Aging in place for older adults with cancer: The role of physical function and home environment

患有癌症的老年人的就地老龄化：身体机能和家庭环境的作用

• 批准号: 10742252
• 负责人: Marielle Jensen-Battaglia
• 金额: $ 4.92万
• 依托单位: UNIVERSITY OF ROCHESTER
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-08-10 至 2025-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10742252
• 关键词: Age; Aging; Area; Award; Cancer Patient; Communities; Data; Data Set; Development; Elderly; Environment; Future; Goals; Health; Health Benefit; Home; Home environment; Impairment; Injury; Knowledge; Link; Malignant Neoplasms; Measures; Medicare; Medicare claim; Mentors; Neighborhoods; Outcome; Patients; Phase; Physical Function; Physical environment; Population; Postdoctoral Fellow; Provider; Research; Research Personnel; Research Project Grants; Risk; Role; Sampling; Structure; System; Training; United States; Work; aging in place; beneficiary; cancer care; cancer diagnosis; cancer type; experience; falls; health care service utilization; improved; mortality; novel; pre-doctoral; prospective; response; skills; trend

Project Summary and Abstract This award will support Dr. Jensen-Battaglia’s long-term goal of developing the expertise and skills needed to become an independent investigator exploring the overlapping roles of physical function and environment in health outcomes for older adults with cancer. By 2050, 20% of new cancer diagnoses will be among those age 80 or older, comprising an estimated 6.9 million cases worldwide. The majority of older adults in the United States (U.S.) prefer to remain in their homes as they age (i.e., ‘age in place’), which is associated with health benefits. Conversely, both unsupportive neighborhood environment and residential relocation are associated with increased healthcare utilization, decreased survival, and falls. Although impairments in physical function are common and highly modifiable, we do not yet know if older adults with cancer are at greater risk for residential relocation as a result of these impairments compared to those without cancer. Whether negative health outcomes such as healthcare utilization, mortality, and falls associated with relocation are due to relocation itself or associated changes in the neighborhood environment remains unclear. Dr. Jensen-Battaglia will address these gaps in her proposed project by prospectively evaluating the association between impairments in physical function and residential relocation among community dwelling older adults in the U.S., and examining how this association differs for those with cancer compared to those without cancer. Additionally, she will assess how residential relocation modifies the effect of neighborhood environment on future health for those with cancer. For the F99 phase, Dr. Jensen-Battaglia will leverage data from a nationally representative sample of U.S. Medicare beneficiaries [National Health and Aging Trends Study (NHATS)] to refine a novel measure of mobility-related physical function, assess whether this is associated with increased risk of residential relocation, and evaluate if cancer diagnosis positively modifies this relationship. She will also explore how the relationship between mobility-related physical function and residential relocation differs across home environments and cancer types. For the K00 phase, she will create a dataset linking the NHATS with Medicare claims and area-based measures, and evaluate if residential relocation positively modifies the effect of worsening (compared to stable or improving) neighborhood environment supports on cancer-related health outcomes. Dr. Jensen-Battaglia has worked closely with her sponsors to develop a training plan which supports successful completion of the predoctoral research project and smooth transition to a competitive, cancer-focused postdoctoral placement. This includes training to improve knowledge of the patient cancer care experience, obtain expertise in analysis of residential relocation dynamics, and identify a postdoctoral mentor. Together, the proposed research and training plan provide optimal opportunities and structure for Dr. Jensen- Battaglia to develop new skills and progress toward becoming an independent cancer researcher.

项目概要和摘要 该奖项将支持 Jensen-Battaglia 博士的长期目标，即发展所需的专业知识和技能 成为一名独立研究者，探索身体功能和环境的重叠作用 到 2050 年，20% 的新诊断癌症将发生在这些年龄段。 80 岁或以上，全世界估计有 690 万例，大多数是美国老年人。 各州（美国）随着年龄的增长（即“就地年龄”）更喜欢留在家里，这与健康有关 线下，不支持的邻里环境和住宅搬迁都是相关的。 尽管身体机能受损，但医疗保健利用率增加、生存率下降和跌倒。 是常见且高度可改变的，我们尚不知道患有癌症的老年人是否面临更大的风险 与未患癌症的人相比，由于这些损害而导致的住宅搬迁是否为阴性。 医疗保健利用率、死亡率和与搬迁相关的跌倒等健康结果是由于 Jensen-Battaglia 博士表示，搬迁本身或相关的周边环境变化仍不清楚。 将通过前瞻性评估之间的关联来解决她提议的项目中的这些差距 美国社区居住的老年人身体机能受损和居住搬迁， 并研究癌症患者与非癌症患者之间的这种关联有何不同。 此外，她还将评估住宅搬迁如何改变邻里环境对 对于 F99 阶段，Jensen-Battaglia 博士将利用来自全国的数据。 美国医疗保险受益人的代表性样本[国家健康和老龄化趋势研究 (NHATS)] 完善一种与移动相关的身体功能的新测量方法，评估这是否与增加 居住搬迁的风险，并评估癌症诊断是否会积极改变这种关系。 探索与流动相关的身体功能和居住搬迁之间的关系在不同地区有何不同 对于 K00 阶段，她将创建一个将 NHATS 与癌症类型联系起来的数据集。 医疗保险索赔和基于地区的措施，并评估住宅搬迁是否会积极改变效果 恶化（与稳定或改善相比）的邻里环境对癌症相关健康的支持 Jensen-Battaglia 博士与她的资助者密切合作，制定了一项培训计划，该计划 支持成功完成博士前研究项目并顺利过渡到具有竞争力的、 以癌症为重点的博士后安置包括提高患者癌症护理知识的培训。 经验，获得住宅搬迁动态分析方面的专业知识，并确定博士后导师。 总之，拟议的研究和培训计划为詹森博士提供了最佳的机会和结构- Battaglia 开发新技能并取得进展，成为一名独立的癌症研究员。