Older Adults (70 or More) Living at Home With Health and Social ComplexityADMITNCT07408882
Evaluation of an Integrated Home Care Model
A study testing ADMIT integrated care Program in people with Older Adults (70 or More) Living at Home With Health and Social Complexity, run by Parc Sanitari Pere Virgili at 8 sites in Spain.
Trial summary
The demographic shift towards a progressive aging of the population represents an unprecedented challenge for Western societies and for the sustainability of health and social systems. Read more about this study
- Who is it for?
- Ages 70 years and older
- Conditions the study is for
- Older Adults (70 or More) Living at Home With Health and Social Complexity
- What is being tested?
- ADMIT integrated care Program
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,000 participants
- Where
- 8 sitesSpain
- Study dates
- 15 May 2025to 31 Oct 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 70 years and older
- All sexes
- No healthy volunteers
- Older adult
Who may be able to join
- Living at home AND
- Adjusted Morbidity Group = 3 or 4 or high risk OR Complex or Advanced frailty or chronicity OR Home health care program; AND
- Dependent for the basic daily activities OR Social complexity (SSM-CAT positive) OR Dependency grade= 1, 2 or 3 OR Lack of social support OR Home social care program OR Living alone
Who cannot join
- Living in a nursing home
- Unable to make decisions about care (either by the patient or the caregiver)
- Person with needs that exceed the coverage of the program
- Not providing informed consent
Trial locations and contacts
8 sites in 1 country. Contact the study team or a site near you to ask about taking part.
8 sites in 1 country
Spain8 sites, 8 recruiting
- Recruiting
CAP Larrard
Barcelona, Barcelona, 08041
MIriam Aballí, +34 606660084, maballi@perevirgili.cat
- Recruiting
CAP Sarrià
Barcelona, Barcelona, 08041
Veronica Guillot, +34 685 219 774, veronicaguillot@capsarria.com
- Recruiting
EBA Vallcarca
Barcelona
Rosario Jiménez, +34 629 423 337, rjimenez@ebavallcarca.cat
- Recruiting
Institut Municipal de Serveis Socials - Ajuntament de Barcelona
Barcelona
Silvia Ramírez, 669 623 868, sramirezp@bcn.cat
- Recruiting
Institut Català de la Salut - Girona
Girona
Rafael Ramos, +34 607 074 712, rramos.girona.ics@gencat.cat
- Not yet recruiting
Consorci Acció Social La Garrotxa
Olot
Elena Güell, +34 606 654 929, eguell@casg.cat
- Recruiting
Fundació Hospital d'Olot i Comarcal de la Garrotxa
Olot
Glòria Bassets, +34 690 932 380, gbassets@hospiolot.cat
- Not yet recruiting
Programa de Gestió d'Atenció a la Complexitat (PGAC)
Vic
Rosa Planesas, + 34 667 007 846, mrplanesas@catsalut.cat
About this study
Official title: Integrated Home Care (ADMIT). Transforming the Model of Home Care Though Technology and Integrated Health and Social Care
The demographic shift towards a progressive aging of the population represents an unprecedented challenge for Western societies and for the sustainability of health and social systems.
Hypotheses: A complex, multi-component intervention based on integrated home care, facilitated by technological tools and focused on the frail person with complex needs (ADMIT Program):
Read more
- Will increase at least 5% of the days spent at home compared to usual care
- Will reduce exacerbations or health or social crisis at home
- Will improve the quality of life and well-being of users and their informal caregiver
- Will improve the experience of the people cared for, their caregivers and professionals in the health and social systems
Main objective: To evaluate the effectiveness of the ADMIT program in increasing the % of days at home of frail elderly people compared to usual practice.
Secondary objectives:
To evaluate the effectiveness of the ADMIT program compared to usual care to reduce exacerbations or situations of crisis that motivate emergency care or hospitalizations.
To evaluate the incremental cost-utility ratio of the ADMIT program in relation to usual practice, exploring different time horizons and different scenarios of population scalability.
To evaluate the experience of the people treated, their informal caregivers and professionals.
To identify the determinants of change and contextual factors of the program implementation process
Methodology:
Hybrid evaluation model that allows evaluating the process, effectiveness, safety and cost-utility while implementing the intervention in real life. Mixed methods, typical of implementation science, will be used, with different stages: First stage: co-creation of the care model and the technological platform with the participation of users and professionals Second stage: evaluation of the process, results and experience through a pragmatic randomized controlled trial with a batched stepped wedge design and comparison with a parallel "external" control group, matched using propensity score techniques.
