Mentoring Intervention Development in Fall and Fracture Prevention

指导跌倒和骨折预防干预措施的发展

• 批准号: 8967044
• 负责人: CATHLEEN S COLON-EMERIC
• 金额: $ 8.1万
• 依托单位: DUKE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-08-01 至 2020-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8967044
• 关键词: Academic Medical Centers; Academy; Address; Adult; Advisory Committees; Age; Aged, 80 and over; Aging; American; Applications Grants; Area; Award; Capsicum; Care given by nurses; Caring; Case Manager; Clinical; Clinical Trials; Clinical and Translational Science Awards; Communities; Complex; Data; Data Collection; Development; Discipline; Economics; Education; Educational Curriculum; Educational workshop; Elderly; Elements; Environment; Faculty; Fall prevention; Fracture; Frail Elderly; Frail Older Adults; Funding; Geriatrics; Goals; Grant; Health; Health Services; Health Services Research; Health system; Healthcare; Human Development; Interdisciplinary Study; Intervention; Leadership; Link; Longitudinal Studies; Medicine; Mentors; Mentorship; Methodology; Mid-Career Clinical Scientist Award (K24); Modality; Modeling; Nurses; Osteoporosis; Outcome; Patients; Pilot Projects; Population; Positioning Attribute; Prevalence; Prevention; Prevention Protocols; Prevention Research; Prevention program; Preventive Intervention; Protocols documentation; Qualitative Methods; Research; Research Design; Research Methodology; Research Personnel; Research Support; Resources; Risk; Running; School Nursing; Science; Series; Services; Syndrome; System; Technology; Testing; Time; Training; Trauma; United States National Institutes of Health; Universities; Woman; World Health Organization; administrative database; aged; base; care delivery; career; career development; design; efficacy testing; evidence base; experience; falls; high risk; improved; innovation; longitudinal analysis; man; medical specialties; next generation; osteoporosis with pathological fracture; patient oriented; patient oriented research; peer; pragmatic trial; prevent; professor; programs; public health relevance; randomized trial; screening; service intervention; skills; telehealth; therapy design; therapy development; trial design

 DESCRIPTION (provided by applicant): My patient-oriented research platform in preventing falls and fractures in older adults has given me the opportunity to develop skills in complex intervention development for frail populations. These skills include analysis of longitudinal and administrative data, qualitative methods, pilot studies, randomized trials, and economic analysis. Complexity Science and Adaptive Leadership models have been informative conceptual frameworks for designing interventions for complex syndromes and healthcare settings. As an Associate Professor at Duke University Medical Center, I have begun to train aging researchers from diverse professions and specialties in aging research methods, however, I would benefit from protected time to develop a mentoring program in intervention development for complex problems in older adults. The immediate goal of this K24 proposal is to expand my research platform by integrating my fall and fracture research programs, and improve my mentoring skills through training the next generation of patient oriented researchers developing pragmatic interventions to reduce falls and fractures. My long-term career goal is to develop and implement pragmatic interventions to reduce the devastating consequences of osteoporotic fractures in older adults. Environment: Duke University Medical Center is a rich environment for aging researchers. The Duke Center for the Study of Aging and Human Development includes faculty with a wide range of expertise across the University. The Duke Claude O. Pepper Older Americans Independence Center provides research support services; I currently serve on the Leadership Core and co-chair the Research Career Development Core. My research and mentoring activities also occur within the Durham VA Geriatrics Research and Education Center, where I am Assistant Director, the Durham VA Health Services Research Center of Excellence (COIN and CREATE Centers), the Duke Clinical Translational Science Award Center (CTSA), and the Duke School of Nursing NIH-funded ADAPT Center. Research: Key elements of my mentoring plan (Specific Aim 1) include training and curriculum development in my research area to improve my mentoring skills. Specifically, I will participate in formal mentor training through the Duke CTSA Mentor Pipeline Program, run a mid-career peer mentoring group of patient oriented researchers focused on mentoring, and develop a 12 part workshop series on Intervention Development. For Specific Aim 2, I will enhance my research skills through formal professional development and practical experiences in pragmatic study design (adaptive designs, community engaged research). For Specific Aim 3, I will mentor patient oriented research in fall and fracture prevention emerging from 6 current grants and involving 7 trainees. These projects include 3 studies newly proposed for this application. The centerpiece of these studies is the development and pilot testing of nurse-led multifactorial fall prevention protocols within an existing regional Fracture Liaison Service, delivered using telehealth technologies to expand their scope and reach. At the conclusion of the award, I will be well positioned to obtain funding for a large pragmatic trial testing integrated fall and fracture prevention programs delivered within a health system and targeted to high risk older adults.

 描述（由适用提供）：我以患者为导向的研究平台可防止老年人跌倒和骨折的骨折，这使我有机会开发脆弱人群复杂干预开发的技能。这些技能包括分析纵向和行政数据，定性方法，试点研究，随机试验和经济分析。复杂性科学和自适应领导模型已成为设计复杂综合症和医疗保健设置干预措施的信息概念框架。作为杜克大学医学中心的副教授，我已经开始培训来自潜水专业和老化研究方法专业的老龄化研究人员的培训，但是，我将从受保护的时间中受益，以制定一项针对老年人复杂问题的干预开发的心理计划。这项K24提案的直接目标是通过整合跌倒和骨折研究计划来扩展我的研究平台，并通过培训下一代患者的研究人员来提高我的心理技能，以开发务实的干预措施，以减少跌倒和骨折。我的长期职业目标是制定和实施务实的干预措施，以减少老年人骨质疏松性骨折的破坏后果。环境：杜克大学医学中心是老龄化研究人员的丰富环境。杜克大学衰老和人类发展研究中心包括整个大学拥有广泛专业知识的教师。杜克·克劳德·奥（Duke Claude O. Pepper O. Peper O. Pepper）独立中心提供研究支持服务；我目前在领导力核心和联合主席研究职业发展核心方面。我的研究和心理活动也发生在Durham VA老年研究和教育中心内，我是Durham VA Health Servicy Services Excellence（Coin and Create Centers），Duke Clination Translation Science Award Center（CTSA）（CTSA）和Duke NIH NIH资助的Adapt Center的助理主任。研究：我的心理计划的关键要素（特定目的1）包括我的研究领域的培训和课程开发，以提高我的心理技能。具体来说，我将通过CTSA导师管道计划参加正式的心理培训，由专注于心理的研究人员进行了一个职业中心心理培训，并开发了关于干预开发的12部分研讨会系列。对于特定目标2，我将通过正式的专业发展和实用研究设计（自适应设计，社区参与研究）来提高我的研究技能。对于特定的目标3，我将在秋季进行精神病患者的研究和预防裂缝，从6个目前的补助金出现，并参与7名学员。这些项目包括针对此应用的3项研究。这些研究的核心是在现有的区域性裂缝联络服务中对护士领导的多因素秋季预防方案的开发和试点测试，该协议使用远程医疗技术进行了扩大范围和覆盖范围。奖项结束时，我将有能力获得大型务实试验测试的资金，该试验测试综合跌倒和预防裂缝预防计划，并针对高风险老年人。