NCT06753643

Brief Summary

The IMPACTFrail program is an intrinsic capacity (IC) identification and management program for mildly frail older adults. Specifically, it delivers the three-tier approach recommended in the National Frailty Strategy Policy Report. The program's core functions include the segmentation of older persons using the Clinical Frailty Scale (CFS) score followed by secondary IC screening for CFS 4 to 5 (Tier 1), follow-up clinical assessment to confirm IC losses (Tier 2) and needs-directed management and tracking of their health (Tier 3). The investigator aims to conduct a multi-site feasibility study on a small group of older adult study participants (n=30 per polyclinic). The feasibility study has a few components. First, a qualitative study will assess its feasibility (implementation, appropriateness, acceptability, practicality, adaptability) as perceived by older adults, healthcare providers, and healthcare administrators. Second, the investigator aims to collect process indicators to track its implementation progress. Third, program costs will be estimated. Fourth, the investigator will develop a logic model and theory of change, and cluster-specific detailed written program descriptions. Lastly, the investigator aims to triangulate the findings and assess the feasibility for larger-scale implementation. This study is guided by implementation science frameworks and guidelines for conducting feasibility studies.

Trial Health

35
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
180

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started Mar 2025

Shorter than P25 for all trials

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

December 11, 2024

Completed
20 days until next milestone

First Posted

Study publicly available on registry

December 31, 2024

Completed
2 months until next milestone

Study Start

First participant enrolled

March 1, 2025

Completed
12 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 28, 2026

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 28, 2026

Completed
Last Updated

December 31, 2024

Status Verified

December 1, 2024

Enrollment Period

12 months

First QC Date

December 11, 2024

Last Update Submit

December 22, 2024

Conditions

Healthy AgeingFrailty

Outcome Measures

Primary Outcomes (13)

  • Qualitative study 1

    What will be measured: Deviations to the intended execution of the programme and implementation strategies and reasons for changes made. How will it be measured: Via in-depth interviews (IDIs) and focus group discussions (FGDs) with healthcare administrators and healthcare providers. All participants for the qualitative study will be identified through purposive sampling. We will adopt the Rapid Qualitative Inquiry (RQI) approach in data analysis.

    Mar 2025 - Feb 2026

  • Qualitative study 2

    What will be measured: Barriers/facilitators of implementing/receiving the programme and its implementation strategies. How will it be measured: Via in-depth interviews (IDIs) and focus group discussions (FGDs) with healthcare administrators, healthcare providers, and older adults. All participants for the qualitative study will be identified through purposive sampling. We will adopt the Rapid Qualitative Inquiry (RQI) approach in data analysis.

    Mar 2025 - Feb 2026

  • Qualitative study 3

    What will be measured: Perspectives on the ability to deliver innovation with given resources (manpower, infrastructure, IT, others). How will it be measured: Via in-depth interviews (IDIs) and focus group discussions (FGDs) with healthcare administrators and healthcare providers. All participants for the qualitative study will be identified through purposive sampling. We will adopt the Rapid Qualitative Inquiry (RQI) approach in data analysis.

    Mar 2025 - Feb 2026

  • Qualitative study 4

    What will be measured: Suggestions on how to improve the implementation of the programme for scalability and sustainability. How will it be measured: Via in-depth interviews (IDIs) and focus group discussions (FGDs) with healthcare administrators and healthcare providers. All participants for the qualitative study will be identified through purposive sampling. We will adopt the Rapid Qualitative Inquiry (RQI) approach in data analysis.

    Mar 2025 - Feb 2026

  • Programme cost

    The aim is to inform the funding of resources (developmental cost e.g., training, new materials, innovation cost and cost of implementation strategies needed to scale up the programme). Programme costs will be derived by aggregating expenditures from financial statements on operating expenses, manpower, training, and equipment cost incurred, and obtaining the time spent by healthcare workers to actualise the delivery of the program.

    Mar 2025 - Feb 2026

  • Logic model and theory of change

    What will be measured: The output is a single figure. We aim to depict a visual representation of the resources, key activities, outputs, outcomes, and plausible causal pathways connecting them.

    Mar 2025 - Feb 2026

  • Written programme description

    What will be reported: The investigators will report the narrative detailed description of the programme. How will it be measured or reported: The frameworks used are TIDIER and AIMD.

