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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT01969526
Other study ID # PI12/01503
Secondary ID
Status Completed
Phase N/A
First received August 1, 2013
Last updated November 8, 2017
Start date January 2013
Est. completion date September 30, 2017

Study information

Verified date March 2017
Source Jordi Gol i Gurina Foundation
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Objective: To evaluate the effectiveness of a multifactorial intervention program based on physical activity and diet, memory workshops and review of medication, to modify frailty parameters, muscle strength and physical and cognitive performance in people 65 years or older with a positive screening for frailty. Secondly, to assess changes in falls, hospitalizations, nutritional risk, disability and institutionalization or home-care.

Methods: randomized clinical trial with a control group, of one year and a half of follow-up, conducted in eight primary care teams in Barcelona. Individuals to be included are 65 years or older with positive frailty screening, timed get-up-and-go between 10 to 30 seconds, and cognitive Lobo test greater than or equal to 18. 165 patients will be selected in each group (difference to be detected on physical performance (Short physical performance battery (SPPB)): 0.5 units; common Standard Deviation : 1.42, 20% lost to follow-up).

Intervention: consists in three different actions on frailty dimensions, applied to each subject in the intervention group, in groups of 15 participants: rehabilitative therapy plus intake of hyperproteic shakes, memory workshop and review of the medication.

Evaluations will be blinded and conducted at 0, 3 and 18 months. Analysis of variance for repeated measures to adjust for differences attributable to intervention effect and for potential confounders such as comorbidity, sensory limitations, social risk, other medical or social interventions, among others.


Recruitment information / eligibility

Status Completed
Enrollment 352
Est. completion date September 30, 2017
Est. primary completion date December 2016
Accepts healthy volunteers No
Gender All
Age group 65 Years and older
Eligibility Inclusion Criteria:

- Positive Barber screen

- Timed get-up-and-go 10 to 20 seconds

- cognitive Lobo test greater than or equal to 18

Exclusion Criteria:

- Home Care

- Institutionalization

- Conditions not allowing physical exercise

Study Design


Intervention

Other:
Multifactorial intervention
Intervention consists in three different actions on frailty dimensions, applied to each subject in the intervention group, in groups of 15 participants: rehabilitative therapy and physical exercise plus intake of hyperproteic shakes, memory workshop and review of the medication.

Locations

Country Name City State
Spain Institut Català de la Salut Barcelona

Sponsors (2)

Lead Sponsor Collaborator
Jordi Gol i Gurina Foundation Carlos III Health Institute

Country where clinical trial is conducted

Spain, 

References & Publications (1)

Romera L, Orfila F, Segura JM, Ramirez A, Möller M, Fabra ML, Lancho S, Bastida N, Foz G, Fabregat MA, Martí N, Cullell M, Martinez D, Giné M, Bistuer A, Cendrós P, Pérez E. Effectiveness of a primary care based multifactorial intervention to improve frailty parameters in the elderly: a randomised clinical trial: rationale and study design. BMC Geriatr. 2014 Nov 27;14:125. doi: 10.1186/1471-2318-14-125. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary Change from Baseline in Short Physical performance battery at 3 and 18 months The Short Physical Performance Battery (SPPB) is a standardised assessment tool of lower limb function, testing 3 dimensions: standing balance, walking speed, and chair stands. Each component is scored between 0-4, total score from 0 (poor performance) to 12 (best performance). 0,3,18 months
Primary Change from Baseline in Muscle strength at 3 and 18 months Evaluation of upper extremities strength was assessed through the measurement of force with a handgrip dynamometer. Grip strength was evaluated using a portable hand dynamometer (JAMAR®0-90 kg, coding 506320). The participants were seated with their shoulder in a neutral position and their elbow flexed at 90°. Three attempts were performed alternately in each hand; the mean of the three measures was recorded. 0,3,18 months
Primary Change from Baseline in Cognitive Performance (Barcelona test) at 3 and 18 months The first neuro-psychometric instrument developed in Spain to measure semi-quantitatively cognitive status in clinical neurology was the Barcelona Test (BT). Shortened version of the BT, named Barcelona Test Review (BTR) had been used for neuropsychological area evaluation in our participants and it takes only 20-30 minutes to administer 0,3,18 months
Secondary Number of Participants with Falls during follow-up, at 18 months 18 months
Secondary Change from Baseline in Functional Capacity at 18 months Barthel Index Lawton&Brody Index 18 months
Secondary Number of Participants Hospitalized during follow-up, at 18 months 18 months
Secondary Number of Participants Institutionalized during follow-up, at 18 months 18 months
Secondary Number of Participants included in Home Health care during follow-up, at 18 months 18 months
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