriatrics, Lille University Hospital, Lille, Franceay UFR STAPS, Universite de Lorraine, Nancy, Franceaz Robert Bosch Hospital, Stuttgart, Germanyba Norwegian Society of Geriatrics, Oslo, Norwaybb MACVIA-LR, Contre les maladies chroniques pour un vieillissement actif en Languedoc Roussilon, European Innovation Partnership on Active and Healthy

Ageing Reference Site, Francebc University Hospital, Nmes, Francebd Assistant Director General, region Languedoc-Roussillon, Francebe Directeur General Adjoint, Montpellier University Hospital, Montpellier, Francebf Assistant Director General, Nmes University Hospital, Nmes, Francebg Medical Commission, Montpellier University Hospital, Montpellier, Francebh Emergency Department, Nmes University Hospital, Nmes, Francebi Department of Physiology, Montpellier University Hospital, Montpellier, Francebj Vice President for Research, University Montpellier 1, Montpellier, Francebk Directeur general, University Hospital, Montpellier, Francebl Dean, Montpellier Medical School, Montpellier, Francebm President, University Montpellier, Montpellier, Francebn President, region Languedoc-Roussillon, France

A R T I C L E I N F O

Article history:

Received 28 July 2014

Accepted 28 July 2014

Available online 16 September 2014

Keywords:

Active and healthy ageing

Falls

Prevention

MACVIA-LR

European Innovation Partnership

A B S T R A C T

Falls represent a major cause of burden and death in older adults. The MACVIA-LR (fighting chronic

diseases for active and healthy ageing in Languedoc-Roussillon) falls initiative is a cross-cutting Living

Lab based on the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA) at the

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

access to information on falls prevention. It aims to reduce fall-related hospitalisations by 30% in 2020 in

the region Languedoc-Roussillon (LR). It includes: (i) a falls prevention clinic for the assessment of

subjects (with a falls risk) in the two teaching hospitals of Montpellier and Nmes, (ii) the Regional

Ageing Institute (CARSAT-LR), (iii) the Low Vision Institute of Nmes, (iv) the Lattes Social Welfare Centre,

(v) the home automation Institut mediterraneen des metiers de longevite, (vi) teaching, training and

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 region. The MACVIA-falls prevention initiative is

an output of the EIP on AHA.

2014 Elsevier Masson SAS and European Union Geriatric Medicine Society. All rights reserved.

1. Introduction

European Innovation Partnerships (EIP) attempt to enhance EUcompetitiveness and tackle societal challenges by fosteringinnovation. Active and Healthy Ageing (AHA) is a major societalchallenge common to all countries and to all populations[1]. Ageing is intertwined with socioeconomic inequalities, is anunder-appreciated cause of poverty and hinders economicdevelopment, particularly in underserved populations and inwomen. AHA needs to be promoted very early in life to besuccessful. The EIP on AHA is deployed in 3 areas and 6 action plans[2] (Table 1).

The region Languedoc-Roussillon (LR) is the umbrella organisa-tion for an interconnected and integrated project on AHA. It co