AzTrials
AzTrials

FrailtyFOCUS-WMUNCT03194412

FOCUS- Frailty Management Optimization Through EIP AHA Commitments and Utilization of Stakeholders Input

A study testing Diet /nutritional, Physical activity and Comprehensive therapy in people with Frailty, run by Wroclaw Medical University at 1 site in Poland.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
Search all trials

Trial summary

This intervention study is a part of the FOCUS (Frailty Management Optimization Through EIP AHA Commitments and Utilization of Stakeholders Input) project which purpose is to critically reduce the burden of frailty in Europe by assisting those partners within the European Innovation Partnership for Active Healthy… Read more about this study

Who is it for?
Ages 60 years and older
Conditions the study is for
Frailty
What is being tested?
Diet /nutritional, Physical activity and Comprehensive therapy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
210 participants
Where
1 sitePoland
Study dates
19 May 2017to Dec 2017
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 60 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • patients:
  • age ≥ 60 years old
  • recognition of the pre-frail and frail (based on the scale of the Cardiovascular Health Study)
  • consent to participate in the study
  • the patients who could speaking Polish language
  • caregivers:
Show all 9Show fewer
  • to be formal or informal caregivers of person aged ≥ 60 years old
  • consent to participate in the study
  • caregivers who could speaking Polish language

Who cannot join

  • patients:
  • age < 60 years old
  • lack of recognition of the pre-frail and frail (based on the scale of the Cardiovascular Health Study)
  • somatic state which precludes complete examination performance according to selected scales (eg. Vision disorders)
  • severe mental disorders or difficulties that prevent active participation in the study
  • the patients who could not speaking Polish language
Show all 11Show fewer
  • lack of consent to participate in the study
  • caregivers:
  • not to be formal or informal caregivers of person aged ≥ 60 years old
  • lack of consent to participate in the study
  • the caregivers who could not speaking Polish language

Trial locations and contacts

1 site in 1 country.

Poland1 site
  • Wroclaw Medical University

    Wroclaw, Wroclaw, 50-345

Other trials in Poland

About this study

Official title: FOCUS- Frailty Management Optimization Through EIP AHA Commitments and Utilization of Stakeholders Input (WP7-WMU)

This intervention study is a part of the FOCUS (Frailty Management Optimization Through EIP AHA Commitments and Utilization of Stakeholders Input) project which purpose is to critically reduce the burden of frailty in Europe by assisting those partners within the European Innovation Partnership for Active Healthy Ageing (EIPAHA) with commitments focusing on early diagnosis/ screening and/or management of frailty to achieve scalability.

FOCUS aims to critically reduce the burden of frailty in Europe by developing methodologies and tools to assist entities focusing on early diagnosis, screening and management of frailty to achieve scalability. Frailty is a common clinical syndrome in older adults that brings an increased risk for poor health outcomes including falls, incident disability, hospitalization and mortality.

Read more

The FOCUS Consortium brings together a multidisciplinary team of specialists from 10 organizations in 6 countries - Italy, Poland, Portugal, Spain, Netherlands, United Kingdom - that will work on developing, piloting and disseminating methodologies and tools to assist entities focusing on early diagnosis, screening and management of frailty to achieve scalability.

Wroclaw Medical University actively participates in all projects for the advances in science, entrepreneurship, technological innovation, both with public authorities, local governments, and enterprises. In FOCUS project, WMU is responsible for Evaluation of the project and collaborates with the others partners in Coordination of the project, Dissemination of the project, Synthesis of learning and realities of practice, Analysis and guidelines development, Creation of Network and Platform for knowledge exchange, Test of guidelines in a set of commitments (Work Package 7 - WP7).

The outcomes of this proposal will offer significant potential improvements for innovative, coordinated and comprehensive community based prevention with regard to the optimisation of functional capacity tools to address pre-frailty, and for improving the management of frailty.

The registered study has its own protocol developed by Wroclaw Medical University research team and will be implemented within WP7 of the FOCUS project.

