New program aims to keep seniors with multiple illnesses out of the hospital

NCT ID NCT07151430

Not yet recruiting Disease control Sponsor: Xuanwu Hospital, Beijing Source: ClinicalTrials.gov ↗

First seen Jun 26, 2026 · Last updated Jun 26, 2026

Summary

This study tests a comprehensive management service package for older adults (65+) who have two or more chronic conditions like high blood pressure, diabetes, or arthritis. The package includes digital tools, personalized lifestyle advice, and long-term support. Researchers will compare this program to usual care in 358 participants over 6 months to see if it reduces hospital readmissions and improves quality of life.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance: comprehensive management service package (digital tools, multidisciplinary decision support, lifestyle interventions, long-term management tools)
What this could lead to: If successful, this could provide an effective way to help older adults manage multiple chronic conditions at home, reducing hospital visits and improving daily life.
What could go wrong: This is a relatively small, early-stage trial with only 358 participants. The service package may not work for everyone, and results may not apply to all older adults with multimorbidity.

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Conditions

The condition(s) this trial relates to.

arthritic joint disease chronic kidney disease chronic renal failure syndrome Cognitive Dysfunction coronary artery disorder diabetes mellitus Dyslipidemias hypertensive disorder inherited lipid metabolism disorder major depressive disorder stroke disorder

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

ARTHRITIS CHRONIC KIDNEY DISEASE CHRONIC LIVER DISEASES COGNITIVE IMPAIRMENT CORONARY ARTERY DISEASE DEPRESSION - MAJOR DEPRESSIVE DISORDER DIABETES MELLITUS DYSLIPIDEMIA HYPERTENSION MULTIMORBIDITY STROKE

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