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: 10094657
• 负责人: Ula Y Hwang
• 金额: $ 149.15万
• 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 2022-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10094657
• 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; 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： 患有阿尔茨海默病和相关痴呆症 (ADRD) 的老年人的紧急护理效果不佳 尽管痴呆症患者使用急诊室 (ED) 的比例高于匹配对照组。 (PwD) 在急诊室中很难被识别，更有可能进行可避免的急诊就诊、被送入医院， 尽管国家发出呼吁，但他们仍在 ED 环境中挣扎，并经历许多其他挑战。 解决阿尔茨海默病的计划及其更新，已进行有限的研究来优化 残疾人的紧急护理。 为了推进残疾人的紧急护理，首先需要划清与以下方面相关的研究空白： 确定残疾人紧急护理并为他们提供最佳护理，然后建立和 测试策略来解决差距，以有效和高效地识别和解决这些差距，目标。 该提案的目的是启动老年急救应用研究网络 2.0 - 推进 具体来说，该网络将合作并利用现有的 ADRD 和痴呆症护理 (GEAR 2.0 ADC)。 通过跨学科的方式，以紧急护理为重点的网络、基金会、利益相关者和组织 由领先的研究人员和顾问组成的团队已经改变了老年人的紧急护理 通过美国国立卫生研究院 (NIH) 资助的严格研究，关注成年人和残疾人的护理。 在该提案的第一阶段，将使用利益相关者参与方法，该方法已被采用 他们将确定 ED 的研究重点。 患者和护理人员在四个领域使用共识流程： 1. 急诊实践 2. 急诊护理过渡 3. 检测，以及 4. 通信和决策。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；以及 4. 提案的第二阶段将征求、审查、 选择并资助研究，这些研究将产生未来全面的提案，以解决紧急情况下的研究空白 试点研究将投入超过 110 万美元。 该提案将创建一个平台，GEAR 2.0 ADC 和未来的研究人员将在此生成平台。 大规模融资机会的初步数据，包括多中心项目提案的“启动”。 该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，支持证据库的开发，以优化 残疾人的紧急护理。