Read the detailed description

This is a prospective intervention study. The study is expected screening about 320 participants - persons aged more than 60 years old recruited from Universities of the Third Age, day care centers, primary care centers, geriatrics out-patient clinics and from nursing homes. We are expected to enroll 270 potential participants (at least 135 participants) to 5 groups: 4 intervention groups and 1 control group without any intervention.

Patient qualification is based on criteria developed by Fried et al 2001.

Dimensions:

Weight loss Exhaustion Physical Activity Walk Time Grip Strength

INTERPRETATION:

Robust: 0 points Pre-frail: 1-2 points Frail: 3 or more points

Method: diagnostic survey Technique: the 'surveys combined with direct measurements of patients investigated within 0, after 3 and 6 months

Tools:

Study questionnaires:

  • Standardized questionnaires: Center for Epidemiologic Studies Depression Scale Minnesota Leisure Time Physical Activity Questionnaire Vulnerable Elders - 13 Survey Mini Nutritional Assessment Health Behaviour Inventory Montreal Cognitive Assessment Geriatric Depression Scale World Health Organization Quality of Life (short version) questionnaire Camberwell Assessment of Need Short Appraisal Schedule Barthel Scale Activities of Daily Living Instrumental Activities of Daily Living Camberwell Assessment of Need Short Appraisal Schedule Timed up and go test Beck Depression Inventory
  • The questionnaire on: socio-demographic data - age, gender, marital status, living in relationship/ without relationship, level of education, place of residence, economic status; the number of hospitalizations in the last 3 years (including kind of ward); the number and kind of chronic diseases (ICD-10); the number of permanent medications; employment situation; number of traveling in the last year; having pets; number of languages the participants can speak; number of falls
  • Rating of patients' difficulties in the implementation of the intervention (Did the patients perform the interventions? How often? Was it difficult to the patients?)
  • Observations sheet: height, weight, BMI, hand grip strength, circumference of arm muscle, circumference of calf
  • The results of laboratory tests: sodium , albumins, lymphocytes, LDL cholesterol, C reactive proteins, glomerular filtration rate, fasting glucose, thyroid hormones
Conditions
Frailty
Being tested
Diet /nutritional, Physical activity, Comprehensive therapy, Caregivers of elderly
Keywords
Frail Elderly, Geriatric Assessment, Humans, Aged
Medical subject headings
Frailty

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Diet /nutritionalDietary supplement

    • Duration:
    • the first stage - 3 months: 12 weeks
    • second stage - 3 months: 12 weeks

    Each patient collect a detailed menu of the last two days before making the description. Then the menu is analyzed by a nutrition consultant. The role of nutrition consultant is:

    • make a diet modification to include the products recommended in frailty
    • modifying eating habits

    The diet modification is mainly focused on adequate supply:

    • vitamin D (according to Central Europe guidelines -2013 for seniors)
    • protein (according to European Society for Clinical Nutrition and Metabolism (ESPEN recommendations)
  • Physical activityBehavioural

    Also called regular physical activity in everyday life of the elderly

    • Duration:
    • the first stage - 3 months: 12 weeks
    • second stage - 3 months: 12 weeks
    • Frequency: twice a week
    • Duration of each session: 60 minutes

    Worksheets for the elderly with frailty syndrome have been developed:

    • resistance exercises and strength training, which aim to improve muscle strength in the limbs
    • exercises aimed at improving motor coordination, flexibility and speed
    • stretching exercises.
  • Comprehensive therapyCombination product

    Also called diet/nutritional and physical activity training

    Combination of special diet for elderly (as in Group 1) and regular physical activity into everyday life of the elderly (as in Group 2)

    Duration:

    • the first stage - 3 months- 12 weeks
    • the second stage - 3 months- 12 weeks Frequency of physical activity: twice a week Duration of each session: 60 minutes
  • Caregivers of elderlyBehavioural

    Group: formal and informal caregivers of elderly with frailty syndrome Materials and Tools: multimedia presentation about frailty prevention and treatment (nutrition, physical activity, dietary supplement diet).

