ICT-supported Multidimensional Approach for Frailty Screening in Community-dwelling Individuals Aged ≥ 65 Years

Study Overview
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Brief Summary
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SUNFRAIL+ is a prospective observational cohort study aimed to carry out a multidimensional assessment of community-dwelling older adults, through an IT platform, which allows to connect the items of the SUNFRAIL frailty assessment tool with a cascading multidimensional in-depth assessment of the bio-psycho-social domains of frailty. It is a multicentric study. Seven centres will administer SUNFRAIL questionnaire to 100 older adults each and, according to the specific alerts triggered by the answers provided, older adults will be subjected to one or more validated in-depth tests in order to perform further diagnostic or dimensional evaluations.

Official Title
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Approccio Multidimensionale Supportato Dalle ICT Per lo Screening Della fragilità Nei Soggetti di età ≥ 65 Anni Che Vivono in comunità - SUNFRAIL+

Conditions
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Frail Elderly Syndrome

Intervention / Treatment
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* Diagnostic Test: Frailty multidimensional assessment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age ≥65 years; Living at home; accessing participating centres for social and healthcare services other than those covered by this study; ability to sign the informed consent Exclusion Criteria: Age <65 years; Residents in care facilities (hospital, nursing home); have overt frailty or disability; are already enrolled in home care; are unable to understand the study aims and sign the informed consent

Ages Eligible for Study
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Minimum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| ≥ 65 Community-dwelling older adults<br> | Diagnostic Test: Frailty multidimensional assessment<br>* Each Centre will administer SUNFRAIL frailty assessment tool to the enrolled older adults and, according to the specific alerts triggered by the answers provided, older adults will be subjected (at the same time or subsequently) to one or more validated in-depth tests (already included in the SUNFRAIL+ platform) in order to perform further diagnostic or dimensional evaluations. During the observation phase, subjects will be given different health promotion activities, depending on the assessment. During the follow-up phase, 6 months after enrolment, SUNFRAIL tool and in-depth tests will be administered again. In addition, during the follow up, the extent to which exposure to interventions has influenced the quality of life of older adults will be measured and the number of users enrolled by territorial services, based on user care needs. In addition, the level of satisfaction and usability of the SUNFRAIL+ solution by health and social care professionals will be measured.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Improved quality of life | Impact of early, integrated and simultaneous taking care by health system on the quality of life of community-dwelling older adults | Month 14 | 
| Appropriateness of care | Level of appropriateness of care by the healthcare system | Month 14 | 
| Level of satisfaction of the health professionals | Impact of the IT solution on the organization of services and the workload of professionals | Month 14 |