[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"frail-older-adults\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:frail-older-adults":29},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,3,0,[8,49,88],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":30,"overallStatus":36,"whyStopped":4,"lastUpdateSubmitDate":37,"lastUpdatePostDateStruct":38,"startDateStruct":41,"completionDateStruct":43,"leadSponsor":45,"locationsCount":48},"100640551","improving-care-for-frail-older-adults-using-a-digital-needs-assessment-tool-100640551",false,"NCT07580690","Improving Care for Frail Older Adults Using a Digital Needs Assessment Tool","Integrating Health and Social Service Needs for Frail Elders at Point of Care: Development and Evaluation of an IT-based Digital Needs-assessment Tool","Frailty","Inclusion Criteria:\n\n* Patient participant: (i) Aged \\>= 60 years at the time of recruitment; (ii) identified as frail, with a CFS score \\>= 5 and\u002For modified HFRS intermediate and high frailty risk (mHFRS) score \\>=5; (iii) Singapore citizens or permanent residents; (iv) able to speak and understand English, Chinese or Malay.\n* Proxy (when responding on behalf of eligible patients): (i) Relative or friend of the patient participant; (ii) Aged 21 years or older; (iii) Familiar with the older adult's health and social situation.\n\nExclusion Criteria:\n\n* Patient participant: (i) Currently involved in another study or (ii) residents of nursing homes, or (iii) patients known to home hospice or home palliative care services with a life expectancy of less than 6 months.\n* Proxy: primary caregivers who are foreign domestic workers will be excluded from the study.","ALL","60 Years",{"count":20,"type":21},200,"ESTIMATED","INTERVENTIONAL",[24],"NA","The goal of this trial is to evaluate whether a digital needs-assessment tool can improve care planning and outcomes for frail older adults (aged 60 years and above) hospitalized in Singapore. The tool is designed to identify patients' health and social service needs and support better care coordination after hospital discharge.\n\nThe main questions it aims to answer are:\n\n* Does the use of a digital needs-assessment tool improve the identification and management of health and social service needs in frail older adults?\n* Does this approach improve patient outcomes, such as quality of life, care satisfaction, and healthcare utilization after discharge?\n\nParticipants will:\n\n* Respond to a baseline questionnaire\n* Receive a personalized care plan based on identified needs by the tool\n* Be followed up at 1 month and 3 months after discharge through surveys\n* Some participants will receive additional follow-up phone calls to review care needs and service use\n* A subset of participants will take part in interviews to share their care experiences",[27,28,29],"Frail Elderly Patients","Geriatric Syndromes","Frail Older Adults",[29,31,32,33,34,35],"Simple Segmentation Tool","Integrated Care","Care Coordination","Needs Assessment Tool","Health and Health-related Social Service","NOT_YET_RECRUITING","2026-05-05",{"date":39,"type":40},"2026-05-12","ACTUAL",{"date":42,"type":21},"2026-05-01",{"date":44,"type":21},"2027-12-30",{"name":46,"class":47},"Duke-NUS Graduate Medical School","OTHER",1,{"id":50,"slug":51,"hasResults":11,"nctId":52,"briefTitle":53,"officialTitle":54,"acronym":4,"eligibilityCriteria":55,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":56,"targetDuration":4,"studyType":22,"phases":58,"briefSummary":60,"conditions":61,"keywords":68,"overallStatus":36,"whyStopped":4,"lastUpdateSubmitDate":79,"lastUpdatePostDateStruct":80,"startDateStruct":82,"completionDateStruct":84,"leadSponsor":86,"locationsCount":48},"100602937","phase-4-preoperative-use-of-peripheral-nerve-blocks-in-elderly-patients-with-hip-fractures-100602937","NCT07130006","Preoperative Use of Peripheral Nerve Blocks in Elderly Patients With Hip Fractures","Preoperative Use of Peripheral Nerve Blocks in Elderly Patients With Hip Fractures: a Factorial Randomized Clinical Trial","Inclusion Criteria:\n\n* both sexes\n* 60 years old and older\n* diagnosed with a hip fracture resulting from low-energy trauma\n* scheduled surgery.\n\nExclusion Criteria:\n\n* polytraumatized patients\n* dementia and acute psychosis patients\n* patients for whom spinal anesthesia is contraindicated\n* patients with severe renal failure\n* patients for whom intravenous administration of tranexamic acid is contraindicated\n* patients with proven allergy and contraindications to dexamethasone, non-steroidal anti-rheumatic drugs, opioid analgesics, magnesium sulfate.",{"count":57,"type":21},256,[59],"PHASE4","The goal of this clinical trial is to explore the effects of different peripheral nerve blocks in older adults with hip fractures. It will also explore the safety of preoperative administration of peripheral nerve blocks. The main questions this trial aims to answer are:\n\n* which peripheral nerve block is the best regarding analgesia\n* which peripheral nerve block eases positioning and decrease time necessary for applying spinal anesthesia?