# Collaborative Care for the Older Injured Patient: A Trauma Medical Home

> **NIH NIH R01** · INDIANA UNIVERSITY INDIANAPOLIS · 2020 · $478,913

## Abstract

Project Summary
Despite the potential for full recovery surprisingly few older injury survivors are able to realize maximal
recovery of function and quality of life after injury due to fragmentation of care delivery and lack of focus on
psychological symptoms in the early post-injury period. Older injured adults are at particular risk of death and
disability after injury. Thus, a fundamental gap in knowledge exists regarding the best way to enhance the
recovery of injury survivors. The continued existence of this gap is an important problem because unless it is
filled, injury survivors will continue to suffer from potentially reversible impairments of health and well-being.
The long-term goal of this line of research is to improve the health and quality of care for injured patients. The
objective of this application is to apply the concepts of collaborative care to the non-neurologically injured
patient population. Indiana University School of Medicine researchers have over 20 years of experience
developing innovative and effective collaborative care models that integrate with primary care and specialty
physicians to address the complex biopsychosocial needs of patients with chronic disease states, such as
dementia and depression. Based on these successes, an interdisciplinary team of clinical investigators at
Indiana University revised the collaborative care model to meet the needs of injury survivors who are in an
active recovery state. This injury specific collaborative care model is called the Trauma Medical Home (TMH).
This proposal aims to conduct a randomized controlled trial to evaluate the efficacy of a 6-month collaborative
care intervention in improving the functional and psychological recovery of 430 injury survivors 50 and older.
The trial has the following specific aims: 1) Evaluate the ability of the TMH intervention to improve the physical
recovery of older injury survivors; and 2) Evaluate the ability of the TMH intervention to improve the
psychological recovery of older injury survivors; and 3) Evaluate the ability of the TMH intervention to reduce
healthcare costs of older injury survivors and evaluate the cost of effectiveness of the TMH intervention. The
research proposed in this application is innovative, in our opinion, because it represents a new and substantive
departure from the status quo. Previous collaborative care models focused on chronic care management and
they lack rapid adaptability. Because the recovery trajectory of injured patients is dynamic and changes
quickly, the innovations in this proposal have to do with providing real-time feedback to a care coordinator that
will allow the care coordinator to adjust an injury specific collaborative care protocol to meet the needs of the
injured as they move through the dynamic recovery period after injury. This contribution will be significant as
broad application of the Trauma Medical Home in trauma centers and trauma systems nationwide could result
in better health ...

## Key facts

- **NIH application ID:** 9895615
- **Project number:** 5R01AG052493-04
- **Recipient organization:** INDIANA UNIVERSITY INDIANAPOLIS
- **Principal Investigator:** MALAZ BOUSTANI
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $478,913
- **Award type:** 5
- **Project period:** 2017-04-01 → 2022-03-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9895615

## Citation

> US National Institutes of Health, RePORTER application 9895615, Collaborative Care for the Older Injured Patient: A Trauma Medical Home (5R01AG052493-04). Retrieved via AI Analytics 2026-05-22 from https://api.ai-analytics.org/grant/nih/9895615. Licensed CC0.

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