Improving Care for Frail Older Adults Using a Digital Needs Assessment Tool (NCT07580690) | Clinical Trial Compass
Not Yet RecruitingNot Applicable
Improving Care for Frail Older Adults Using a Digital Needs Assessment Tool
Singapore200 participantsStarted 2026-05-01
Plain-language summary
The goal of this trial is to evaluate whether a digital needs-assessment tool can improve care planning and outcomes for frail older adults (aged 60 years and above) hospitalized in Singapore. The tool is designed to identify patients' health and social service needs and support better care coordination after hospital discharge.
The main questions it aims to answer are:
* Does the use of a digital needs-assessment tool improve the identification and management of health and social service needs in frail older adults?
* Does this approach improve patient outcomes, such as quality of life, care satisfaction, and healthcare utilization after discharge?
Participants will:
* Respond to a baseline questionnaire
* Receive a personalized care plan based on identified needs by the tool
* Be followed up at 1 month and 3 months after discharge through surveys
* Some participants will receive additional follow-up phone calls to review care needs and service use
* A subset of participants will take part in interviews to share their care experiences
Who can participate
Age range
60 Years
Sex
ALL
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion Criteria:
* Patient participant: (i) Aged \>= 60 years at the time of recruitment; (ii) identified as frail, with a CFS score \>= 5 and/or modified HFRS intermediate and high frailty risk (mHFRS) score \>=5; (iii) Singapore citizens or permanent residents; (iv) able to speak and understand English, Chinese or Malay.
* Proxy (when responding on behalf of eligible patients): (i) Relative or friend of the patient participant; (ii) Aged 21 years or older; (iii) Familiar with the older adult's health and social situation.
Exclusion Criteria:
* Patient participant: (i) Currently involved in another study or (ii) residents of nursing homes, or (iii) patients known to home hospice or home palliative care services with a life expectancy of less than 6 months.
* Proxy: primary caregivers who are foreign domestic workers will be excluded from the study.
Questions worth asking your doctor
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
Questions for the trial coordinator
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.