Actively Recruiting
Annual Wellness Visits vs GRACE-augmented Annual Wellness Visits For Older Adults With High Needs - Phase 2
Led by Massachusetts General Hospital · Updated on 2026-01-22
6080
Participants Needed
4
Research Sites
208 weeks
Total Duration
On this page
Sponsors
M
Massachusetts General Hospital
Lead Sponsor
B
Brandeis University
Collaborating Sponsor
AI-Summary
What this Trial Is About
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.
CONDITIONS
Official Title
Annual Wellness Visits vs GRACE-augmented Annual Wellness Visits For Older Adults With High Needs - Phase 2
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Age 65 years or older
- Eligible for an Annual Wellness Visit during the study period
- Residential address reachable by home visit within practice area
- English or Spanish speaking
- Able to provide consent or have proxy consent
- Have complex health care needs with specific risk scores (PRA score ≥ 0.35 and/or Kim Syndrome on Aging score ≥ 0.35)
- Caregivers aged 18 or older, English or Spanish speaking, able to consent, identified by eligible patient
- Clinicians aged 18 or older, English or Spanish speaking, able to consent, working at participating ACO or primary care sites
You will not qualify if you...
History of severe allergic reactions to study medication Currently pregnant or breastfeeding Recent participation in another clinical trial within the last 30 days Presence of uncontrolled medical conditions that could affect safety
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Trial Site Locations
Total: 4 locations
1
Griffin Health
Derby, Connecticut, United States, 06418
Not Yet Recruiting
2
Mass General Brigham
Boston, Massachusetts, United States, 02124
Not Yet Recruiting
3
Atrium Health Wake Forest Baptist
Winston-Salem, North Carolina, United States, 27157
Actively Recruiting
4
Baylor Scott & White Health
Temple, Texas, United States, 76508
Not Yet Recruiting
Research Team
C
Christine S Ritchie, MD, MPH
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
HEALTH_SERVICES_RESEARCH
Number of Arms
2
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