GRACE: Geriatric Resources for Assessment and Care of Elders

November 16, 2006 updated by: National Institute on Aging (NIA)

Geriatric Resources for Assessment and Care of Elders

The purpose of this study is to test the effectiveness of a collaborative model of team care as compared to usual care in improving functional outcomes among community-dwelling low-income older adults.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

This collaborative model of care, Geriatric Resources for Assessment and Care of Elders (GRACE), involves a geriatric nurse practitioner and a geriatric social worker caring for the vulnerable older adult in collaboration with the patient's primary care physician to improve coordination and quality of care. The specific components of GRACE mirror those recommended in recent reviews: a) specific targeting of elders at risk; b) availability of collaborative expertise in geriatrics; c) integration of the program into primary care; d) coordination of care across all sites of care; e) integration of data systems that support physician's practice and facilitate monitoring of pertinent clinical parameters; and f) institutionally endorsed clinical practice guidelines. To our knowledge, there are no prior studies investigating the effectiveness of such a comprehensive approach among vulnerable older adults.

We are hypothesizing that, compared to usual care, patients enrolled in the intervention will have:

  1. greater independence in activities of daily living over 2 years of follow-up;
  2. better health status scores as assessed by the HEDIS® 2000 Health Outcomes Survey
  3. fewer nursing home days over 2 years of follow-up; and
  4. fewer hospitalizations over the 2 years of follow-up.

Study Type

Interventional

Enrollment

1270

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • Indiana
      • Indianapolis, Indiana, United States, 46202
        • Indiana University School of Medicine

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

65 years and older (OLDER_ADULT)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • 65 years old or older
  • Annual income less than 200% of the federal poverty level
  • Have had one or more primary care visits in the past 12 months
  • Reside in the community (non-institutionalized)

Exclusion Criteria:

  • Non-English speaking
  • No regular access to a telephone
  • Currently undergoing kidney dialysis treatments
  • Residing with a patient already participating in the GRACE clinical trial

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: TREATMENT
  • Allocation: RANDOMIZED
  • Interventional Model: SINGLE_GROUP
  • Masking: SINGLE

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Functional status
health status
hospitalization and nursing home placement

Secondary Outcome Measures

Outcome Measure
Patient satisfaction and quality of care

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

National Institute on Aging (NIA)

Collaborators

Wishard Health Services
Nina Mason Pulliam Charitable Trust

Investigators

  • Principal Investigator: Steven R. Counsell, MD, Indiana University Geriatrics Program, Indiana University Center for Aging Research, Indiana University School of Medicine

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

March 1, 2002

Study Completion

October 1, 2006

Study Registration Dates

First Submitted

September 13, 2005

First Submitted That Met QC Criteria

September 13, 2005

First Posted (ESTIMATE)

September 16, 2005

Study Record Updates

Last Update Posted (ESTIMATE)

November 20, 2006

Last Update Submitted That Met QC Criteria

November 16, 2006

Last Verified

November 1, 2006

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • AG0042
  • R01AG020175 (NIH)

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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