Advancing Geriatrics Infrastructure and Network Growth (AGING) Initiative

推进老年病学基础设施和网络发展 (AGING) 计划

• 批准号: 10732291
• 负责人: JERRY H GURWITZ
• 金额: $ 95.73万
• 依托单位: UNIV OF MASSACHUSETTS MED SCH WORCESTER
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-01 至 2028-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10732291
• 关键词: Address; Administrative Supplement; Aducanumab; Aging; Alzheimer' s Disease; American; Anemia; Award; COVID-19 pandemic; Capsicum; Caregivers; Caring; Clinical Research; Clinical Trials; Collaborations; Data; Data Sources; Dementia; Development; Education; Educational Curriculum; Educational workshop; Elderly; Exploratory/Developmental Grants Phase II; Feedback; Fostering; Funding; Geriatrics; Grant; Growth; Health Personnel; Healthcare Systems; Heart failure; Infrastructure; Interdisciplinary Study; Intervention Trial; Knowledge; Libraries; Measures; Mentors; Mentorship; Methods; Minority; Mission; National Institute on Aging; Nursing Homes; Older Population; Paper; Patients; Persons; Pilot Projects; Policies; Population; Pragmatic clinical trial; Principal Investigator; Process; Productivity; Publishing; Research; Research Activity; Research Design; Research Personnel; Resources; Scholars Program; Science; Scientist; Societies; Translating; Translational Research; Translational trial; Translations; Underrepresented Minority; Underrepresented Populations; United States National Institutes of Health; Universities; Voice; care systems; career; career development; cohort; collaboratory; comorbidity; equity, diversity, and inclusion; forest; health care delivery; health equity promotion; human old age (65+); improved; innovation; instrument; member; minority scientist; multiple chronic conditions; next generation; novel; patient engagement; patient oriented; person centered; pragmatic intervention; pragmatic trial; programs; recruit; response; success; symposium; synergism; systems research

PROJECT SUMMARY / ABSTRACT The Health Care Systems Research Network (HCSRN)-Older Americans Independence Centers (OAICs) AGING (Advancing Geriatrics Infrastructure and Network Growth) Initiative (R24AG045050/R33AG0577806) was launched in 2014 to address knowledge gaps around multiple chronic conditions (MCCs) in older adults by fostering an interdisciplinary research agenda. Our mission has been to counter the traditional single-condition, siloed approach to the care of older adults and advance the science of MCCs. The AGING Initiative is a highly productive, collaborative, transdisciplinary endeavor involving scientists from 20 HCSRN research centers, embedded within healthcare delivery systems caring for over 2 million persons aged 65 and older, in partnership with investigators from 15 premier, university-based centers established by the National Institute on Aging (the OAICs). In this competitive renewal, our overarching aim is to build on our successful efforts and collaborations, while taking the AGING Initiative in new, more ambitious, and sustainable directions. We will seek to promote health equity, further integrate diverse patients and care partners into our scientific activities, expand efforts to foster the careers of underrepresented minority (URM) scientists, and expand our efforts to engage with a more diverse group of patients/care partners and a broader array of organizations to improve the care of older adults with MCCs. Our specific aims are: (1) to foster research innovation and translation of research findings into practice through an MCCs Research Innovation, Translation, and Dissemination core that will: (a) fund targeted, interdisciplinary pilot grants (MCCs Innovation Grants); (b) promote inclusion of underrepresented populations in clinical trials relevant to the care of older adults with MCCs; (c) disseminate key research findings relevant to the care of older adults with MCCs; and (d) enhance engagement and collaboration with patients and care partners in research activities; (2) to foster the development of innovative methods under a Methods, Measures, and Data Core that will: (a) stimulate development and implementation of innovative research designs; (b) disseminate measures that “matter most” to patients, care partners, and healthcare providers; (c) identify new data sources and research partnerships; and (d) provide guidance and mentorship to junior investigators starting their “first” project; and (3) to foster the career development and success of new and early-stage investigators through an expanded nation-wide cohort of MCCs Scholars by: (a) enhancing mentoring and networking opportunities in direct response to feedback from current and former MCCs Scholars; (b) expanding efforts to identify and recruit URM junior investigators; (c) increasing collaborations with other NIA-sponsored research networks that have scholar programs to increase discourse on MCCs; and (d) building upon a highly successful collaboration between the American Geriatrics Society and the AGING Initiative (R25AG071488) to create and widely disseminate a new MCCs research curriculum.

