Comprehensive Geriatric Assessment in Primary Care

Sponsor
Nova Scotia Health Authority
Study ID
NCT07341061
Status
Not Yet Recruiting

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Conditions

  • Aging
  • Frailty
  • Functional Decline
  • Geriatric Syndromes
  • Mobility Limitation
  • Sedentary Lifestyle

Eligibility Criteria

Sex
ALL
Age
65 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Personalized Approach for Healthy Aging (PAHA) — BEHAVIORAL
    A personalized physical activity and behaviour-change program delivered by a Clinical Exercise Physiologist, including individualized goal setting, tailored home-based exercise prescriptions, and structured follow-up contacts (telephone or virtual) over 6 months.

Study Details

This study evaluates the feasibility and acceptability of implementing the electronic Comprehensive Geriatric Assessment (eCGA) in primary care for adults aged 65 years and older. The study examines how frailty changes over 12 months, how patient self-assessments compare with physician assessments, and how patients perceive the value of the eCGA when used as part of routine care. The study also includes an interventional randomized sub-study (PAHA), in which eligible participants receive a personalized physical activity program developed by a Clinical Exercise Physiologist. Participants are randomized to either an immediate-start or delayed-start exercise group, allowing assessment of the effects of a tailored activity intervention on frailty, physical activity participation, and goal attainment. Findings will inform how eCGA tools and personalized activity interventions can be integrated into primary care to support healthy aging and frailty management.

Key Dates

First listed
Jan 14, 2026
Start date
Jan 12, 2026
Status verified
Jan 2026
Primary completion
Jul 12, 2027
Completion
Jan 12, 2029

Study Design

Enrollment
120 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH

Arms

  • Experimental: Group AB - immediate exercise group
    Participants begin the Personalized Approach for Healthy Aging (PAHA) physical activity intervention immediately after basline assessment. The intervention includes individualized goal setting using Goal Attainment Scaling, tailored exercise prescription, and structured follow-up contacts with a Clinical Exercise Physiologist.
  • Active Comparator: Group BA - 6-month delayed exercise group
    Participants begin the PAHA physical activity intervention after a delayed-start period. They complete the same assessments and receive the same individualized exercise program as Group AB (immediately exercise group) but begin the intervention later in the study.

Primary Outcome Measure

Comprehensive Geriatric Assessment - Frailty Index [ Time Frame: Assessed at baseline and at 12-month follow-up. ]

Central Contacts

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