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.

项目概要 此次申请 K24 职业中期研究员奖将促进 Alayne Markland 博士的指导和 以患者为导向的下尿路症状和尿失禁研究的职业发展 Markland 博士是阿拉巴马大学伯明翰分校 (UAB) 的一位老年病学家和临床研究员。 致力于推进膀胱和肠道症状的预防、评估和治疗的证据 在国家老龄化研究所、国家糖尿病研究所的资助下， 她领导着一个全国公认的消化系统疾病、肾脏疾病和退伍军人事务部， 以患者为导向的研究计划，强调改善获得护理模式的机会，以及改善 她的工作重点是与衰老相关的泌尿生殖功能障碍的共同危险因素。 常见的衰老综合症（例如抑郁症和功能状态）与下尿路的交叉点 迄今为止，她已经为女性和男性创建了新的护理模式，并得到了改善。 患者报告的结果测量用于临床护理和研究，并为指导国家提供证据 她还制定了有关下尿路症状和尿失禁治疗的国际指南。 成为早期临床研究人员的成功导师，这些研究人员发表了高影响力的研究， 获得 NIH 和 VA 资助的奖项，并继续改进以患者为中心的研究 行为干预。 在奖项的支持下，马克兰博士计划通过教学和实践来扩展和完善她的指导技能。 重点培训，并继续指导现有的早期学员并招募新学员 重点关注来自不同背景的女性学员，将为所有学员提供教育和研究。 在奖项的支持下，马克兰博士的研究项目根据他们的职业阶段和兴趣量身定制了经验。 将通过一项新资助的临床试验得到增强，该试验涉及使用移动医疗平台来提供 针对下尿路症状和失禁护理的行为治疗，这将提供新的 指导学员、合作和未来资助的机会 新研究 1 的目的是： 确定。 基于行为的移动健康平台改善下尿路症状的机制 新研究 2 的目的是：明确使用移动医疗的障碍和促进因素。 改善下尿路症状和尿失禁严重程度的技术新研究 3 的目的是： 确定未来移动健康干预措施的有效、可行的候选组件。 Markland 博士的研究和职业生涯有两个方面：1) 成为基于行为的治疗的领导者 数字健康平台的干预措施，以及 2) 增强作为以患者为导向的研究导师的技能 — 特别是针对女性和少数族裔学员，通过该奖项和提出的新研究，博士。 马克兰将支持有潜力成为以患者为导向的研究领导者的高素质学员 与衰老和下尿路症状/失禁有关。

项目成果

Optimizing remote access to urinary incontinence treatments for women veterans (PRACTICAL): Study protocol for a pragmatic clinical trial comparing two virtual care options.

优化女性退伍军人获得尿失禁治疗的远程访问（实用）：比较两种虚拟护理选项的实用临床试验的研究方案。

• 发表时间: 2023-10
• 影响因子: 2.2
• 作者: Markland, Alayne D;Vaughan, Camille P;Goldstein, Karen M;Hastings, Susan N;Kelly, Ursula;Beasley, T Mark;Boyd, Emily Malone;Zubkoff, Lisa;Burgio, Kathryn L
• 通讯作者: Burgio, Kathryn L