Geriatric Emergency care Applied Research network 2.0 - Advancing Dementia Care (GEAR 2.0 ADC)

老年急救护理应用研究网络 2.0 - 推进痴呆症护理 (GEAR 2.0 ADC)

• 批准号: 10264037
• 负责人: Ula Y Hwang
• 金额: $ 148.02万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-30 至 2022-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10264037
• 关键词: Acceleration; Accident and Emergency department; Accreditation; Address; Alzheimer' s Disease; Alzheimer' s disease related dementia; Applied Research; Award; Caregivers; Caring; Collaborations; Communication; Consensus; Consultations; Data; Decision Making; Delirium; Dementia; Detection; Development; Dissemination and Implementation; Elderly; Emergency Care; Emergency Department patient; Emergency Medicine; Emergency department visit; Environment; Fostering; Foundations; Funding; Funding Opportunities; Future; Geriatrics; Goals; Grant; Growth; Guidelines; Health; Hospitals; Informatics; Infrastructure; Knowledge; Lead; Multicenter Studies; Network Infrastructure; Persons; Phase; Pilot Projects; Process; Research; Research Infrastructure; Research Methodology; Research Personnel; Research Priority; Research Support; Resources; Risk Factors; Science; Testing; Time; United States National Institutes of Health; Update; advanced dementia; base; data warehouse; dementia care; evidence base; experience; implementation science; improved; innovation; large scale data; learning network; medical specialties; meetings; operation; programs; skills

PROJECT ABSTRACT: Emergency care of older adults with Alzheimer's Disease and related dementias (ADRD) is suboptimal despite greater rates of emergency department (ED) use than for matched controls. Persons with dementia (PwD) are poorly identified in the ED, are more likely to have an avoidable ED visit, be admitted to the hospital, struggle in the ED environment, and experience numerous other challenges. Despite calls in the National Plans to Address Alzheimer's Disease and their updates, limited research has been performed to optimize the emergency care of PwD. To advance the emergency care of PwD first requires delineation of the research gaps related to identifying PwD receiving emergency care and providing them optimal care, followed by establishing and testing strategies to resolve the gaps. To effectively and efficiently identify and address these gaps, the goal of this proposal is to launch the Geriatric Emergency Care Applied Research Network 2.0 - Advancing Dementia Care (GEAR 2.0 ADC). Specifically, this network would partner and leverage existing ADRD and emergency care focused networks, foundations, stakeholders, and organizations through a transdisciplinary team of leading investigators and consultants who have already transformed the emergency care of older adults and the care of PwD through rigorous NIH-funded research. During the first phase of this proposal, a stakeholder engagement approach will be used that has been previously and successfully implemented by investigators. They will determine research priorities for ED patients and caregivers using a consensus process in four domains: 1. ED practices 2. ED care transitions 3. Detection, and 4. Communication and decision making. The GEAR 2.0 - ADC infrastructure and its network will be established that includes the GEDC, ADRCs, and GEAR 2.0 Cores: 1. Administrative; 2. Research; 3. Data/Informatics; and 4. Dissemination & Implementation. The second phase of the proposal will solicit, review, select and fund research that will lead to future full-scale proposals addressing research gaps in emergency care for PwD and their caregivers identified during the first phase. There will be over $1.1M in pilot study awards. This proposal will create a platform from which GEAR 2.0 ADC and future investigators will generate preliminary data for large-scale funding opportunities, including multicenter project proposals. This “priming” of the research pipeline will promote further transdisciplinary studies and science and lay the groundwork for a sustainable research network infrastructure to support development of an evidence base to optimize the emergency care of PwD.

项目摘要： 老年人患有阿尔茨海默氏病和相关痴呆症（ADRD）的急诊护理是次优的 尽管急诊科（ED）的使用率比匹配的控制率更高。患有痴呆症的人 （PWD）在ED中发现很差，更有可能避免的ED访问，被送往医院， 在ED环境中挣扎，并遇到许多其他挑战。尽管国民呼叫 解决阿尔茨海默氏病及其更新的计划，已经进行了有限的研究以优化 PWD的出现护理。 要推进PWD的紧急护理，首先需要划定与 确定PWD接受急诊护理并提供最佳护理，然后建立和 测试解决差距的策略。为了有效有效地识别和解决这些差距，目标 该建议的是启动老年急诊应用研究网络2.0-前进 痴呆症护理（齿轮2.0 ADC）。具体而言，该网络将合作并利用现有的ADRD和 通过跨学科的网络，基金会，利益相关者和组织以紧急护理为重点 领先的调查人员和顾问团队已经改变了老年人的紧急护理 成人和通过严格的NIH资助研究对PWD的护理。 在本提案的第一阶段中，将使用一种利益相关者参与方法 以前并由调查人员成功实施。他们将确定ED的研究优先事项 患者和看护人在四个领域中使用共识过程：1。练习2。ed Care Transitions 3。 检测和4。沟通和决策。 Gear 2.0 -ADC基础设施及其网络 将建立包括GEDC，ADRC和Gear 2.0核心：1。行政； 2。研究； 3。 数据/信息学；和4。传播与实施。该提案的第二阶段将征求，审查， 选择和资助研究，这将导致未来的全面建议，以解决紧急情况的研究差距 在第一阶段确定的PWD及其护理人员的护理。试点研究将超过110万美元 奖项。该建议将创建一个平台，Gear 2.0 ADC和未来的调查人员将产生该平台 大规模资助机会的初步数据，包括多中心项目建议。这个“启动” 研究管道将促进进一步的跨学科研究和科学，并为 可持续研究网络基础设施，以支持开发证据基础，以优化 PWD的急诊护理。