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NCT Number: NCT07118761

Home-based Empowerment Through Physical Exercise Assisted by Technology for Frail Patients

This project, that lays in Health Ageing mission promoted by European Commission, aims to address the issue of frailty, a condition that poses the elderlies to increased vulnerability, deconditioning, and, ultimately, loss of independence. Frail people are exposed to a significant increase in mortality, hospitalizations and falls, with high burden for families and for the National Health Service (NHS). Nowadays, the detection of frailty is performed with more than 75 validated measures including questionnaires, scales and technologies. Moreover, frailty is usually not properly addressed, due to the limited resources in terms of personnel and programs in the NHS, and the frail patient is at high risk to be institutionalized and to definitely lose his functional independence. The project here proposed aims to address these topics, by combining clinical, rehabilitation, and engineering expertise in a unique team.

Indeed, the projects aims to empower the frail people with an home-based app-guided rehabilitation program. In order to easily develop a largely tested home-based walking program, we aim to design and develop an application, compatible with any device, that will enable each person to easily exercise at home just few minutes per day. Through a randomized-controlled clinical trial, we will verify the effectiveness of the rehabilitation program on frailty status, in promoting patients' independence, quality of life and ARTIDE score.

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Key information

Age range

65 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University Hospital of Ferrara, Ferrara, Italy

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Frail condition as determined by a Fried Frailty Score equal or more than 2,
  • Barthel Index > 60
  • Ability to ambulate also with assistance
  • Ability to communicate with the research team
  • Ability to use a smartphone or a tablet.

Exclusion criteria

  • terminal illness;
  • life-threatening conditions;
  • absolute contraindications to exercise training (e.g. fracture);
  • severe cognitive decline identified by a Mini-mental status examination < 18;
  • incapability or unwillingness to provide informed consent.

Treatment and study plan

Home-based walking training

Behavioral

Patients enrolled in the experimental group will undergo an exercise-based intervention at home guided by a smartphone application. Each exercise session will encompass 8 walking minutes at home at a fixed slow speed to be repeated twice per day. Every week the speed will be slightly increased to maintain an adequate training stimulus.

Primary outcomes

  1. Short Physical Performance Battery

    Time frame: From enrollment to the end of treatment at 3 months

    This battery includes three different tests focusing on balance (side-by-side, semi-tandem and tandem position), gait speed (4-meter test) and lower-limb strength (5-time sit-to-stand test). The scale score ranges from 0 (lowest) to 12 (higher) by summing the points obtained in the three tests.

Secondary outcomes

  1. Barthel Index

    Time frame: From enrollment to the end of treatment at 3 months

    Assess the functional independence in activities of daily living. This ordinal scale includes 10 items and provides a score ranging from 0 (total dependence) to 100 (total independence).

  2. 2-minute walking test

    Time frame: From enrollment to the end of treatment at 3 months

    Patients will be instructed to walk on a 20-meter corridor aiming at covering as much distance as possible in two minutes. Patients will be allowed to slow down the pace and/or stop in case of fatigue and symptoms. The total distance covered will be collected, as well the 0-10 rate of perceived exertion

  3. Quality of life through EQ-5D-5L questionnaire

    Time frame: From enrollment to the end of treatment at 3 months

    The questionnaire includes five Likert-scale multiple choice questions and a visual analog scale to measure the current perception of quality of life.

  4. Number of falls

    Time frame: From enrollment to 12 months

    Rate of falls will be collected by giving to the patients' caregiver (when possible) or directly to the patient a small diary to report the total number of falls experienced

  5. All-cause hospitalizations

    Time frame: From enrollment to 12 months

    Number and rate of all-cause hospitalizations at 12 months. For each patient enrolled we will periodically analyzed the regional dataset to check for any recurrent hospitalization. In case of positive findings, the days elapsed from enrollment to the event will be recorded for additional analyses, as well as the reasons and the diagnoses

  6. Survival rate

    Time frame: From enrollment to 12 months

    Number and rate of mortality at 12 months. For each patient enrolled we will periodically analyzed the regional dataset to check for any recurrent hospitalization. In case of positive findings, the days elapsed from enrollment to the event will be recorded for additional analyses, as well as the reasons and the diagnoses

Study contacts

Contact information is provided by the study sponsor or research team.

Nicola Lamberti, PhD

CONTACT

[email protected]

00390532236187

Sponsors and collaborators

Lead sponsor

University Hospital of Ferrara

Other

Collaborators

  • Università degli Studi di Ferrara

Registry information

Official study title

Frailty Status in Hospitalized Persons: Artificial Intelligence-based Detection and Technology-assisted Home-based Empowerment (ART.I.DE.)

Acronym: ARTIDE

Important dates

Study start
2025
Primary completion
2027
Study completion
2028
First posted
Aug 12, 2025
Registry last updated
Aug 12, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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