    Mar 2025 - Feb 2026

  • Process indicators

    What will be measured: Number of older adults with Clinical frailty scale (CFS) score 4-5, number of older adults who completed intrinsic capacity screening, number of older adults who actualised follow-up appointments. How will it be measured: Data collection will be from healthcare providers on the ground.

    Mar 2025 - Feb 2026

  • Fidelity of implementation strategy: Educational meetings, Part 1

    What will be measured: Actor: Who executed the educational meetings. How will it be measured: Data collection will be from healthcare providers on the ground.

    Mar 2025 - Feb 2026

  • Fidelity of implementation strategy: Educational meetings, Part 2

    What will be measured: Action target: Who attended the meetings How will it be measured: Data collection will be from healthcare providers on the ground.

    Mar 2025 - Feb 2026

  • Fidelity of implementation strategy: Educational meetings, Part 3

    What will be measured: Temporality: Frequency of meetings How will it be measured: Data collection will be from healthcare providers on the ground.

    Mar 2025 - Feb 2026

  • Fidelity of implementation strategy: Educational meetings, Part 4

    What will be measured: Dose: Number of meetings that each healthcare provider attended. How will it be measured: Data collection will be from healthcare providers on the ground.

    Mar 2025 - Feb 2026

  • Fidelity of implementation strategy: Educational meetings, Part 5

    What will be measured: Action: Content (topics)/style (lecture, didactic) of educational meetings How will it be measured: Data collection will be from healthcare providers on the ground.

    Mar 2025 - Feb 2026

Study Arms (1)

Older Adults (programme recipients)

These are the recipients of the new programme in this feasibility study. Main study components of direct involvement. Qualitative - Focus group discussions or in-depth interviews with programme recipients Quantitative - Monitoring process indicators

Other: The IMPACTFrail programme

Interventions

The IMPACTFrail programmeOTHER

The IMPACTFrail programme

Older Adults (programme recipients)

Eligibility Criteria

Age60 Years - 100 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Older adults will be polyclinic patients aged 60 years and above with CFS score 4 or 5 as assigned by a trained healthcare provider at the polyclinic. They should not have done any comprehensive geriatric assessment or be currently receiving geriatric specialist outpatient services. Healthcare staff can be polyclinic healthcare providers (e.g., polyclinic doctors, nurses, care coordinators, care managers, medical social workers). Healthcare administrators would be from the polyclinic leadership team, who are decision-makers who have the authority to make implementation decisions and are familiar with the overall frailty and IC management strategies in primary care in Singapore.

You may qualify if:

  • being a patient of the polyclinic site
  • aged 60 years and above
  • Clinical frailty score (CFS) of 4 - 5
  • Not done comprehensive geriatric assessment (CGA) in the past 12 months (based on available medical records or self-report)
  • Not a current patient of geriatric specialist outpatient clinic (based on available medical records or self-report).

You may not qualify if:

  • Healthcare Staff (for qualitative study)
  • aged 21 years and above
  • Involved in the IMPACTFrail program as an implementer and/or a healthcare administrator with authority to make implementation decisions.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (53)

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  • Wang Q, Ginting ML, Ho E, Goh SF, Gao J, Tan WS, Ding YY, Ng WLD, Ng JCA, Kwek SC, Hui RJY, Wang ZS, Ng CJ, Sum G; IMPACTFrail Group. Development and Feasibility Assessment of an Intrinsic Capacity Program in Primary Care: Protocol for an Implementation Science Approach. JMIR Res Protoc. 2026 Feb 2;15:e84257. doi: 10.2196/84257.

    PMID: 41628431DERIVED

Related Links

MeSH Terms

Conditions

Frailty

Condition Hierarchy (Ancestors)

Pathologic ProcessesPathological Conditions, Signs and Symptoms

Study Officials

  • Grace Sum, PhD

    Geriatric Education and Research Institute

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Grace Sum, PhD

CONTACT

(+65) 6807 8020sum.grace.ce@geri.com.sg

Study Design

Study Type
observational
Observational Model
OTHER
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER GOV
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 11, 2024

First Posted

December 31, 2024

Study Start

March 1, 2025

Primary Completion

February 28, 2026

Study Completion

February 28, 2026

Last Updated

December 31, 2024

Record last verified: 2024-12

Data Sharing

IPD Sharing
Will not share

The information will not be shared due to confidentiality.