Expanding Treatment Options for Older Persons

扩大老年人的治疗选择

• 批准号: 7384297
• 负责人: Terri R. Fried
• 金额: $ 17.96万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-30 至 2012-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7384297
• 关键词: Advance Care Planning; Age; Biometry; Caregivers; Caring; Communities; Comorbidity; Decision Making; Development; Discipline; Documentation; Educational Curriculum; Elderly; Environment; Epidemiology; Frequencies; Goals; Health Policy; Health behavior; Individual; Measures; Medical; Mentorship; Methods; Midcareer Investigator Award in Patient-Oriented Research; Modeling; Numbers; Nursing Schools; Participant; Patients; Perception; Persons; Population; Postdoctoral Fellow; Predisposition; Principal Investigator; Process; Psychiatry; Public Health; Qualitative Methods; Range; Readiness; Research; Research Infrastructure; Resources; School Nursing; Schools; Self Efficacy; Severities; Staging; Time; Training; Training Programs; Work; base; career; data management; experience; health belief; insight; medical schools; patient oriented; preference; programs; skills

DESCRIPTION (provided by applicant): The specific aim of the Midcareer investigator Award in Patient-Oriented Research is to provide the Principal Investigator with sufficient protected time in order: 1) to expand a research program devoted to enhancing the frequency and quality of shared decision-making for older persons in order to provide patients with care that best meets their treatment preferences and 2) to formalize a mentorship program focused on providing interdiscplinary mentorship to trainees from a diverse range of disciplines and schools pursuing aging research. The research program will build upon Dr. Fried's past work to: a) utilize health behavior models to explicate advance care planning as a health behavior and b) develop methods to elicit the preferences of older persons with multiple comorbidities. This program will utilize mixed qualitative- quantitative methods to provide greater insight into older persons' experiences with and perceptions of difficult treatment decision-making and to develop patient-centered measures. The mentorship program will utilize the resources described below to provide core educational and career development experiences. Building upon these, the trainee's individual research program will serve as the core of the mentorship program, and it will be supplemented by mentorship regarding skills critical to a successful research career and specific career guidance. The mentorship program will be based on an explicit consideration and documentation of the trainee's goals, a mentorship plan tailored to meet these goals, and regular review of how well the plan is assisting the trainee to meet his/her goals. The environment of the Yale School of Medicine offers extensive resources to support both the research and mentorship programs. These include a number of training programs that attract a large number of talented post-doctoral fellows and that provide well-developed curricula, opportunities for advanced didactic training in biostatistics, epidemiology, and health policy, and, through the Yale Program on Aging/Pepper Center, a research infrastructure providing skilled field, data management, and biostatistical support as well as access to a broad range of populations. In addition, the research and mentorship programs will utilize and continue to build the interdisciplinary relationships Dr. Fried has established with medical subspecialties, psychiatry, and the Schools of Nursing and Public Health.

描述（由申请人提供）：以患者为导向研究的中级研究者奖的具体目的是为主要研究者提供足够的受保护时间，以订单：1）扩展一项研究计划，致力于提高老年人共享决策的频率和质量，以便为患者提供最佳的培训者，以使其对培训的良好的培训限制，并以培训的方式为您提供的指导范围，并以一定的方式进行培训，并以一定的方式进行培训，并以一定的方式进行培训，并以一定的方式进行培训，并以一定的方式进行培训，并以一定的方式进行培训，并将其用于培训范围，并以一定的方式进行培训，并以一定的方式进行培训，并将其良好的限制介绍为2.从事老龄化研究的学科和学校。该研究计划将以弗里德博士过去的工作为基础：a）利用健康行为模型将预先护理计划阐明为健康行为，b）开发方法来引起具有多种合并症的老年人的偏好。该计划将利用混合定性定量方法，以更深入地了解老年人对困难治疗决策的经历和看法，并制定以患者为中心的措施。指导计划将利用下面描述的资源来提供核心的教育和职业发展经验。在这些基础上，受训者的个人研究计划将作为指导计划的核心，并通过对成功研究职业和特定职业指导至关重要的技能进行指导。指导计划将基于对学员目标的明确考虑和文档，量身定制的指导计划以及定期审查该计划如何帮助实习生实现其目标。耶鲁大学医学院的环境提供了广泛的资源来支持研究和指导计划。其中包括许多吸引大量才华横溢的博士后研究员的培训计划，这些计划提供了完善的课程，在生物统计学，流行病学和健康政策方面进行先进的教学培训的机会，以及通过YALE衰老/Pepper中心的YALE计划，一项研究基础设施，可提供熟练的现场管理，数据管理，以及范围的支持以及广泛的范围，并提供了范围。此外，研究和指导计划将利用并继续建立弗里德博士与医学专业，精神病学以及护理和公共卫生学校建立的跨学科关系。