项目摘要 /摘要 卫生保健系统研究网络（HCSRN） - 美国人独立中心（OAICS） 老化（前进的老年基础设施和网络增长）倡议（R24AG045050/R33AG0577806） 于2014年启动，以解决有关老年人多种慢性病（MCC）的知识差距 促进跨学科研究议程。我们的使命是对抗传统的单条件， 孤立的方法来照顾老年人并推进MCC的科学。老龄化计划是一项高度 涉及来自20个HCSRN研究中心的科学家的生产，合作，跨学科的努力， 嵌入在医疗保健交付系统中，照顾超过200万65岁及以上的人 与国家研究所建立的15个总理，基于大学中心的调查人员的合作伙伴关系 关于衰老（OAICS）。在这种竞争性更新中，我们的总体目的是建立我们的成功努力和 合作，同时采用新的，更雄心勃勃和可持续的方向的衰老计划。我们将 寻求促进健康公平，进一步整合潜水员的患者和关怀伴侣，以我们的科学活动， 扩大努力以促进代表性不足的少数民族（URM）科学家的职业，并将我们的努力扩大到 与更多潜水的患者/护理伙伴和更广泛的组织互动以改善 用MCC的老年人照顾。我们的具体目的是：（1）促进研究创新和翻译 通过MCCS研究创新，翻译和传播核心进行研究结果研究结果 这将：（a）针对跨学科的试点赠款（MCCS创新赠款）的基金； （b）促进包含 与MCC老年人的护理有关的临床试验中的代表性不足； （c）传播 与MCC的老年人照顾有关的主要研究发现； （d）增强参与度和 与患者和护理伙伴在研究活动中的合作； （2）促进创新的发展 方法，度量和数据核心下的方法：（a）刺激开发和实施 创新的研究设计； （b）传播对患者，护理伙伴和 医疗保健提供者； （c）确定新的数据源和研究合作伙伴关系； （d）提供指导和 初级调查人员的指导开始了他们的“第一个”项目； （3）促进职业发展和 新的和早期阶段的调查人员通过扩大的全国MCC学者队列的成功，作者： （a）在直接响应当前和形式的反馈的直接响应中增强心理和网络机会 MCC学者； （b）扩大识别和招募URM初级调查人员的努力； （c）增加 与其他由NIA赞助的研究网络的合作，该网络具有学者计划以增加话语 在MCC上； （d）建立在美国老年医学学会与 老化计划（R25AG071488）创建并广泛传播新的MCCS研究课程。

项目成果

Trends in the Magnitude of, and Patient Characteristics Associated With, Multiple Hospital Readmissions After Acute Myocardial Infarction.

急性心肌梗死后多次再入院的程度和患者特征的趋势。

• DOI: 10.1016/j.amjcard.2016.07.028
• 发表时间: 2016
• 期刊: The American journal of cardiology
• 作者: Tisminetzky,Mayra;Chen,Han-Yang;McManus,DavidD;Gurwitz,Jerry;Granillo,Edgard;Yarzebski,Jorge;Gore,JoelM;Goldberg,RobertJ
• 通讯作者: Goldberg,RobertJ

Address Changes Are Associated With Unmet Glycemic Targets: Opportunities to Improve Processes and Outcomes of Care Among People With Type 2 Diabetes.

地址变更与未达到的血糖目标相关：改善 2 型糖尿病患者护理流程和结果的机会。

• DOI: 10.7812/tpp/21.144
• 发表时间: 2022
• 期刊: The Permanente journal
• 作者: Thomas,Tainayah;Dyer,Wendy;Adams,Alyce;Grant,Richard;Schmittdiel,Julie
• 通讯作者: Schmittdiel,Julie

Advancing Clinical Trials in Nursing Homes: A Proposed Roadmap to Success.

• DOI: 10.1016/j.jamda.2021.11.034
• 发表时间: 2022-03
• 期刊: Journal of the American Medical Directors Association
• 影响因子: 7.6
• 作者: Gurwitz JH;Quinn CC;Abi-Elias IH;Adams AS;Bartel R;Bonner A;Boxer R;Delude C;Gifford D;Hanson B;Ito K;Jain P;Magaziner JS;Mazor KM;Mitchell SL;Mody L;Nace D;Ouslander J;Reifsnyder J;Resnick B;Zimmerman S
• 通讯作者: Zimmerman S

Patients want to talk about their out-of-pocket costs-Can real-time benefit tools help?

• DOI: 10.1111/jgs.18342
• 发表时间: 2023-03-20
• 期刊: JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
• 影响因子: 6.3
• 作者: Sloan，Caroline E. E.;Ubel，Peter A. A.
• 通讯作者: Ubel，Peter A. A.