Applicability and Relevance: The ADMIT program is aligned with the current trend and the shared interest of evolving towards integrated social and health care, keeping people with complex needs in their homes for as long as possible and with the best possible quality of life. The ADMIT project is an implementation project supported by the Catalan Health Department and the Integrated Care Agency. The technological platform that will be co-created and piloted is expected to be adopted by Catalan Health Department for its scaling up in the territory.
- Being tested
- ADMIT integrated care Program
- Keywords
- integrated care, implementation science, mixed models, hybrid design
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ADMIT integrated care ProgramOther
Participants will be attended following an integrated care program which is being co-created by professionals, patients and caregivers, with the following principles: 1. Proactive detection of candidates from both sides (the health and the social services); 2. Designation of a reference and a co-reference professional, one from each side; 3. Shared situational diagnosis based on a comprehensive geriatric assessment; 4. Definition of a shared individual care pathway; 5. Shared follow up.
Using a tehcnological platform to facilitate sharing of information and communication between all stakeholders.
In some instances, sensoric and robotic devices will be used to monitor and support home care
| Study group | Role | What they receive |
|---|---|---|
| Usual care | No intervention | Not described |
| ADMIT Program | Experimental | Not described Receives: Other: ADMIT integrated care Program |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of days at home
(Follow up days - (Mortality days + Inpatient Days + Nursing home Days + Home Health Visits + Emergency Department Visits + Inpatient Psychiatry Days + Inpatient Rehabilitation Days + Long term Hospital Days))/follow up days *100
Measured: During the intervention (6 months from the baseline).
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Feb 2026
- Study start15 May 2025
- Primary completion31 Oct 2026 (estimated)
- Study completion31 Oct 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Older Adults (70 or More) Living at Home With Health and Social ComplexityStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Randomised
- Intervention model
- Sequential
- Model description
- Implementation research hybrid model that will allow the evaluation of the process, effectiveness, safety and cost-utility while implementing the intervention in real life. Centers and care teams will start including participants in the ADMIT Program following a batched stepped wedge design. A batched stepped wedge cluster design consists in a series of stepped wedge cluster randomized trials. A stepped wedge analysis includes an initial period in which no clusters are exposed to the intervention. Subsequently, at regular intervals, or "steps", one cluster, or a group of it, is randomised to cross from the control to the intervention under evaluation. This process continues until all clusters have crossed over to be exposed to the intervention. At the end of the study there will be a period when all clusters are exposed.
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 1,000 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Parc Sanitari Pere Virgili
- Sponsor type
- University, hospital or other
- Collaborators
- CatSalut Catalonia, Spain, AMADIP
- Responsible party
- Sponsor
- Investigators
- Marco Inzitari, PhD, Study director, Parc Sanitari Pere Virgili
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07408882
- Sponsor's protocol ID
- PT-072023-EP
- Acronym
- ADMIT
- Status last verified
- Feb 2026
- First submitted
- 14 Jul 2025
- Last updated
- 18 Feb 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 18 Feb 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Integrated Home Care (ADMIT). Transforming the Model of Home Care Though Technology and Integrated Health and Social Care
- ClinicalTrials.gov ID
- NCT07408882
- Acronym / sponsor ID
- ADMIT / PT-072023-EP
- Keywords
- integrated care, implementation science, mixed models, hybrid design
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 1,000 participants (estimated)
- Lead sponsor
- Parc Sanitari Pere VirgiliUniversity, hospital or other
- Collaborators
- CatSalut Catalonia, Spain, AMADIP
- Study start
- 15 May 2025 (actual)
- Primary completion
- 31 Oct 2026 (estimated)
- Study completion
- 31 Oct 2026 (estimated)
- First posted
- 13 Feb 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The demographic shift towards a progressive aging of the population represents an unprecedented challenge for Western societies and for the sustainability of health and social systems.
Hypotheses: A complex, multi-component intervention based on integrated home care, facilitated by technological tools and focused on the frail person with complex needs (ADMIT Program):
- Will increase at least 5% of the days spent at home compared to usual care
- Will reduce exacerbations or health or social crisis at home
- Will improve the quality of life and well-being of users and their informal caregiver
- Will improve the experience of the people cared for, their caregivers and professionals in the health and social systems
Main objective: To evaluate the effectiveness of the ADMIT program in increasing the % of days at home of frail elderly people compared to usual practice.