\n* which peripheral nerve block is associated with reduced intake of analgesics, both oral and intravenous?\n* which peripheral nerve block lasts long enough but does not interfere with the start of physical therapy?\n* what medical problems do respondents have during their hospitalization, after administration of peripheral nerve blocks, spinal anesthesia and surgery?\n* what medical problems arise as a consequence of their complex medical history? Researchers will compare respondents who receive peripheral nerve blocks to those who do not. Those who do not receive blocks will be given fentanyl preoperatively, which was until recently standard at our institution.\n\nAll respondents will, in addition to obligatory intraoperative monitoring,:\n\n* be thoroughly examined by anesthesiologists before surgery\n* be closely monitored after surgery, until their hospital discharge.",[62,63,64,65,66,29,67],"Fractures, Hip","Femoral Neck Fractures","Intertrochanteric Fractures","Subtrochanteric Fractures","Aged","Elderly",[69,70,71,72,73,74,75,76,77,78],"elderly","ultrasound-guided","peripheral nerve blocks","intravenous fentanyl","spinal anaesthesia","EQ-5D-5L","visual analog scale","pain at rest","dynamic pain","hip fracture surgery","2025-08-11",{"date":81,"type":40},"2025-08-19",{"date":83,"type":21},"2025-08-30",{"date":85,"type":21},"2026-03-31",{"name":87,"class":47},"University Hospital of Split",{"id":89,"slug":90,"hasResults":11,"nctId":91,"briefTitle":92,"officialTitle":93,"acronym":94,"eligibilityCriteria":95,"healthyVolunteers":11,"sex":17,"minAge":96,"maxAge":97,"enrollmentInfo":98,"targetDuration":4,"studyType":22,"phases":100,"briefSummary":101,"conditions":102,"keywords":105,"overallStatus":108,"whyStopped":4,"lastUpdateSubmitDate":109,"lastUpdatePostDateStruct":110,"startDateStruct":112,"completionDateStruct":114,"leadSponsor":116,"locationsCount":48},"100582963","cognitive-groove-brought-to-you-by-geras-dance-100582963","NCT06870149","Cognitive Groove (Brought to You by GERAS DANCE)","Does Cognitive Groove (Brought to You by GERAS DANCE) Improve Physical Performance in Community-Dwelling Older Adults With Frailty: A Parallel Randomized Controlled Trial","GERAS DANCE","Inclusion Criteria:\n\n* Community-dwelling aged ≥65 years\n* At high risk for mobility disability\u002Ffunctional limitations as assessed by the FRAIL Scale ≥2\n* Able to ambulate independently (25 m) with or without an assistive device\n* Able to follow two-step instructions\n* Medical clearance from referring clinician, or for self-referrals, medical clearance from family physician to safely participate in exercise\n* Can arrange transportation to the YMCA up to 2 times per week\n\nExclusion Criteria:\n\n* Unable to speak or understand English\n* Current regular participation in a structured exercise program or receiving active physical therapy services\n* Severe cardiac or pulmonary disease\n* Unstable angina or heart failure\n* Severe osteoarthritis (e.g., awaiting joint replacement)\n* Parkinson's disease or other progressive neurological disorder\n* Receiving palliative care\n* Travel\u002Fcommitments requiring missing more than two weeks","65 Years","100 Years",{"count":99,"type":21},250,[24],"The goal of this clinical trial is to determine the effect of a community-based rehabilitation intervention (Cognitive Groove, Brought to you by GERAS DANCE), compared to usual care, on clinical outcomes in community-dwelling older adults living with frailty. The main questions it aims to answer are:\n\n1. In community-dwelling older adults living with frailty, is Cognitive Groove more effective than usual care in improving functional movement, physical performance and strength?\n2. In community-dwelling older adults living with frailty is Cognitive Groove more effective than usual care in improving frailty status, fear of falling, balance confidence, mood, cognition, grip strength, activities of daily living, life space mobility, loneliness, and quality of life?\n3. As a community-based rehabilitation intervention, is Cognitive Groove a cost-effective intervention embedded within the community for older adults living with frailty after 12-months?\n\nParticipants will participate in Cognitive Groove classes twice per week for 3 months or receive no intervention (usual care).",[15,29,103,104],"Frailty in Aging","Frailty Syndrome",[15,106,107],"Rehabilitation","Dance","RECRUITING","2025-06-27",{"date":111,"type":40},"2025-07-01",{"date":113,"type":40},"2025-06-10",{"date":115,"type":21},"2027-12",{"name":117,"class":47},"McMaster University"]