GRACE for Collaborative Care
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial aims to enhance collaboration between family caregivers and home care aides using a guide called GRACE (a collaborative care guide). The guide helps define roles and preferences for those caring for people with disabilities. It is designed for family members or friends providing unpaid care and home care aides assisting older adults with Alzheimer's or dementia. Participants should speak English, communicate by phone, and identify as primary caregivers. As an unphased trial, this study allows participants to contribute to innovative caregiving strategies that could improve the quality of life for both caregivers and those they support.
Do I have to stop taking my current medications for this trial?
The trial information does not specify whether you need to stop taking your current medications.
What prior data suggests that this protocol is safe for family caregivers and home care aides?
Research has shown that the GRACE program primarily serves as a guide to assist family caregivers and home care aides with their roles and preferences. As a guide rather than a medical treatment, it lacks typical safety concerns associated with medicines or medical devices. The program aims to enhance communication and collaboration among caregivers, posing minimal risk.
This trial evaluates the practicality and acceptability of the guide, so participants will not undergo any physical treatments or procedures. Consequently, safety concerns remain minimal, with the main focus on the guide's application in caregiving situations.12345Why are researchers excited about this trial?
GRACE is unique because it focuses on enhancing the role and preferences of family caregivers and home care aides, which is a departure from traditional medical treatments that often center around medication or direct patient interventions. While standard care for supporting caregivers might involve general training or support groups, GRACE offers a personalized guide that tailors support to individual family dynamics and preferences. Researchers are excited about GRACE because it has the potential to improve the quality of care for patients by empowering caregivers with customized strategies, which could lead to better health outcomes and satisfaction for both caregivers and those they care for.
What evidence suggests that the GRACE role and preference guide is effective for collaborative care?
Research has shown that the GRACE model, which stands for Geriatric Resources for Assessment and Care of Elders, can improve outcomes for older adults with complex health and social needs. One study found that the GRACE Checklist accurately identified those who would benefit from more detailed care, with a sensitivity of 71.43% and a specificity of 80.95%. This indicates its effectiveness in spotting people who need extra help. Additionally, the GRACE model includes a team-based care approach that has shown promise in improving mental health, particularly for depression and anxiety. Overall, evidence supports the GRACE model's effectiveness in helping individuals with complex needs.678910
Who Is on the Research Team?
Chanee Fabius, PhD
Principal Investigator
Johns Hopkins University Bloomberg School of Public Health
Are You a Good Fit for This Trial?
This trial is for English-speaking home care aides and unpaid family or friend caregivers, age 18 or older, who help older adults with disabilities. Participants must be able to communicate by phone and identify as the main caregiver. Paid caregivers and those unable to communicate in English are not eligible.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Intervention
Delivery of the home care role and preference guide to family caregivers and home care aides
Follow-up
Participants are monitored for feasibility, acceptability, and various caregiver and older adult outcomes
What Are the Treatments Tested in This Trial?
Interventions
- GRACE
Trial Overview
The study is testing a guide called GRACE that helps clarify roles between family caregivers and home care aides. Up to 50 pairs will use this tool to see if it improves teamwork and information sharing.
How Is the Trial Designed?
1
Treatment groups
Experimental Treatment
Role and preference guide for family caregivers and home care aides
Find a Clinic Near You
Who Is Running the Clinical Trial?
Johns Hopkins Bloomberg School of Public Health
Lead Sponsor
National Institute on Aging (NIA)
Collaborator
Citations
The GRACE Checklist: A Validated Assessment Tool for High ...
Using a composite outcome of 3 measures of quality, the GRACE Checklist showed high sensitivity (71.43%) and even higher specificity (80.95%) to identify high- ...
2.
commonwealthfund.org
commonwealthfund.org/publications/case-study/2021/oct/living-independently-graceLiving Independently with GRACE
The GRACE care model can help improve outcomes for adults with complex health and social needs and yield long-term cost savings for the health ...
The Effectiveness of Collaborative Care on Depression ... - PMC
Results show there is potential that Collaborative Care, with or without cultural/linguistic tailoring, is effective in improving depression for racial/ethnic ...
4.
behavioralhealthnews.org
behavioralhealthnews.org/collaborative-care-improves-outcomes-in-depression-and-anxiety/Collaborative Care Improves Outcomes in Depression and ...
A landmark Cochrane review found that CoCM leads to significantly better outcomes for both depression and anxiety compared to usual care, across ...
5.
concerthealth.com
concerthealth.com/hubfs/Collateral/Concert%20Collaborative%20Care%20Outcomes%20Data_Final.pdfCollaborative Care Outcomes Data
Collaborative Care is an evidence-based model to identify and treat patients with depression and anxiety in health care settings. Since the introduction of ...
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