# The ENRICH Study: Engaging Community and Municipal Services to Promote High Quality Aging in Place After Hip Fracture

> **NIH NIH K76** · UNIVERSITY OF MARYLAND BALTIMORE · 2022 · $234,970

## Abstract

PROJECT SUMMARY:
The quantity and quality of aging in place after a hip fracture is poor, and these outcomes have not improved
substantially over the last 20 years. The built environment in an older adult’s neighborhood has a strong
influence on the quality of aging in place 4-6—yet has not been addressed in usual hip fracture care. This is
especially concerning for older adults who live in socioeconomically disadvantaged neighborhoods, which have
fewer resources to support high-quality built environment infrastructure. 5 Crumbling sidewalks and curbs in
disadvantaged neighborhoods are associated with a 400% increase in mobility disability for older adults. 7 Older
adults living in disadvantaged neighborhoods are also more likely to perceive their neighborhoods to be
unsafe, and thus less likely to participate in physical activity outside.
 In this Beeson K76 award, Dr. Falvey proposes a novel model of ENgaging community and municipal
seRvICes to promote high-quality aging in place after Hip fracture (ENRICH). ENRICH uniquely combines
successful mobility interventions from prior work on hip fracture recovery, proactively identifying neighborhood-
level barriers to recovery during the transition home after hip fracture, helping obtain needed services and
equipment to bridge gaps related to the built environment, and provide targeted additional rehabilitation that
focuses on community level mobility in a real-world environment after completion of usual care. The goal of
ENRICH is promoting greater mobility in the community and allowing older adults to participate in community
activities to improve the quality of aging in place.
 To tailor ENRICH for Baltimore, this project will 1) gather information on which factors (e.g. housing)
most strongly impact the number of healthy days spent at home after hip fracture, using Medicare claims data
linked with US Census Bureau data; 2 use this data to guide interviews with patient and clinician stakeholders
to elucidate meaningful adaptations of ENRICH; and 3) pilot test the adapted ENRICH intervention with 24
older hip fracture patients living in disadvantaged neighborhoods.
 Completing these aims will help launch Dr. Falvey’s career as an independent clinician-scientist and
leader in the fields of rehabilitation and aging. He proposes to gain complementary skills in longitudinal and
mixed methods data analysis, patient-centered outcomes research, healthcare disparities, and conduct of
clinical trials. His mentorship team, led by Dr. Jay Magaziner, is well-positioned to help him complete the study
successfully and support his career development.

## Key facts

- **NIH application ID:** 10493287
- **Project number:** 5K76AG074926-02
- **Recipient organization:** UNIVERSITY OF MARYLAND BALTIMORE
- **Principal Investigator:** Jason Raymond Falvey
- **Activity code:** K76 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2022
- **Award amount:** $234,970
- **Award type:** 5
- **Project period:** 2021-09-30 → 2026-08-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10493287

## Citation

> US National Institutes of Health, RePORTER application 10493287, The ENRICH Study: Engaging Community and Municipal Services to Promote High Quality Aging in Place After Hip Fracture (5K76AG074926-02). Retrieved via AI Analytics 2026-05-25 from https://api.ai-analytics.org/grant/nih/10493287. Licensed CC0.

---

*[NIH grants dataset](/datasets/nih-grants) · CC0 1.0*