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GRACE: Geriatric Resources for Assessment and Care of Elders

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ClinicalTrials.gov Identifier: NCT00182962
Recruitment Status : Completed
First Posted : September 16, 2005
Last Update Posted : November 20, 2006
Sponsor:
Collaborators:
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Study Description
Brief Summary:
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 or disease Intervention/treatment
Functional Decline Aging Behavioral: Geriatric Resources for Assessment & Care of Elders (GRACE)

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 Design

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 1270 participants
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Single
Primary Purpose: Treatment
Official Title: Geriatric Resources for Assessment and Care of Elders
Study Start Date : March 2002
Estimated Study Completion Date : October 2006

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Health Checkup
U.S. FDA Resources

Arms and Interventions


Outcome Measures

Primary Outcome Measures :
  1. Functional status
  2. health status
  3. hospitalization and nursing home placement

Secondary Outcome Measures :
  1. Patient satisfaction and quality of care

Eligibility Criteria

Information from the National Library of Medicine

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Ages Eligible for Study:   65 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
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

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00182962


Locations
United States, Indiana
Indiana University School of Medicine
Indianapolis, Indiana, United States, 46202
Sponsors and Collaborators
National Institute on Aging (NIA)
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:
Chen A, Brown R, Archibald N, Aliotta S, Fox PD. Best practice in coordinated care. Health Care Financing Administration. 2000. Contract No. HCFA 500-95-0048 (04).

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
ClinicalTrials.gov Identifier: NCT00182962     History of Changes
Other Study ID Numbers: AG0042
R01AG020175 ( U.S. NIH Grant/Contract )
First Posted: September 16, 2005    Key Record Dates
Last Update Posted: November 20, 2006
Last Verified: November 2006

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