Development and Validation of a Comprehensive Management Service Package for Older Adults With Multimorbidity
NCT07151430 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 358
Last updated 2025-09-03
Summary
This study aims to test a new comprehensive management service package for older adults with two or more chronic conditions (multimorbidity). The package includes digital health tools, personalized guidance, and long-term management support. Researchers will compare the service package with usual care to see whether it reduces hospital readmissions, improves quality of life, and supports daily functioning. About 394 participants will be randomly assigned to either the service package group or the usual care group. Participants will be followed for 6 months to measure health outcomes, treatment adherence, and safety.
Conditions
- Multimorbidity
- Hypertension
- Diabetes Mellitus
- Coronary Artery Disease
- Dyslipidemia
- Stroke
- Arthritis
- Cognitive Impairment
- Depression - Major Depressive Disorder
- Chronic Kidney Disease
- Chronic Liver Diseases
Interventions
- DEVICE
-
Service Package Group
patients receive comprehensive multimorbidity management service package (digital tools, MDT decision support, lifestyle interventions, long-term management tools).
Sponsors & Collaborators
-
Xuanwu Hospital, Beijing
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-12-01
- Primary Completion
- 2026-06-01
- Completion
- 2026-12-01
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