Patient-centered multidisciplinary medication review for frail older adults
Official title: Applying a Multidisciplinary Intervention for Drug Adequacy in a Intermediate Care Hospital (AMIDA-ICH)
Run by Parc Sanitari Pere Virgili · NCT07015112 · Data updated 2026-11-12
This project tests whether a team-led, patient-centered medication review by geriatricians, pharmacists, and nurses can reduce the number of medicines taken by frail older adults admitted to an intermediate care hospital.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 65 Years and up |
| Sex | All |
| Enrollment | 300 (estimated) |
| Sponsor | Parc Sanitari Pere Virgili Academic / other |
| Locations | 1 site (Barcelona, Barcelona) |
| Status | Recruiting |
| Started | January 4, 2024 |
| Main results expected | December 2025 |
| Study ends | June 2026 |
| Registry record updated | June 11, 2025 |
| Trial ID | NCT07015112 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are Spanish-speaking adults aged 65 or older with three or more chronic conditions who are admitted to the intermediate care hospital and can consent (or have a surrogate to consent).
✕Probably not a fit
Patients with very short expected hospital stays, limited life expectancy under three months, those who are homeless, or those unable to provide consent are unlikely to benefit from this intervention.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Older adults admitted to an intermediate care hospital receive a comprehensive geriatric assessment and a structured medication review focused on their goals and clinical characteristics. The multidisciplinary intervention is delivered by geriatricians, clinical pharmacists, and nurses and is compared with the usual medication revision performed by a clinical pharmacist alone. Participants complete questionnaires about their health status and attitudes, and any medication-related adverse events are recorded. The main outcome is change in treatment adequacy, including the average number of medications per patient.
Why it matters
Potential benefit: If successful, this approach could reduce unnecessary medications, lower the risk of adverse drug events, and better align treatments with patients' goals.
How similar studies have gone: Previous multidisciplinary and pharmacist-led deprescribing interventions have often reduced medication counts and inappropriate prescriptions in older adults, although effects on clinical outcomes like hospitalizations and mortality have been mixed.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * older adults (65+ years) * ≥ 3 or more chronic conditions requiring medical therapy * able to speak Spanish * capacity to provide informed consent or have a surrogate able to consent on their behalf Exclusion Criteria: * unable to provide informed consent * anticipated length of hospital stay \< 72h * estimated life expectancy \< 3 months * homeless * already enrolled in a drug trial
Where it's running
-
Parc Sanitari Pere Virgili
Barcelona, Barcelona, Spain Recruiting
Study contacts
- Study coordinator: Ana M de Andrés Lázaro, Pharmacist. PhD
- Email: amandres@perevirgili.cat
- Phone: +34932594128
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.