Integrated home care for frail older adults in Barcelona
Integrated Home Care (ADMIT). Transforming the Model of Home Care Though Technology and Integrated Health and Social Care
NA · Parc Sanitari Pere Virgili · NCT07408882
ADMIT will test whether a coordinated home care program helps people aged 70+ with complex health and social needs spend more days at home and have fewer health or social crises.
Quick facts
| Phase | NA |
|---|---|
| Study type | Interventional |
| Enrollment | 1000 (estimated) |
| Ages | 70 Years and up |
| Sex | All |
| Sponsor | Parc Sanitari Pere Virgili (other) |
| Locations | 8 sites (Barcelona, Barcelona and 7 other locations) |
| Trial ID | NCT07408882 on ClinicalTrials.gov |
What this trial studies
ADMIT is a multi-component integrated home care program that combines care coordination, social support and digital tools to manage frailty and complex chronic needs. In an interventional, hybrid implementation design, eligible participants receive the ADMIT package while comparison sites continue usual care. The primary outcome is the percentage of days spent at home, with secondary outcomes including exacerbations/crises, patient and caregiver quality of life, and experience of care. The program is delivered through primary care and community sites in Barcelona in partnership with regional health authorities.
Who should consider this trial
Good fit: Ideal candidates are people aged 70 or older living at home with high morbidity or complex/advanced frailty who are dependent for basic activities or have social vulnerability.
Not a fit: People living in nursing homes, those unable to give informed consent, or individuals whose needs exceed the program's coverage are unlikely to benefit from participation.
Why it matters
Potential benefit: If successful, the program could help frail older adults stay in their homes longer, reduce crises and improve quality of life for patients and their caregivers.
How similar studies have performed: Similar integrated home-care and case-management programs have produced mixed but generally promising results for reducing hospital days and improving quality of life, with effectiveness varying by context.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Living at home AND * Adjusted Morbidity Group = 3 or 4 or high risk OR Complex or Advanced frailty or chronicity OR Home health care program; AND * Dependent for the basic daily activities OR Social complexity (SSM-CAT positive) OR Dependency grade= 1, 2 or 3 OR Lack of social support OR Home social care program OR Living alone Exclusion Criteria: * Living in a nursing home * Unable to make decisions about care (either by the patient or the caregiver) * Person with needs that exceed the coverage of the program * Not providing informed consent
Where this trial is running
Barcelona, Barcelona and 7 other locations
- CAP Larrard — Barcelona, Barcelona, Spain (RECRUITING)
- CAP Sarrià — Barcelona, Barcelona, Spain (RECRUITING)
- EBA Vallcarca — Barcelona, Spain (RECRUITING)
- Institut Municipal de Serveis Socials - Ajuntament de Barcelona — Barcelona, Spain (RECRUITING)
- Institut Català de la Salut - Girona — Girona, Spain (RECRUITING)
- Consorci Acció Social La Garrotxa — Olot, Spain (NOT_YET_RECRUITING)
- Fundació Hospital d'Olot i Comarcal de la Garrotxa — Olot, Spain (RECRUITING)
- Programa de Gestió d'Atenció a la Complexitat (PGAC) — Vic, Spain (NOT_YET_RECRUITING)
Study contacts
- Study coordinator: Aida Ribera-Solé, PhD
- Email: ariberas@perevirgili.cat
- Phone: +34 932594263
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions: Older Adults Living at Home With Health and Social Complexity, integrated care, implementation science, mixed models, hybrid design