About this trial
This study consists of three aims focused on examining the feasibility of adding the Geriatric Resources and Assessment for the Care of Elders (GRACE) model to structured Annual Wellness Visits (AWVs) to improve patient and caregiver outcomes and reduce hospitalizations in older adults with complex health needs. The objectives are to:
1. Co-design a community-centric implementation strategy for the AWVs vs AWVs + GRACE -augmented care (AWV GRACE) study arms 2. Develop a referral pathway and algorithm to optimize enrollment of eligible participants 3. Conduct a pilot clinical trial to assess the feasibility of the AWV GRACE intervention.
Eligibility criteria
Qualifiers
Age 65 years or older
Eligible for an AWV (Medicare/Medicare Advantage) during the study period
Residential mailing address within a radius of the practice that can be achievably reached via a home visit
English or Spanish speaking
Disqualifiers
None
Trial design
Treatments tested in this trial
- Annual Wellness Visit
- Annual Wellness Visits + Geriatric Resources and Assessment for the Care of Elders (AWV + GRACE)
Treatment groups
Sponsors and collaborators
Massachusetts General Hospital
Lead sponsor
Brandeis University
Collaborator
Indiana University
Collaborator
Dartmouth-Hitchcock Medical Center
Collaborator
Atrium Health Wake Forest Baptist
Collaborator
Griffin Hospital
Collaborator
Patient-Centered Outcomes Research Institute
Collaborator
Baylor Scott and White Health
Collaborator