Research and Mentoring Program in Improving Access to Incontinence Care for Older Adults

改善老年人失禁护理机会的研究和指导计划

• 批准号: 10650761
• 负责人: Alayne Denise Markland
• 金额: $ 12.37万
• 依托单位: UNIVERSITY OF ALABAMA AT BIRMINGHAM
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-07-01 至 2027-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10650761
• 关键词: Address; Adherence; Affect; Age; Aging; Alabama; Anatomy; Award; Behavior; Behavior Therapy; Behavioral; Bladder; Caring; Cellular Phone; Chronic; Clinical Investigator; Clinical Practice Guideline; Clinical Research; Clinical Trials; Collaborations; Data; Dedications; Diabetes Mellitus; Diagnosis; Digestive System Disorders; Education; Elderly; Evaluation; Exercise; Female; Friends; Functional disorder; Funding; Future; Genitourinary system; Geriatrics; Goals; Guidelines; Health; Health Services Accessibility; Health Technology; Health behavior; High Prevalence; Hospitals; Hypertension; Improve Access; Incontinence; Increased frequency of micturition; Intake; International; Intervention; Interview; Intestines; Kidney Diseases; Knowledge; Level of Evidence; Liquid substance; Mediating; Mediator; Medical; Mental Depression; Mentors; Methodology; Minority; Modeling; National Institute on Aging; Nocturia; Outcome Measure; Patient Outcomes Assessments; Patients; Pelvic Floor Muscle; Pelvic floor structure; Physicians; Postmenopause; Precipitating Factors; Predisposing Factor; Prevention; Psychosocial Factor; Publications; Publishing; Quality of life; Randomized; Reporting; Research; Research Personnel; Risk; Risk Factors; Scientist; Self Efficacy; Severities; Site; Social support; Structure; Surveys; Symptoms; Syndrome; Technology; Testing; Training; United States Department of Veterans Affairs; United States National Institutes of Health; Universities; Urinary Incontinence; Veterans; Woman; Work; behavior change; care providers; care seeking; career; career development; clinical care; comorbidity; design; digital health; eHealth; evidence base; experience; family support; functional status; health care settings; improved; interest; intervention effect; intrinsic motivation; lower urinary tract symptoms; mHealth; men; novel; older men; older women; patient expectation; patient oriented research; primary care setting; programs; psychosocial stressors; randomized trial; recruit; remote delivery; research study; response; risk sharing; skills; success; symptomatic improvement; systematic review; technology platform; treatment arm; treatment response; video visit

PROJECT SUMMARY This application for a K24 Midcareer Investigator Award will promote Dr. Alayne Markland’s mentoring and career development in patient-oriented research on lower urinary tract symptoms and urinary incontinence at the University of Alabama at Birmingham (UAB). Dr. Markland is a geriatrician and clinician investigator dedicated to advancing evidence on the prevention, evaluation, and treatment of bladder and bowel symptoms for older women and men. With funding from the National Institute on Aging, the National Institute on Diabetes, Digestive, and Kidney Diseases, and the Department of Veterans Affairs, she leads a nationally recognized, patient-oriented research program that emphasizes improving access to care models, as well as improving knowledge on shared risk factors underlying aging-associated genitourinary dysfunction. Her work focuses on the intersection of common aging syndromes, such as depression and functional status, with lower urinary tract symptoms and incontinence. To date, she has created new models of care for women and men, improved patient-reported outcome measures used in clinical care and research and provided evidence to guide national and international guidelines on the treatment of lower urinary tract symptoms and incontinence. She has also emerged as a successful mentor of early-stage clinical investigators who have published high-impact research, obtained NIH and VA-funded awards, and continues to improve patient-oriented research focused on behavioral interventions. With award support, Dr. Markland plans to expand and refine her mentoring skills through didactics and focused training, and to continue mentoring her current early-stage trainees and recruit new trainees with a focus on female trainees from diverse backgrounds. All trainees will be provided with educational and research experiences tailored to their career stage and interests. With award support, Dr. Markland’s research program will be augmented through a newly funded clinical trial addressing the use of mobile health platforms to deliver behavioral treatments for lower urinary tract symptoms and incontinence care, which will provide new opportunities for mentoring trainees, collaborations, and future funding. The Aim of New Study 1 is: Identify mechanisms by which behaviorally based mobile health platforms improve lower urinary tract symptoms and incontinence severity. The Aim of New Study 2 is: Define barriers and facilitators for using mobile health technology for improving lower urinary tract symptoms and incontinence severity. The Aim of New Study 3 is: Determine effective, feasible candidate components for future mobile health interventions. The long-term goal of Dr. Markland’s research and career is two-fold: 1) to become a leader of behaviorally-based treatment interventions with digital health platforms, and 2) to enhance skills as a mentor of patient-oriented research — particularly for women and minority mentees. Through this award and the new research studied proposed, Dr. Markland will support high-quality mentees with the potential to become leaders in patient-oriented research related to aging and lower urinary tract symptoms/incontinence.

项目摘要 该申请K24中级护理调查员奖将促进Alayne Markland博士的心理和 关于尿路症状和尿失禁的针对患者的职业发展 阿拉巴马大学伯明翰（UAB）。 Markland博士是一位老年医生和临床研究员 致力于提高有关膀胱和肠症状预防，评估和治疗的证据 对于老年男女。在美国国家老化研究所的资助下，美国国家糖尿病研究所 消化和肾脏疾病以及退伍军人事务部，她领导着一个全国认可的， 以患者为导向的研究计划，该计划强调改善获得护理模型并改善 了解与衰老相关的泌尿生殖器功能障碍的共同风险因素的知识。她的工作重点 普通衰老综合征的交集，例如抑郁和功能状态，尿路较低 症状和尿失禁。迄今为止，她为男女创建了新的护理模式，改进了 临床护理和研究中使用的患者报告的结果指标，并提供了指导国家的证据 以及有关较低尿路症状和尿失禁的国际指南。她也有 出现了已经发表高影响研究的早期临床研究人员的成功心态， 获得了NIH和VA资助的奖项，并继续改善以患者为导向的研究。 行为干预。 在奖励支持下，Markland博士计划通过教学法和 专注培训，并继续为她目前的早期学员心理心理，并用 专注于潜水员背景的女学员。所有学员将接受教育和研究 根据他们的职业阶段和兴趣量身定制的经验。在奖励支持下，马克兰博士的研究计划 将通过一项新资助的临床试验来增强，以解决移动健康平台的使用 较低的尿路症状和尿失禁护理的行为治疗，这将提供新的 心理学员，合作和未来资金的机会。新研究的目的是：确定 基于行为基于行为的移动健康平台改善较低尿路符号的机制和 尿失禁严重程度。新研究的目的2是：定义使用移动健康的障碍和促进者 改善较低尿路症状和尿失禁严重程度的技术。新研究的目的3是： 确定有效的，可行的候选组件，以实现未来的移动健康干预措施。长期目标 Markland博士的研究和职业是两个方面：1）成为基于行为的治疗的领导者 与数字健康平台的干预措施，以及2）提高技能为患者研究的心态 - 特别是对于妇女和少数族裔梅内斯。通过该奖项和研究拟定的新研究提议，博士 Markland将支持高质量的月经，并有可能成为以患者为导向的研究的领导者 与衰老和较低的尿路症状/尿失禁有关。