Mentoring Intervention Development in Fall and Fracture Prevention

指导跌倒和骨折预防干预措施的发展

基本信息

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
项目类别：
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

项目摘要

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（由申请人提供）：我以患者为中心的预防老年人跌倒和骨折的研究平台使我有机会培养针对脆弱人群的复杂干预开发技能，这些技能包括纵向和管理数据分析、定性方法、作为杜克大学医学中心的副教授，我已经开始培训来自不同领域的老龄化研究人员。职业和特长然而，在老龄化研究方法中，我将受益于受保护的时间来制定针对老年人复杂问题的干预发展的指导计划。这项 K24 提案的直接目标是通过整合我的跌倒和骨折研究计划来扩展我的研究平台，通过培训下一代以患者为中心的研究人员开发实用的干预措施来减少跌倒和骨折，提高我的指导技能我的长期职业目标是开发和实施实用的干预措施以减少老年人骨质疏松性骨折的破坏性后果。杜克大学医学中心是杜克大学老龄化与人类发展研究中心的教员拥有广泛的专业知识，我目前在杜克大学的克劳德·O·佩珀老年独立中心提供研究支持服务；领导核心和研究职业发展核心的联合主席我的研究和指导活动也在达勒姆弗吉尼亚州老年医学研究和教育中心进行，我是达勒姆弗吉尼亚州健康服务卓越研究中心（COIN 和 CREATE 中心）的助理主任。，杜克临床转化科学奖励中心 (CTSA) 和杜克护理学院 NIH 资助的 ADAPT 研究：我的指导计划（具体目标 1）的关键要素包括我的研究领域的培训和课程开发，以提高我的指导技能。我将通过杜克大学 CTSA 导师管道计划参加正式的导师培训，管理一个由以患者为导向的研究人员组成的职业中期同伴指导小组，专注于指导，并开发一个由 12 部分组成的关于特定干预开发的研讨会系列。目标 2，我将通过正式的专业发展和务实研究设计（适应性设计、社区参与研究）的实践经验来提高我的研究技能。对于具体目标 3，我将指导从 6 项当前资助中产生的以患者为导向的跌倒和骨折预防研究。这些项目包括为此应用新提出的 3 项研究，这些研究的核心是在现有的区域骨折联络服务中开发和试点测试由护士主导的多因素跌倒预防方案，并使用远程医疗技术来交付。扩大其范围和范围。在该奖项结束时，我将有能力获得资金，用于在卫生系统内针对高危老年人开展一项大型务实试验，测试综合跌倒和骨折预防计划。