[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100580351":3},{"organization":4,"armGroups":7,"interventions":22,"overallOfficials":43,"centralContacts":48,"locations":57,"responsibleParty":96,"collaborators":12,"id":98,"slug":99,"hasResults":100,"nctId":101,"briefTitle":102,"officialTitle":103,"acronym":104,"eligibilityCriteria":105,"healthyVolunteers":100,"sex":106,"minAge":107,"maxAge":12,"enrollmentInfo":108,"targetDuration":12,"studyType":111,"phases":112,"briefSummary":114,"conditions":115,"keywords":119,"overallStatus":60,"whyStopped":12,"lastUpdateSubmitDate":125,"lastUpdatePostDateStruct":126,"startDateStruct":129,"completionDateStruct":131,"leadSponsor":133,"locationsCount":134},{"fullName":5,"class":6},"Parc Sanitari Pere Virgili","OTHER",[8,13],{"label":9,"type":10,"description":11,"interventionNames":12},"Control","NO_INTERVENTION","During the adaptation phase of the program, all participating centers will begin by recruiting participants to the control group until they are transitioned to the recruitment of the intervention group. The control group will receive standard care plus educational materials focused on promoting a healthy lifestyle (videos or written materials, along with a weekly phone call to encourage viewing or address any questions). This is to avoid a bias related to the potential benefits of stricter follow-up in the intervention arm.",null,{"label":14,"type":15,"description":16,"interventionNames":17},"Intervention","EXPERIMENTAL","The +AGIL program aligns with the World Health Organization's framework for Integrated Care for Older People (Ferrara MC et al., J Intern Med. 2023). It includes:\n\n1. Up to 10 weekly 1-hour group exercise sessions led by a physiotherapist, focusing on resistance, endurance, balance, and flexibility. Materials are adapted for low literacy or cognitive impairment, and Vivifrail® may be used to prevent frailty and falls.\n2. Non-pharmacological measures, such as guidance on the Mediterranean diet, screening for swallowing difficulties and cognitive decline, and advice on improving sleep.\n3. Support to reduce social isolation by connecting participants with community resources.\n4. A medication review to optimize treatments and deprescribe unnecessary drugs. The program has demonstrated significant improvements in physical performance and intrinsic capacity at three and six months, maintained through empowerment and ongoing connection to community resources.",[18,19,20,21],"Behavioral: exercise promotion","Drug: review medication","Behavioral: promoting healthy aging","Other: against social isolation",[23,28,35,39],{"type":24,"name":25,"description":26,"armGroupLabels":27,"otherNames":12},"BEHAVIORAL","exercise promotion","a) Up to 10 weekly 1-hour group sessions of multicomponent exercise guided by a physiotherapist, incorporating resistance, endurance, balance, and flexibility. Supported by materials adapted for low literacy or cognitive impairment, it empowers participants to maintain physical activity. Vivifrail may be used to prevent frailty and falls.",[14],{"type":29,"name":30,"description":31,"armGroupLabels":32,"otherNames":33},"DRUG","review medication","d) Comprehensive medication review for optimization and deprescribing. Results show significant improvements in physical performance and intrinsic capacity at three and six months, sustained through empowerment and community resource connections.",[14],[34],"person centered review medication",{"type":24,"name":36,"description":37,"armGroupLabels":38,"otherNames":12},"promoting healthy aging","b) Non-pharmacological interventions, including nutritional guidance for a Mediterranean diet, dysphagia and cognitive impairment screening, and sleep hygiene counselling.",[14],{"type":6,"name":40,"description":41,"armGroupLabels":42,"otherNames":12},"against social isolation","Support against social isolation by activating community resources.",[14],[44],{"name":45,"affiliation":46,"role":47},"Sonia Baro, MD","sbaro@perevirgili.cat","PRINCIPAL_INVESTIGATOR",[49,54],{"name":50,"role":51,"phone":52,"phoneExt":12,"email":53},"Joan