No phaseRecruiting
Annual Wellness Visits vs GRACE-augmented Annual Wellness Visits For Older Adults With High Needs - Phase 2 (SPIRE2)
Supporting Practices In Respecting Elders Phase 2
- Sponsor
- Massachusetts General Hospital (Academic or other)
- Enrolment
- 7,140 planned
- Conditions
- Aging; Preventive Care; Multimorbidity; Palliative Care
- Interventions
- Annual Wellness Visit; Annual Wellness Visits + Geriatric Resources and Assessment for the Care of Elders (AWV + GRACE)
- Ages
- adults, older adults
- Registry
- NCT07166861
From the registry
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.
Primary outcomes
- Hospitalizations
- Patient experience: Consumer Assessment of Healthcare Providers and Systems Clinician and Group Survey (CG-CAHPS) with Patient Centered Medical Home 1.0 supplement (PCMH CAHPS)