Integrated primary and geriatric care for frail older adults in the community: Implementation of a complex intervention into real life.
Marco Inzitari, Laura Mónica Pérez, M Belén Enfedaque...
https://pubmed.ncbi.nlm.nih.gov/30145055Actively Recruiting
Phase Not Applicable
Age: 65Years +
All Genders
ID06836167
+ AGIL Barcelona: Integrated Care for Community-Dwelling Frail Older Adults
Led by Parc Sanitari Pere Virgili · Updated on 2025-02-20
396
Participants Needed
3
Research Sites
N/A
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are evaluating the +AGIL Barcelona program to help frail older adults improve their physical abilities and delay disability. This study focuses on adapting and expanding the program across different community health centers in Barcelona. It aims to measure improvements in physical performance using a simple test (SPPB) and assess how well the program can be implemented in various neighborhoods. The program includes up to 10 weekly group exercise sessions led by a physiotherapist, emphasizing strength, balance, flexibility, and endurance. Participants receive personalized exercises supported by easy-to-understand materials. The program also offers advice on healthy habits like the Mediterranean diet, sleep improvement, and managing swallowing or memory issues. Medication reviews are conducted to ensure safe and appropriate treatments, and support is provided to connect participants with local activities to reduce social isolation. Participants will be involved in assessments of their physical performance, quality of life, cognitive function, social engagement, diet adherence, medication use, and any adverse events at the start, three months, and six months. The study uses a stepped approach to introduce the program at different sites gradually. Researchers will also gather qualitative feedback on participants' experiences and program implementation. The total participation duration includes baseline and follow-up visits over six months.
CONDITIONS
Brief Title
+AGIL Barcelona: Integrated Care for Community-Dwelling Frail Older Adults
Who Can Participate
Age: 65Years +
All Genders
Eligibility Criteria
You may qualify if you...
- People aged 65 or older
- Showing signs of frailty as identified by the Gérontopôle Frailty Screening Test (GFST)
- Willing and able to provide informed consent to participate
You will not qualify if you...
- Need for hospital admission
- Estimated life expectancy less than one year
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
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Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - 10 weeks
Participants receive a comprehensive geriatric assessment followed by up to 10 weekly 1-hour group exercise sessions guided by a physiotherapist, along with non-pharmacological support including nutritional guidance, screening for swallowing and cognitive issues, sleep advice, social isolation support through community resources, and a medication review to optimize treatment.
Weekly visits for up to 10 weeks
Follow-up
Duration - Approximately 3 months
Participants continue to maintain physical activity and activation through integration with community resources such as gyms and civic centers to support ongoing healthy aging.
Visits or contacts as needed to support ongoing activation
Trial Site Locations
Total: 3 locations
1
Barceloneta - Primary Care Center
Barcelona, Spain
Actively Recruiting
2
Larrad - Primary Care Center
Barcelona, Spain
Actively Recruiting
3
Vila Olimpica - Primary Care Center
Barcelona, Spain
Actively Recruiting
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Research Team
J
Joan Sanabria
A
Aida Ribera, PhD
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
SEQUENTIAL
Primary Purpose
TREATMENT
Number of Arms
2
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Published Research Related To This Trial
A Community Program of Integrated Care for Frail Older Adults: +AGIL Barcelona.
L M Pérez, M B Enfedaque-Montes, M Cesari...
https://pubmed.ncbi.nlm.nih.gov/31560028Sustained improvement of intrinsic capacity in community-dwelling older adults: The +AGIL Barcelona multidomain program.
Maria Cristina Ferrara, Laura Mónica Pérez, Aida Ribera Sole...
https://pubmed.ncbi.nlm.nih.gov/37574781Experience, facilitators, and barriers to the implementation of a multicomponent programme in older people living in the community, +AGIL Barcelona: A qualitative study.
Olga Canet-Vélez, Lilian Solis-Navarro, Mercè Sitjà-Rabert...
https://pubmed.ncbi.nlm.nih.gov/37064681Impact on physical function of the +AGIL Barcelona program in community-dwelling older adults with cognitive impairment: an interventional cohort study.
Cristina Arnal, L Monica Pérez, Luís Soto...
https://pubmed.ncbi.nlm.nih.gov/37957601