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Development and Feasibility of CTraC-FIT
Development and Feasibility of a Function-focused Transitional Care Intervention to Support Functional Recovery in Older Veterans
Who can join
Ages 65 and older · All sexes
Full eligibility criteria
Inclusion Criteria: * Score of \> 3 on Vulnerable Elders Survey, (VES-13) * Score of 4-9 on Short Physical Performance Battery (SPPB) * Able to provide informed consent Exclusion Criteria: * Admitted to VA Boston for acute psychiatric are or substance abuse detoxification * Plan to discharge anywhere except home (e.g., assisted living, group home, or skilled nursing facility)
About the study
Functional decline after hospitalization is a serious concern for older Veterans, often leading to loss of independence and disability. VA's nurse-led Coordinated Transitional Care (CTraC) program has demonstrated success in improving care transitions, but currently lacks targeted assessment and intervention to support Veterans' functional recovery. This project aims to develop and test a function-focused CTraC protocol (CTraC-FIT) to address this critical gap and optimize functional outcomes for Veterans transitioning from hospital to home. By integrating evidence-based functional assessment and intervention strategies into the CTraC protocol, this project aims to empower Veterans to regain and maintain their independence and improve their quality of life.
What is being tested
- CTraC-FIT (other)
- Enhanced Usual Care (other)
Sponsor: VA Office of Research and Development · Participants: 40 · Started: Jul 1, 2026
Contact the study team
- Caroline Madrigal, PhD · Phone: (401) 273-7100
- Jane Driver, MD · Phone: (857) 364-2560
Official record on ClinicalTrials.gov — NCT07132944
Locations in the U.S.
| Massachusetts | VA Boston Healthcare System Jamaica Plain Campus, Jamaica Plain, MA, Boston |
From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.