    Duration:

    • the first stage - 3 months: 12 weeks
    • the second stage - 3 months: 12 weeks

    Frequency: 1 (at the beginning of stage 0, 1 and 2) Duration: 60 minutes

Study groups in NCT03194412
Study groupRoleWhat they receive
Diet /nutritionalExperimentalSpecial diet for elderly. It should be rich in the appropriately amount of protein, carotenoids, vitamins, minerals, macro and micronutrients.
Receives: Dietary Supplement: Diet /nutritional
Physical activityExperimentalRegular physical activity in everyday life of the elderly - exercises to improve coordination and balance, stretching exercises, strength exercises.
Receives: Behavioral: Physical activity
Comprehensive therapyExperimentalSpecial diet for elderly (appropriately amount of protein, carotenoids, vitamins, minerals, macro and micronutrients) and regular physical activity in everyday life of the elderly (exercises to improve coordination and balance, stretching exercises, strength exercises)
Receives: Combination Product: Comprehensive therapy
Caregivers of elderlyExperimentalEducation about frailty: prevention and treatment (nutrition, physical activity, dietary supplement diet).
Receives: Behavioral: Caregivers of elderly
Control groupNo interventionWithout intervention

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Functional status change

    People who improved/worsened functional status according to standardized measures

    Measured: 6 months

Secondary outcomes (4)
  1. Falls change

    People who had at least one fall during the period of the intervention

    Measured: 6 months

  2. Mood change

    People who improved/worsened mood status according to standardized measures

    Measured: 6 months

  3. Nutritional status change

    People who improved /worsened nutritional status according to standardized measures

    Measured: 6 months

  4. Cognitive status change

    People who improved /worsened cognitive status according to standardized measures

    Measured: 6 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Jun 2017
  2. Study start19 May 2017
  3. Primary completion30 Sep 2017
  4. Study completionDec 2017 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Non-randomised
Intervention model
Factorial
Model description
The group of participants involved to the study: * n=60 ( at least 30) to diet /nutritional - intervention group 1 * n=60 ( at least 30) to physical activity - intervention group 2 * n=60 ( at least 30) to comprehensive therapy (diet/nutritional+physical activity training) - intervention group 3 * n=30 (at least 15) formal and informal caregivers of elderly - intervention group 4 * n=60 ( at least 30) to control group without intervention - group 5 Evaluation process: * Screening Evaluation (stage 1)- investigated within 0 * Baseline Evaluation (stage 2) - after 3 months from 0 * Final Evaluation (stage 3) - after 6 months from 0 Professionals involved in the interventions: physicians, general practitioners, physiotherapists, rehabilitation professionals, educators, nurses, volunteers, nutrition consultant.
Masking
None (open label)
Enrolment
210 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03194412
Sponsor's protocol ID
664367/FOCUS
Other IDs
664367/FOCUS
Acronym
FOCUS-WMU
Status last verified
Oct 2017
First submitted
17 Jun 2017
Last updated
1 Nov 2017
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Antonio Cano, Donata Kurpas, Maria Magdalena Bujnowska-Fedak, Silvina Santana, Carol Holland, Maura Marcucci, Ana Gonzalez- Segura, Miriam Vollenbroek-Hutten, Barbara D'Avanzo, Alessandro Nobili, João Luís Al ves Apostolo, Elżbieta Bobrowicz-Campos, Ana M. Martínez-Arroyo. FOCUS: Frailty Management Optimisation through EIPAHA Commitments and Utilisation of Stakeholders' Input - an innovative European Project in elderly care. Family Medicine & Primary Care Review 2016; 18, 3: 373-376 DOI: https://doi.org/10.5114/fmpcr/63234

  • Piotrowicz J, Soll A, Kielar U, Zwiefka A, Guligowska A, Pigłowska M, Kostka T, Kurpas D. ICT and environmental support for patients with frailty syndrome: CareWell Project, Focus Project and SUNFRAIL Project. Medical Science Pulse 2017; 11, 1: 37-43.

Questions about this trial

What is this clinical trial studying?

A study testing Diet /nutritional, Physical activity and Comprehensive therapy in people with Frailty, run by Wroclaw Medical University at 1 site in Poland.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 1 Nov 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Poland. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Functional status change (time frame: 6 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03194412, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Nov 2017.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in