GRACE: Geriatric Resources for Assessment and Care of Elders

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00182962
Recruitment Status : Completed
First Posted : September 16, 2005
Last Update Posted : November 20, 2006
Nina Mason Pulliam Charitable Trust
Wishard Health Services
Information provided by:
National Institute on Aging (NIA)

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 Phase
Functional Decline Aging Behavioral: Geriatric Resources for Assessment & Care of Elders (GRACE) Not Applicable

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  (Clinical Trial)
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
Study Completion Date : October 2006

Resource links provided by the National Library of Medicine

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

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

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

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

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 identifier (NCT number): NCT00182962

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

Publications of Results:
Other Publications:
Publications automatically indexed to this study by Identifier (NCT Number): 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
geriatric medicine
computer assisted patient care