Frailty in Older Adults: A Primary Care Program with Exercise and Geriatric Assessment

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This multicenter randomized trial will compare the FRAIL+AP program to usual care for community-dwelling adults aged 70+ who are frail or pre-frail. The program blends Comprehensive Geriatric Assessment, health education, and supervised multicomponent exercise (strength, balance, endurance, flexibility) with visual-spatial gait retraining using the Tapiz Fisior system. Outcomes include frailty status, physical performance, functional independence, and fall incidence over the study period. The study aims to determine whether integrating CGA with structured exercise in primary care can be scaled to reduce frailty-related adverse outcomes. Enrollment targets 200 participants across collaborating primary care centers in Tenerife.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Community-dwelling adults aged 70 years or older.
* Ability and willingness to provide written informed consent.
* Medical clearance to participate in low-to-moderate intensity physical exercise.
* Presence of frailty or pre-frailty defined by meeting at least two of the following criteria:
* Functional independence sufficient to participate in the intervention (Barthel Index \>80.
* FRAIL Scale score ≥ 1.
* Short Physical Performance Battery (SPPB) score \< 10.
* Gait speed \< 0.8 m/s.
* Timed Up and Go (TUG) test \> 12 seconds.
* Registered at one of the participating primary care centers.

Exclusion Criteria:

* Absolute contraindications to physical exercise, including recent acute myocardial infarction, unstable angina, severe uncontrolled cardiovascular disease, or severe uncorrected aortic stenosis.
* Severe cognitive impairment preventing comprehension of study procedures or exercise instructions.
* Severe psychiatric disorders interfering with participation.
* Absence of a legally authorized representative when required.
* Severe uncontrolled behavioral disturbances.
* Any acute or chronic medical condition considered by the investigators to make participation unsafe.

Discontinuation Criteria:

* Failure to attend the initial mandatory health education workshop.
* Attendance at fewer than 6 of the 12 scheduled supervised exercise sessions.
* Development of an acute medical condition that results in a temporary or permanent contraindication to physical activity.
* Participant withdrawal of informed consent.

Where it's running

• Centro de Salud Tacoronte
  Tacoronte, Santa Cruz de Tenerife, Spain Recruiting

Study contacts

• Principal investigator: Ángel Moisés Reyes Abreu, Registered Nurse — Centro médico Tacoronte. Adress: Carr. Gral. del Nte., 5, 38350 Tacoronte, Santa Cruz de Tenerife
• Study coordinator: Ángel Moisés Reyes Abreu, Registered Nurse
• Email: enf.enlacetacoronte@gmail.com
• Phone: +34922474058

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.