SPICE: Community-based pathway to screen and prevent declines in older adults' physical and mental abilities in Singapore

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

The SPICE pathway uses WHO ICOPE digital screening tools in community venues to identify early declines across mobility, cognition, nutrition, psychological, and sensory domains. Participants who screen positive receive structured in-depth assessments, traffic-light risk stratification, and personalized care plans linking community interventions or medical referral as needed. The intervention package emphasizes multidomain supports such as exercise, nutrition, cognitive stimulation, and social engagement delivered through a hub-and-spoke model anchored by regional health services. Longitudinal follow-up will track feasibility, uptake, functional trajectories, adherence, and cost-effectiveness of the implementation.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* pre-frail or robust older adults who can provide consent and follow instructions

Exclusion Criteria:

* frail or with terminal illness

Where it's running

• National University Hospital
  Singapore, Singapore Recruiting

Study contacts

• Study coordinator: Reshma Merchant (Associate Professor), MBChB (Edin)
• Email: mdcram@nus.edu.sg
• Phone: +6567724368

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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.