Secondary objectives:
To evaluate the effectiveness of the ADMIT program compared to usual care to reduce exacerbations or situations of crisis that motivate emergency care or hospitalizations.
To evaluate the incremental cost-utility ratio of the ADMIT program in relation to usual practice, exploring different time horizons and different scenarios of population scalability.
To evaluate the experience of the people treated, their informal caregivers and professionals.
To identify the determinants of change and contextual factors of the program implementation process
Methodology:
Hybrid evaluation model that allows evaluating the process, effectiveness, safety and cost-utility while implementing the intervention in real life. Mixed methods, typical of implementation science, will be used, with different stages: First stage: co-creation of the care model and the technological platform with the participation of users and professionals Second stage: evaluation of the process, results and experience through a pragmatic randomized controlled trial with a batched stepped wedge design and comparison with a parallel "external" control group, matched using propensity score techniques.
Applicability and Relevance: The ADMIT program is aligned with the current trend and the shared interest of evolving towards integrated social and health care, keeping people with complex needs in their homes for as long as possible and with the best possible quality of life. The ADMIT project is an implementation project supported by the Catalan Health Department and the Integrated Care Agency. The technological platform that will be co-created and piloted is expected to be adopted by Catalan Health Department for its scaling up in the territory.
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
- Model description
- Implementation research hybrid model that will allow the evaluation of the process, effectiveness, safety and cost-utility while implementing the intervention in real life. Centers and care teams will start including participants in the ADMIT Program following a batched stepped wedge design. A batched stepped wedge cluster design consists in a series of stepped wedge cluster randomized trials. A stepped wedge analysis includes an initial period in which no clusters are exposed to the intervention. Subsequently, at regular intervals, or "steps", one cluster, or a group of it, is randomised to cross from the control to the intervention under evaluation. This process continues until all clusters have crossed over to be exposed to the intervention. At the end of the study there will be a period when all clusters are exposed.
| Arm | Type | Receives |
|---|---|---|
| Usual care | No intervention | – |
| ADMIT Program | Experimental | Other: ADMIT integrated care Program |
Who may qualify
- Ages
- 70 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Older adult
Key inclusion criteria (3 listed)
- Living at home AND
- Adjusted Morbidity Group = 3 or 4 or high risk OR Complex or Advanced frailty or chronicity OR Home health care program; AND
- Dependent for the basic daily activities OR Social complexity (SSM-CAT positive) OR Dependency grade= 1, 2 or 3 OR Lack of social support OR Home social care program OR Living alone
Key exclusion criteria (4 listed)
- Living in a nursing home
- Unable to make decisions about care (either by the patient or the caregiver)
- Person with needs that exceed the coverage of the program
- Not providing informed consent
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| ADMIT integrated care ProgramParticipants will be attended following an integrated care program which is being co-created by professionals, patients and caregivers, with the following principles: 1. Proactive detection of candidates from both sides (the health and the social services); 2. Designation of a reference and a co-reference professional, one from each side; 3. Shared situational diagnosis based on a comprehensive geriatric assessment; 4. Definition of a shared individual care pathway; 5. Shared follow up. Using a tehcnological platform to facilitate sharing of information and communication between all stakeholders. In some instances, sensoric and robotic devices will be used to monitor and support home care | Other | ADMIT Program |
Primary outcome
Percentage of days at home
Time frame: During the intervention (6 months from the baseline).
(Follow up days - (Mortality days + Inpatient Days + Nursing home Days + Home Health Visits + Emergency Department Visits + Inpatient Psychiatry Days + Inpatient Rehabilitation Days + Long term Hospital Days))/follow up days *100
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Feb 2026.
- Press release about the project kick offLink provided by the sponsor.
- Project Web pageLink provided by the sponsor.
- Individual participant dataSharing planned: Undecided
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Marco Inzitari, PhD study director
Parc Sanitari Pere Virgili
8 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing ADMIT integrated care Program in people with Older Adults (70 or More) Living at Home With Health and Social Complexity, run by Parc Sanitari Pere Virgili at 8 sites in Spain.
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 3 inclusion and 4 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: looking for participants now, as of the sponsor's last update on 18 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 8 sites in Spain. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Aida Ribera-Solé, PhD (+34 932594263, ariberas@perevirgili.cat), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage of days at home (time frame: During the intervention (6 months from the baseline).). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 18 Feb 2026.