Expanding Access to Comprehensive Geriatrics Care Via Telehealth

NCT05166603 | Terminated Results DMC

• 2 other identifiers: QUX 21-007QUE HX0003205-01
• Study Type: interventional
• Target: 111
• Locations: 1 country
• Sites: 1

Brief Summary

The overall objective of the TeleGRACE project is to improve the care and outcomes of older Veterans with a recent inpatient stay by expanding access to the evidence-based GRACE program, by evaluating a telehealth implementation.

Conditions

Geriatric Syndrome

Keywords

comprehensive geriatrics assessment; telehealth; home visit

Outcome Measures

Primary Outcomes (1)

• 90-day All-cause Mortality

  The primary outcome is 90-day all-cause mortality measured from the date of discharge from the index hospitalization.

  90-days from discharge from the index hospitalization

Study Arms (2)

TeleGRACE

EXPERIMENTAL

Patients receive a virtual home visit and care from the GRACE team

Other: TeleGRACE

Usual Care

NO INTERVENTION

Patients receive usual care

Interventions

TeleGRACE OTHER

Patients receive a virtual home visit and care from the GRACE team

TeleGRACE

Eligibility Criteria

• Age: 70 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• Veterans discharged from the Indianapolis VA medical center (VAMC) for an medical/surgical diagnosis (excludes substance use disorder-related admissions; excludes planned admissions) within the prior week
• Age 70 years
• Not enrolled in home-based primary care (HBPC)
• Not enrolled in hospice
• Not in dialysis
• Primary care visit within VA in the prior 2 years
• Not residing in nursing home, skilled nursing facility, or CLC.
• Living \>20 miles but \<60 miles from the Indianapolis VAMC facility
• CAN score 95th percentile for mortality or missing CAN score
• Discharged from the hospital alive

You may not qualify if:

• Patients who have been randomized to the control arm after their index hospitalization who become readmitted to the hospital may not be re-randomized.
• By definition, GRACE patients are not eligible for TeleGRACE due to the drive distance \>20 miles from the Indianapolis VAMC
• Enrolled in home-based primary care (HBPC)
• Enrolled in hospice
• Dialysis (hemodialysis or peritoneal dialysis)
• Residing in nursing home, skilled nursing facility, or CLC.
• Living \<20 miles or 60 miles from the Indianapolis VAMC facility

Sponsors & Collaborators

• VA Office of Research and Development: lead

Study Sites (1)

Richard L. Roudebush VA Medical Center, Indianapolis, IN

Indianapolis, Indiana, 46202-2884, United States

Location

Results Point of Contact

• Title: Dawn M. Bravata, MD
• Organization: US Department of Veterans Affairs

dawn.bravata2@va.gov

3179882676

Study Officials

• Dawn M. Bravata, MD

  Richard L. Roudebush VA Medical Center, Indianapolis, IN

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: FED
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 8, 2021
• First Posted: December 22, 2021
• Study Start: October 18, 2021
• Primary Completion: April 29, 2022
• Study Completion: April 29, 2022
• Last Updated: January 22, 2024
• Results First Posted: December 4, 2023

Record last verified: 2023-12

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)