The Role of Hearing Loss in Health Care Outcomes.

听力损失在医疗保健结果中的作用。

• 批准号: 10532724
• 负责人: Nicholas Salvatore Reed
• 金额: $ 18.79万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-04-01 至 2024-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10532724
• 关键词: Address; Adherence; Admission activity; Adult; Aging; Applications Grants; Atherosclerosis Risk in Communities; Award; Biometry; Brain; California; Caring; Clinical; Clinical Research; Clinical Trials; Collaborations; Communication; Communication impairment; Confusion; Data; Data Set; Dedications; Delirium; Development; Discipline of Nursing; Educational workshop; Elderly; Environment; Epidemiology; Equipment; Evaluation Research; Faculty; Foundations; Funding; Gerontology; Goals; Head and Neck Surgery; Health; Health Care Costs; Health Policy; Health system; Healthcare; Healthcare Systems; Hearing; Hearing Aids; Hospitalization; Hospitals; Incidence; Indiana; Inpatients; Instruction; Intervention; Intervention Studies; Interview; K-Series Research Career Programs; Length of Stay; Link; Measurement; Measures; Mediating; Medical; Medicare; Medicare claim; Mentors; Mentorship; Methodology; Methods; Modeling; Monitor; Otolaryngology; Outcome; Outcomes Research; Pamphlets; Pathway interactions; Patient Care; Patients; Peripheral; Persons; Practice based research; Presbycusis; Prevention; Process; Publications; Quality of Care; Research; Risk; Risk Factors; Role; Sampling; San Francisco; Schedule; Screening procedure; Sensory Deprivation; Shapes; Signal Transduction; Societies; Surveys; Time; Training; Translational Research; Universities; acceptability and feasibility; amplification device; auditory stimulus; beneficiary; care outcomes; care seeking; career; clinical practice; cognitive load; cost; design; epidemiologic data; epidemiology study; experience; health care quality; health care service utilization; hearing impairment; hearing measurement; high risk; hospital readmission; implementation measures; implementation science; improved; intervention program; medical schools; meetings; multidisciplinary; patient oriented; patient-clinician communication; pilot test; post implementation; prevent; process evaluation; professor; programs; protective factors; readmission rates; responsible research conduct; satisfaction; screening; screening program; secondary analysis; skills; staff intervention; theories; tool; translational potential; trial design; webinar; working group

ABSTRACT This is an application for a K23 Mentored Patient-Oriented Career Development Award for Dr. Nicholas Reed who recently joined the faculty of the Department of Otolaryngology-Head & Neck Surgery at the Johns Hopkins University School of Medicine as an Assistant Professor. The goal of the proposed project is to provide the candidate with the advanced training and skills to launch an independent research program examining hearing loss and health care outcomes among older adults. To facilitate this goal, the candidate has assembled a multidisciplinary mentorship and collaboration team with expertise that spans epidemiology, biostatistics, implementation science, gerontology, health systems and policy, nursing, delirium, and hearing loss. He proposes a comprehensive training plan that consists of coursework, observation, practical training, engagement in seminars, workshops, and working groups, and constructive research meetings across clinical and academic centers at Johns Hopkins University, Harvard University, Indiana University, University California, San Francisco, and University of Pittsburgh. The specific training and development goals of this Award include: (1) instruction in trial design, epidemiology, and biostatistics methodology to apply in the proposed research, (2) training in aging research and gerontologic care considerations with specific emphasis on understanding conceptual models, measurement of, and interventions for delirium, (3) guidance in implementation science methodology, process evaluation, and outcomes research as they apply to health systems initiatives to improve quality of care among older adults, (4) continued training in the responsible conduct of research with emphasis on considerations for clinical practice-based research, and (5) development and submission of an R01 grant application that builds upon the methodologic foundation, preliminary evidence, publications, and collaborations from this Career Development Award. The proposed research of this Career Development Award addresses the overlooked influence of hearing loss on health care outcomes and seeks to refine methods to address hearing loss in the health care system. The specific goals are to (1) investigate the association between hearing loss, communication impairment, and hearing aid use with health care outcomes such as 30-day readmission, length of stay, and hospitalization in older adults, (2) characterize incidence of delirium among hospitalized older adults with and without hearing loss, and (3) refine and assess the feasibility and acceptability of implementing a comprehensive hearing loss screening and intervention program to improve care outcomes in the inpatient setting. At the conclusion of this Career Development Award, the candidate will have the skills, expertise, and preliminary evidence to be competitive for independent research funding and design and execute translational research addressing hearing loss throughout the health care system that could shape patient-care for the millions of older adults with hearing loss.

抽象的 这是 Nicholas Reed 博士申请 K23 以患者为导向的职业发展奖的申请 最近加入约翰斯耳鼻喉头颈外科系 霍普金斯大学医学院助理教授。拟议项目的目标是 为候选人提供启动独立研究计划的高级培训和技能 检查老年人的听力损失和医疗保健结果。为了实现这一目标，候选人已 组建了一支多学科指导和协作团队，其专业知识涵盖流行病学、 生物统计学、实施科学、老年学、卫生系统和政策、护理、谵妄和听力 损失。他提出了一个全面的培训计划，包括课程作业、观察、实践培训、 参与研讨会、讲习班、工作组以及跨临床的建设性研究会议 以及约翰·霍普金斯大学、哈佛大学、印第安纳大学、大学的学术中心 加利福尼亚州、旧金山和匹兹堡大学。本次培训的具体培养目标和发展目标 奖项包括：(1) 试验设计、流行病学和生物统计学方法学方面的指导，以应用于 拟议的研究，（2）特别强调老龄化研究和老年学护理考虑方面的培训 理解谵妄的概念模型、测量和干预措施，(3) 指导 应用于健康的实施科学方法、过程评估和结果研究 旨在提高老年人护理质量的系统举措，(4) 继续培训负责人 进行研究，重点考虑基于临床实践的研究，以及 (5) 开发 并提交建立在方法基础上的 R01 拨款申请，初步 该职业发展奖的证据、出版物和合作。本研究的拟议研究 职业发展奖解决了听力损失对医疗保健结果的被忽视的影响和 寻求完善解决医疗保健系统中听力损失问题的方法。具体目标是（1） 调查听力损失、沟通障碍和助听器使用与健康之间的关系 老年人的护理结果，例如 30 天再入院、住院时间和住院情况，(2) 有或没有听力损失的住院老年人中谵妄的发生率，以及 (3) 细化和评估 实施全面听力损失筛查和干预的可行性和可接受性 旨在改善住院环境护理结果的计划。在本次职业发展结束时 获奖者将具备独立竞争所需的技能、专业知识和初步证据 研究资助、设计和执行转化研究，解决整个健康领域的听力损失问题 护理系统可以为数百万患有听力损失的老年人提供患者护理。