As described elsewhere, nurse participants in the TRIAD trial were recruited from the three partnering agencies through small group meetings. Nurses employed a minimum of 20 hours per week and who provided written consent were randomly assigned to the intervention (TRIAD, n = 17) or to a usual care comparison condition (n = 19), which received no training beyond that which agencies may have previously provided routinely. The patient population served by these agencies was predominantly medically ill older adults and was representative of the national home-care population.