[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100547207":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":37,"centralContacts":45,"locations":55,"responsibleParty":79,"collaborators":32,"id":81,"slug":82,"hasResults":83,"nctId":84,"briefTitle":85,"officialTitle":86,"acronym":32,"eligibilityCriteria":87,"healthyVolunteers":83,"sex":88,"minAge":89,"maxAge":32,"enrollmentInfo":90,"targetDuration":32,"studyType":93,"phases":94,"briefSummary":96,"conditions":97,"keywords":100,"overallStatus":57,"whyStopped":32,"lastUpdateSubmitDate":107,"lastUpdatePostDateStruct":108,"startDateStruct":111,"completionDateStruct":113,"leadSponsor":115,"locationsCount":116},{"fullName":5,"class":6},"VA Office of Research and Development","FED",[8,15],{"label":9,"type":10,"description":11,"interventionNames":12},"Functional status screening initiative plus standard bundle of implementation strategies","ACTIVE_COMPARATOR","During an initial 3 month run-in period, the investigators will implement the intervention at all sites using the standard implementation strategy bundle (implementation champions, system-level audit and feedback). After run-in, the investigators will identify sites with inadequate Reach, defined as \\\u003C80% of eligible Veterans receiving screening and\u002For assessment. Sites with \\>80% Reach at the end of run-in will receive standard implementation for all phases of implementation. For sites with \\\u003C80% Reach, the investigators will randomize 1:1 by medical center to 3 additional months of a standard vs. enhanced implementation bundle. The enhanced implementation bundle will include technical assistance plus clinician-level audit and feedback. After 3 months' implementation, the investigators will then perform 3 months of crossover allocation. After crossover allocation, both arms will receive 3 months of standard implementation.",[13,14],"Other: Screening intervention","Other: Standard bundle of implementation strategies",{"label":16,"type":17,"description":11,"interventionNames":18},"Functional status screening initiative plus enhanced bundle of implementation strategies","EXPERIMENTAL",[13,19],"Other: Enhanced bundle of implementation strategies",[21,28,33],{"type":22,"name":23,"description":24,"armGroupLabels":25,"otherNames":26},"OTHER","Screening intervention","Intervention to improve identification and management of functional impairment among older Veterans in VA primary care settings. Intervention includes 5 components: (1) routine, standardized functional status measurement; (2) nursing screening followed by follow-up primary care provider assessment; (3) electronic tools and templates to facilitate screening, assessment, and documentation; (4) interprofessional educational session; (5) tailored reports on functional status",[16,9],[27],"PACT Functional Status Screening Initiative",{"type":22,"name":29,"description":30,"armGroupLabels":31,"otherNames":32},"Standard bundle of implementation strategies","Standard strategies include champions plus system-level audit and feedback",[9],null,{"type":22,"name":34,"description":35,"armGroupLabels":36,"otherNames":32},"Enhanced bundle of implementation strategies","Enhanced strategies include technical assistance plus clinician-level audit and feedback",[16],[38,42],{"name":39,"affiliation":40,"role":41},"Rebecca T. Brown, MD MPH","Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA","PRINCIPAL_INVESTIGATOR",{"name":43,"affiliation":44,"role":41},"Francesca M Nicosia, PhD MA","San Francisco VA Medical Center, San Francisco, CA",[46,51],{"name":47,"role":48,"phone":49,"phoneExt":32,"email":50},"Rebecca T Brown, MD MPH","CONTACT","(215) 823-5800","rebecca.brown@va.gov",{"name":52,"role":48,"phone":49,"phoneExt":53,"email":54},"Jason Prigge, BS MS","3883","Jason.Prigge@va.gov",[56],{"facility":40,"status":57,"city":58,"state":59,"zip":60,"country":61,"countryCode":62,"cosmosGeoPoint":63,"geoPoint":68,"contacts":69},"RECRUITING","Philadelphia","Pennsylvania","19104-4551","United States","US",{"type":64,"coordinates":65},"Point",[66,67],-75.16362,39.95238,{"lat":67,"lon":66},[70,74,78],{"name":71,"role":48,"phone":49,"phoneExt":72,"email":73},"Tonia C Reynolds-Hendricks, BA MA","206080","Tonia.Reynolds-Hendricks@va.gov",{"name":75,"role":48,"phone":76,"phoneExt":32,"email":77},"Johann Ochoa, MS","(215) 823-5821","johann.ochoa2@va.gov",{"name":39,"role":41,"phone":32,"phoneExt":32,"email":32},{"type":80,"investigatorFullName":32,"investigatorTitle":32,"investigatorAffiliation":32,"oldNameTitle":32,"oldOrganization":32},"SPONSOR","100547207","a-partnered-evaluation-to-improve-the-identification-and-management-of-functional-impairment-and-frailty-among-older-veterans-in-primary-care-settings-100547207",false,"NCT06404970","A Partnered Evaluation to Improve the Identification and Management of Functional Impairment and Frailty Among Older Veterans in Primary Care Settings","A Partnered Evaluation to Improve Identification and Management of Functional Impairment and Frailty for Older Veterans in VA Primary Care","Inclusion Criteria:\n\n* Veteran\n* \\>60 years old\n* Seen in Veterans Health Administration primary care after implementation begins\n\nExclusion Criteria:\n\n* Non-Veteran\n* \\\u003C60 years old\n* Not seen in Veterans Health Administration primary care","ALL","60 Years",{"count":91,"type":92},10000,"ESTIMATED","INTERVENTIONAL",[95],"NA","Maintaining functional status, or the ability to perform daily activities, is central to older adults' quality of life, health, and ability to remain independent. Identifying functional impairments is essential for clinicians to provide optimal care to older adults, and on a population level, understanding function can help anticipate service needs. Yet uptake of standardized measurement of functional status into patient care has been slow and inconsistent due to the burden posed by current tools. The purpose of the proposed QUERI Partnered Evaluation Initiative is to implement and evaluate a patient-centered, low-burden intervention to improve measurement of functional status in VA primary care settings nationally. The investigators hypothesize that implementing this intervention will increase identification and improve management of functional impairment among older Veterans while providing key data to inform VHA strategic planning related to long-term services and supports.",[98,99],"Functional Impairment","Frailty",[101,102,103,104,105,106],"adult, aged","adult, middle aged","primary health care","functional status","frailty","patient reported outcome measures","2026-06-16",{"date":109,"type":110},"2026-06-18","ACTUAL",{"date":112,"type":110},"2025-03-03",{"date":114,"type":92},"2026-12-31",{"name":5,"class":6},1]