Expanding the CAARN to accelerate research on multiple chronic conditions with rural and African-American communities and health-care providers

扩大 CAARN，与农村和非裔美国人社区以及医疗保健提供者一起加速对多种慢性病的研究

• 批准号: 10590643
• 负责人: Dorothy Farrar Edwards
• 金额: $ 60.39万
• 依托单位: UNIVERSITY OF WISCONSIN-MADISON
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-07-15 至 2025-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10590643
• 关键词: Acceleration; Address; Adoption; Affect; African American; African American population; Age; Aging; Allied Health Profession; Behavior Therapy; Caring; Chronic; Clinic; Collaborations; Communication; Communities; Community Healthcare; Consult; County; Development; Effectiveness; Elderly; Elements; Epidemic; Extramural Activities; Funding; Goals; Grant; Health; Health Care Costs; Health Personnel; Health system; Healthcare; Healthcare Systems; Infrastructure; Insurance; Interdisciplinary Study; Intervention; Knowledge; Lead; Longevity; Network Infrastructure; Outcome; Patients; Phase; Policy Maker; Program Development; Provider; Quality of life; Research; Research Infrastructure; Research Personnel; Research Training; Rural; Rural Community; Self Management; Social Work; Testing; Time; Training; Tribes; Trust; Underserved Population; United States National Institutes of Health; Wisconsin; behavior change; clinical care; community based participatory research; design; dissemination science; empowerment; feasibility testing; health care service utilization; health disparity; health empowerment; health equity; health literacy; implementation science; improved; multidisciplinary; multiple chronic conditions; novel; novel strategies; older patient; primary care provider; program dissemination; programs; rural Americans; rural underserved; self-management program; service providers; shared decision making; skills; success; underserved community

Project Summary/Abstract Three out of four older adults live with multiple chronic conditions (MCCs) that worsen health, shorten life span, and increase healthcare costs; this burden disproportionally affects African Americans. Despite the critical need for interventions to help older patients with MCCs improve self-management, existing programs have limited reach and effectiveness in underserved communities. Our long term goal is to increase the number and reach of self-management interventions available to improve the health of older adults with MCCs. The objective of this proposal is to create a mature and sustainable infrastructure that facilitates the formation and collaboration of research teams focused on the development and dissemination of effective new self-management interventions for older adults from African American and rural communities with MCCs. To achieve this goal, we will expand the Community-Academic Aging Research Network (CAARN), originally created in 2010 with NIH funding to facilitate development, testing, and/or dissemination of behavioral interventions to improve the health of older adults. To date, CAARN has facilitated community-research partnerships between 46 investigators and social services providers in 52 counties and 1 tribe. We propose to expand CAARN’s infrastructure from its primarily rural focus, to increase partnerships with health systems and African American communities, by providing: 1) trained research liaisons from partnering organizations representing health systems and African-American stakeholders; 2) training for researchers on building trust with African- American communities; 3) multidisciplinary experts who will consult during the design phase of interventions. These additions create a mature, sustainable CAARN infrastructure to accomplish our aims: Aim 1: Facilitate research to develop and test the feasibility of new multi-morbidity self-management programs for older adults that focus on activating patients towards self-management and empowering them to continuously engage in goal-setting and shared decision-making with their provider(s) to maximize behavior change; Aim 2: Demonstrate the effectiveness of new self-management programs for older adults with MCCs in improving quality of life, with a concentrated focus on rural and African-American older adults; Aim 3: Facilitate research to maximize dissemination, implementation, and reach of effective multi-morbidity self- management programs, particularly in rural and African-American populations. Using principles of community- based participatory research, CAARN will engage stakeholders from health systems, rural, and African- American communities on multidisciplinary research teams to develop, test, and research how best to disseminate interventions to reduce the substantial burden of MCCs. This should increase the availability of, and decrease the time to dissemination of, effective, practical interventions that are tailored to these communities and integrated into health systems to improve communications, clinical care, and health equity.

项目摘要/摘要 三名ofur老年人患有多种慢性病（MCC），使健康状况恶化，寿命缩短 尽管如此，但这种负担会影响非洲裔美国人 干预措施的批判性需要以帮助老年患者改善自我管理，Exsting计划 在服务不足的社区中的影响力和有效性有限。 可用于改善老年人健康的自我管理干预措施的数量和范围 MCC。 研究团队的成立和协作着重于有效的发展和分解 来自美国美国和农村社区的老年人的新自我管理干预措施。 为了实现这一目标，我们将扩大最初的社区学术老龄化研究网络（CAARN） 由NIH资金创建于2010年，以促进行为的发展，测试和/或传播 迄今为止，CAARN的干预措施改善了成年人。 我们提出的52个县的46个调查人员与社会服务之间的伙伴关系 从主要的农村重点来扩大Caarn的基础设施，以增加与卫生系统的伙伴关系 和非裔美国人社区，提供：1）培训的研究联络人 压抑卫生系统和非裔美国利益相关者； 2） 与非裔美国人社区； 3）多学科专家 干预措施。 目标1：促进研究和测试新的多功能自我管理计划的可行性 对于专注于激活患者进行自我管理并授权他们的老年人 与提供商的行为最大化，在目标设定和共享决策方面连续英语 更改；目标2：与MCC一起展示新的自我管理计划的有效性 在改善生活质量方面，集中于农村和非洲老年人； 促进研究以最大程度地传播，隐含和达到有效的多刺激性自我 管理计划，特别是在农村和非洲 - 美洲人口中。 CAARN基于参与的研究将吸引来自卫生系统，农村和非洲的利益相关者 在多学科研究团队的美国社区将开发和研究如何最好地进行。 传播干预措施，以减少MCC的重大负担。 并减少针对这些量身定制的有效，实用干预措施传播的时间 社区并纳入卫生系统，以改善沟通，临床护理和卫生公平。