GRACE: Geriatric Resources for Assessment and Care of Elders
NCT ID: NCT00182962
Last Updated: 2006-11-20
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
1270 participants
INTERVENTIONAL
2002-03-31
2006-10-31
Brief Summary
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Detailed Description
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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 HEDISĀ® 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.
Conditions
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Keywords
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Study Design
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RANDOMIZED
SINGLE_GROUP
TREATMENT
SINGLE
Interventions
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Geriatric Resources for Assessment & Care of Elders (GRACE)
Eligibility Criteria
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Inclusion Criteria
* 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
* No regular access to a telephone
* Currently undergoing kidney dialysis treatments
* Residing with a patient already participating in the GRACE clinical trial
65 Years
ALL
Yes
Sponsors
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Nina Mason Pulliam Charitable Trust
UNKNOWN
Wishard Health Services
OTHER
National Institute on Aging (NIA)
NIH
Principal Investigators
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Steven R. Counsell, MD
Role: PRINCIPAL_INVESTIGATOR
Indiana University Geriatrics Program, Indiana University Center for Aging Research, Indiana University School of Medicine
Locations
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Indiana University School of Medicine
Indianapolis, Indiana, United States
Countries
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References
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Bernabei R, Landi F, Gambassi G, Sgadari A, Zuccala G, Mor V, Rubenstein LZ, Carbonin P. Randomised trial of impact of model of integrated care and case management for older people living in the community. BMJ. 1998 May 2;316(7141):1348-51. doi: 10.1136/bmj.316.7141.1348.
Callahan CM, Stump TE, Stroupe KT, Tierney WM. Cost of health care for a community of older adults in an urban academic healthcare system. J Am Geriatr Soc. 1998 Nov;46(11):1371-7. doi: 10.1111/j.1532-5415.1998.tb06003.x.
Counsell SR, Holder CM, Liebenauer LL, Palmer RM, Fortinsky RH, Kresevic DM, Quinn LM, Allen KR, Covinsky KE, Landefeld CS. Effects of a multicomponent intervention on functional outcomes and process of care in hospitalized older patients: a randomized controlled trial of Acute Care for Elders (ACE) in a community hospital. J Am Geriatr Soc. 2000 Dec;48(12):1572-81. doi: 10.1111/j.1532-5415.2000.tb03866.x.
Stuck AE, Minder CE, Peter-Wuest I, Gillmann G, Egli C, Kesselring A, Leu RE, Beck JC. A randomized trial of in-home visits for disability prevention in community-dwelling older people at low and high risk for nursing home admission. Arch Intern Med. 2000 Apr 10;160(7):977-86. doi: 10.1001/archinte.160.7.977.
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).
Counsell SR, Callahan CM, Buttar AB, Clark DO, Frank KI. Geriatric Resources for Assessment and Care of Elders (GRACE): a new model of primary care for low-income seniors. J Am Geriatr Soc. 2006 Jul;54(7):1136-41. doi: 10.1111/j.1532-5415.2006.00791.x.
Clark DO, Callahan CM, Counsell SR. Reliability and validity of a steadiness score. J Am Geriatr Soc. 2005 Sep;53(9):1582-6. doi: 10.1111/j.1532-5415.2005.53485.x.
Counsell SR, Callahan CM, Tu W, Stump TE, Arling GW. Cost analysis of the Geriatric Resources for Assessment and Care of Elders care management intervention. J Am Geriatr Soc. 2009 Aug;57(8):1420-6. doi: 10.1111/j.1532-5415.2009.02383.x.
Counsell SR, Callahan CM, Clark DO, Tu W, Buttar AB, Stump TE, Ricketts GD. Geriatric care management for low-income seniors: a randomized controlled trial. JAMA. 2007 Dec 12;298(22):2623-33. doi: 10.1001/jama.298.22.2623.
Other Identifiers
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AG0042
Identifier Type: -
Identifier Source: org_study_id