Sanabria","CONTACT","0034-932594000","jsanabria@perevirgili.cat",{"name":55,"role":51,"phone":52,"phoneExt":12,"email":56},"Aida Ribera, PhD","ariberas@perevirgili.cat",[58,76,85],{"facility":59,"status":60,"city":61,"state":12,"zip":12,"country":62,"countryCode":63,"cosmosGeoPoint":64,"geoPoint":69,"contacts":70},"Barceloneta - Primary Care Center","RECRUITING","Barcelona","Spain","ES",{"type":65,"coordinates":66},"Point",[67,68],2.15899,41.38879,{"lat":68,"lon":67},[71,75],{"name":72,"role":51,"phone":73,"phoneExt":12,"email":74},"Alba Gomez, PT","+34932 21 37 83","agomezb@perevirgili.cat",{"name":45,"role":47,"phone":12,"phoneExt":12,"email":12},{"facility":77,"status":60,"city":61,"state":12,"zip":12,"country":62,"countryCode":63,"cosmosGeoPoint":78,"geoPoint":80,"contacts":81},"Larrad - Primary Care Center",{"type":65,"coordinates":79},[67,68],{"lat":68,"lon":67},[82,84],{"name":45,"role":51,"phone":83,"phoneExt":12,"email":46},"+34932 85 76 00",{"name":45,"role":47,"phone":12,"phoneExt":12,"email":12},{"facility":86,"status":60,"city":61,"state":12,"zip":12,"country":62,"countryCode":63,"cosmosGeoPoint":87,"geoPoint":89,"contacts":90},"Vila Olimpica - Primary Care Center",{"type":65,"coordinates":88},[67,68],{"lat":68,"lon":67},[91,95],{"name":92,"role":51,"phone":93,"phoneExt":12,"email":94},"Adria Falo, PT","+34932 21 37 85","afalo@perevirgili.cat",{"name":45,"role":47,"phone":12,"phoneExt":12,"email":12},{"type":97,"investigatorFullName":12,"investigatorTitle":12,"investigatorAffiliation":12,"oldNameTitle":12,"oldOrganization":12},"SPONSOR","100580351","agil-barcelona-integrated-care-for-community-dwelling-frail-older-adults-100580351",false,"NCT06836167","+AGIL Barcelona: Integrated Care for Community-Dwelling Frail Older Adults","+ AGIL Barcelona: Integrated Care for Community-Dwelling Frail Older Adults","+AGIL","Inclusion Criteria:\n\n* People aged 65 or older\n* Presenting with suggestive signs of frailty according to the Gérontopôle Frailty Screening Test (GFST).\n* Agree to participate and sign informed consent\n\nExclusion Criteria:\n\n* Requirement for hospital admission or an estimated life expectancy of less than one year.","ALL","65 Years",{"count":109,"type":110},396,"ESTIMATED","INTERVENTIONAL",[113],"NA","The goal of this clinical trial is to evaluate the effectiveness of the +AGIL Barcelona program in helping older adults improve their physical abilities and delay disability. It will also explore how to adapt and expand the program to different neighborhoods in Barcelona. The main questions it aims to answer are:\n\nDoes the +AGIL program improve physical abilities, as measured by a simple physical performance test (SPPB)? How well can the program be adapted and implemented in different community health centers? Researchers will conduct the study in three community health centers in Barcelona, following a stepped approach to gradually introduce the program at each site.\n\nParticipants will:\n\nParticipate in up to 10 weekly group exercise sessions led by a physiotherapist. Focus on strength, balance, flexibility, and endurance. Exercises will be tailored to individual needs and supported with easy-to-understand materials.\n\nReceive advice on healthy habits like eating a Mediterranean diet, improving sleep, and managing swallowing or memory issues.\n\nGet support to connect with local activities and resources to reduce loneliness and stay active, such as community centers or fitness programs.\n\nHave their medications reviewed by healthcare professionals to ensure they are appropriate and safe.\n\nThe program will be personalized based on each participant's needs. This study will provide valuable information on implementing practical programs that help older adults stay healthy and independent.",[116,117,118],"Frailty","Older Adults","Healthy Aging",[120,121,118,122,123,124],"frailty","older adults","integrated care","physical performance","intrinsic capacity","2025-02-17",{"date":127,"type":128},"2025-02-20","ACTUAL",{"date":130,"type":128},"2022-11-02",{"date":132,"type":110},"2025-07-31",{"name":5,"class":6},3]