DETECT-RPC Universal EM Screening (DETECT-RPC)

Detection of Elder Mistreatment Through Emergency Care Technicians - Revised for Primary Care (DETECT-RPC) Universal EM Screening

The purpose of this study is to evaluate whether the use of the Detection of Elder Mistreatment Through Emergency Care Technicians-Revised for Primary Care (DETECT-RPC) screening tool increases the average reporting of elder mistreatment (EM) by homebased primary care (HBPC) clinicians.

Study Overview

• Status: Recruiting
• Conditions: Elder Abuse; Elder Mistreatment
• Intervention / Treatment: Behavioral: Detection of Elder mistreatment Through Emergency Care Technicians-Revised for Primary Care (DETECT-RPC) screening tool

• Study Type: Interventional
• Enrollment (Estimated): 43
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Michael B Cannell, PhD,MPH; Phone Number: 972-546-2925; Email: Michael.B.Cannell@uth.tmc.edu
• Study Contact Backup: Name: James S Barnes; Phone Number: 972-546-2934; Email: James.S.Barnes@uth.tmc.edu

Study Locations

• United States
  • Alabama
    • Birmingham, Alabama, United States, 35294
      • Recruiting
      • University of Alabama at Birmingham
      • Contact: Marianthe Grammas, MD; Phone Number: 205-996-2770; Email: mdgrammas@uabmc.edu
  • California
    • San Francisco, California, United States, 94143
      • Recruiting
      • University of California San Francisco
      • Contact: Maria Yefimova, PhD, RN; Phone Number: 415-203-4947; Email: maria.yefimova@usf.edu
  • Maryland
    • Baltimore, Maryland, United States, 21218
      • Recruiting
      • John Hopkins University Medicine International
      • Contact: Thomas Dr. Cudjoe, MD. MPH, MA; Phone Number: 443-927-1638; Email: tcudjoe2@jhmi.edu
  • Texas
    • Dallas, Texas, United States, 75390
      • Recruiting
      • University of Texas Southwestern Medical Center
      • Contact: Debbie Freeland, MD; Email: Deborah.Freeland@UTSouthwestern.edu
    • Houston, Texas, United States, 77030
      • Recruiting
      • Baylor College of Medicine
      • Contact: Kristina Little, MD; Phone Number: 713-814-4505; Email: Kristina.Little@bcm.edu
    • Houston, Texas, United States, 77030
      • Recruiting
      • The University of Texas health Science Center at Houston( LBJ House Calls Program)
      • Contact: Julia Hiner, MD; Phone Number: 713-500-6283; Email: Julia.A.Hiner@uth.tmc.edu
    • Houston, Texas, United States, 77030
      • Recruiting
      • The University of Texas Health Science Center at Houston( UT Physicians House Calls Program)
      • Contact: Faith B Atai, MD; Phone Number: 713-500-6628; Email: Faith.D.Atai@uth.tmc.edu

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria (Clinicians):

• Clinician who actively provides home-based primary care (HBPC) to patients enrolled in one of our partner home-based primary care programs at least part time.

Exclusion Criteria (Clinicians):

• HBPC Clinicians must be a physician, nurse practitioner, or physician assistant who actively provides home-based primary care to patients enrolled at a partner site HBPC at least part time

Inclusion Criteria (patients):

• in home-based primary care
• 60 years or older
• seen by a clinician participating in the study

Exclusion Criteria (patients)

• Must be aged 60 and older, enrolled in a site-specific partner HBPC and treated in their primary residence

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Screening
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: with DETECT-RPC screening tool	Behavioral: Detection of Elder mistreatment Through Emergency Care Technicians-Revised for Primary Care (DETECT-RPC) screening tool; DETECT is an elder mistreatment (EM) screening tool created for medics in the Fort Worth Texas area to use when responding to the homes of older adults, enabling them to screen for signs of elder mistreatment. DETECT-RPC is the adapted version of this tool designed specifically for use by home-based primary care (HBPC) clinicians. The DETECT-RPC tool is designed to: Be brief and easy to use.; Focus on the clinician's direct observations of the older adult and their physical and social environment.; Provide clear guidance on reporting suspected EM.; Integrate seamlessly into existing procedures and medical charting systems.; Other Names: DETECT-RPC screening tool
No Intervention: without DETECT-RPC screening tool

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
number of reports of EM	Data will be collected on the number of reports of EM made by clinicians to the appropriate authorities [for example, adult protective services (APS)]	from randomization to termination of data collection (3 years)
Mortality	Mortality among patients will be assessed among patients enrolled in the partner home-based primary care programs.	from randomization to termination of data collection (3 years)

Collaborators and Investigators

• Sponsor: The University of Texas Health Science Center, Houston
• Collaborators: National Institute on Aging (NIA)
• Investigators: Principal Investigator: Michael B Cannell, PhD,MPH, The University of Texas Health Science Center, Houston

Study record dates

Study Major Dates

• Study Start (Actual): February 18, 2025
• Primary Completion (Estimated): August 31, 2028
• Study Completion (Estimated): August 31, 2029

Study Registration Dates

• First Submitted: July 14, 2023
• First Submitted That Met QC Criteria: July 14, 2023
• First Posted (Actual): July 24, 2023

Study Record Updates

• Last Update Posted (Actual): June 13, 2025
• Last Update Submitted That Met QC Criteria: June 12, 2025
• Last Verified: June 1, 2025

More Information

Terms related to this study

• Keywords: Elder Mistreatment
• Other Study ID Numbers: DETECT-RPC; 4R33AG078523-03 (U.S. NIH Grant/Contract)

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No