GRACE: Geriatric Resources for Assessment and Care of Elders

This study has been completed.
Sponsor:
Collaborators:
Nina Mason Pulliam Charitable Trust
Wishard Health Services
Information provided by:
National Institute on Aging (NIA)
ClinicalTrials.gov Identifier:
NCT00182962
First received: September 13, 2005
Last updated: November 16, 2006
Last verified: November 2006
  Purpose

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.


Condition Intervention
Functional Decline
Aging
Behavioral: Geriatric Resources for Assessment & Care of Elders (GRACE)

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Single Blind
Primary Purpose: Treatment
Official Title: Geriatric Resources for Assessment and Care of Elders

Further study details as provided by National Institute on Aging (NIA):

Primary Outcome Measures:
  • Functional status
  • health status
  • hospitalization and nursing home placement

Secondary Outcome Measures:
  • Patient satisfaction and quality of care

Estimated Enrollment: 1270
Study Start Date: March 2002
Estimated Study Completion Date: October 2006
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.
  Eligibility

Ages Eligible for Study:   65 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

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
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00182962

Locations
United States, Indiana
Indiana University School of Medicine
Indianapolis, Indiana, United States, 46202
Sponsors and Collaborators
Nina Mason Pulliam Charitable Trust
Wishard Health Services
Investigators
Principal Investigator: Steven R. Counsell, MD Indiana University Geriatrics Program, Indiana University Center for Aging Research, Indiana University School of Medicine
  More Information

Publications:
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
ClinicalTrials.gov Identifier: NCT00182962     History of Changes
Other Study ID Numbers: AG0042, R01AG20175
Study First Received: September 13, 2005
Last Updated: November 16, 2006
Health Authority: United States: Federal Government

Keywords provided by National Institute on Aging (NIA):
Activities of Daily Living
Low-income
geriatric medicine
computer assisted patient care

ClinicalTrials.gov processed this record on July 09, 2014