# 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 · 2024 · $231,469

## Abstract

Project Summary/Abstract
Older adults living with Alzheimer’s disease and related dementias (ADRD) are at a sharply elevated risk for
falls and fall-related injuries resulting in traumatic brain injury (TBI) and hip fracture.1 After a fall-related trauma,
evidence indicates this population is at a persistently elevated risk for poor outcomes (e.g., morbidity, mortality,
nursing home admission). One outcome of importance to patients is home time, or the number of days alive
and out of the hospital. However, there are currently few useful tools to help clinicians prognosticate home time
for patients with ADRD. Failure to identify patient subgroups will perpetuate the clinical practice of restricting
patients with ADRD to one common care pathway without consideration of individualized recovery trajectories.
Translating evidence from other clinical settings, the development of tools to guide precision medicine and
shared decision-making can facilitate desired patient outcomes.
Tools to help predict home time could be used for shared decision-making during a critical juxtaposition in the
life of an older adults—the recovery period following a serious fall-related trauma. The parent K76 grant for this
proposal evaluates factors associated with home time after hip fracture, but does not specifically focus on
trauma survivors with ADRD. Early results from our team on the parent grant highlighted tremendous variability
in home time among trauma survivors by dementia status, which is difficult to reconcile with current treatment
pathways. Thus, the overall objectives of this administrative supplement expand meaningfully on the parent
grant research and career development goals supporting additional research and training to 1) develop,
validate, and assess the equity of a predictive tool designed to help clinicals prognosticate home time for older
adults following fall-related trauma, and 2) determine how older adults living with ADRD, their care partners,
and clinicians caring for them could best utilize these predictions to guide care decisions.
Using prediction model outputs as a starting point, this project will inform an R01 testing tailored care pathways
based on these predictions to optimize home time for older trauma survivors living with ADRD.

## Key facts

- **NIH application ID:** 10938450
- **Project number:** 3K76AG074926-03S1
- **Recipient organization:** UNIVERSITY OF MARYLAND BALTIMORE
- **Principal Investigator:** Jason Raymond Falvey
- **Activity code:** K76 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $231,469
- **Award type:** 3
- **Project period:** 2021-09-30 → 2026-08-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10938450

## Citation

> US National Institutes of Health, RePORTER application 10938450, The ENRICH Study: Engaging Community and Municipal Services to Promote High Quality Aging in Place After Hip Fracture (3K76AG074926-03S1). Retrieved via AI Analytics 2026-05-26 from https://api.ai-analytics.org/grant/nih/10938450. Licensed CC0.

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