Mentoring Researchers in Aging in Vulnerable Populations

指导弱势群体老龄化研究人员

• 批准号: 10321287
• 负责人: Margot B Kushel
• 金额: $ 18.86万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-05-15 至 2025-12-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10321287
• 关键词: Acute; Adult; Advance Care Planning; Affect; Aging; Award; Behavior; Behavioral; California; Caring; Clinical Sciences; Cohort Studies; Communities; Coupled; Crowding; Data; Data Collection; Educational Status; Elderly; Emergency Situation; Enrollment; Environment; Environmental Risk Factor; Faculty; Family Relationship; Fellowship; Funding; General Population; Goals; Health; Health Services; Health Status; Health system; Healthcare; High Prevalence; Homelessness; Housing; Impaired cognition; Individual; Infrastructure; Institutes; Internist; Intervention; Interview; Link; Living Arrangement; Longitudinal cohort study; Medicine; Mental Depression; Mentors; Mid-Career Clinical Scientist Award (K24); Morbidity - disease rate; NCI Scholars Program; Older Population; Outcome; Paper; Participant; Phase; Physical environment; Policies; Population; Poverty; Premature aging syndrome; Prevalence; Primary Health Care; Process; Provider; Public Health; Publishing; Qualitative Methods; Quality of life; Recommendation; Reporting; Research; Research Personnel; Research Support; Resources; San Francisco; Science; Scientist; Services; Shelter facility; Sleep; Sleep Disorders; Social Environment; Social support; Source; Structure; System; Time; Training; Translational Research; United States National Institutes of Health; Universities; Vulnerable Populations; aged; career; career development; clinical practice; cohort; design; environmental change; experience; health service use; improved; indexing; insight; interest; mortality; patient oriented research; poor sleep; professor; programs; prototype; research and development; service providers; sleep quality; social; social factors; social health determinants; substance use; supported housing

Project Summary Dr. Kushel is a Professor in the Department of Medicine at the University of California, San Francisco (UCSF) and Director of the UCSF Center for Vulnerable Populations (CVP). Trained as a general internist and health services researcher, Dr. Kushel has mentored numerous individuals at various levels of training over the past decade. She has done this while building a thriving research program focused on aging in vulnerable populations, with a particular focus on the growing population of older adults experiencing homelessness. She is currently funded by the NIA to fund the HOPE HOME Study, a cohort study of adults who are 50 and older and homeless at study entry who her team has been following since enrollment in 2013-2014. During her initial K24 award period, she received additional NIA funding, including an R01 to examine family relationships in homeless older adults and an R34 to develop advance care planning materials for formerly homeless older adults living in permanent supportive housing. She mentored 39 trainees, and published 45 papers, the vast majority with mentees as first author. With the renewal of her K24 award, she will extend her research program by adding a focus on sleep in older adults with an experience of homelessness, continue her efforts to mentor junior investigators who study aging in vulnerable populations, and redouble her efforts to mentor trainees from backgrounds underrepresented in research. The overall aims of this K24 renewal proposal are: (1) Using HOPE HOME longitudinal data, examine the association of individual (e.g. health status), behaviors (e.g. substance use), social (e.g. relationships) and environmental (e.g. housing status and environment) with poor sleep in older homeless-experienced adults; (2) Using qualitative methods, examine barriers and facilitators of sleep quality in older-homeless experienced adults; (3) Using participatory design, develop a toolkit for homeless system and housing providers to promote sleep in older homeless adults. The mentoring goals of this award include increasing Dr. Kushel’s expertise in mentoring researchers from groups historically underrepresented in biomedical sciences. The K24 would insure sufficient time to pursue this next phase in Dr. Kushel's research while protecting time to devote to mentoring investigators in aging research for vulnerable populations. She has designed complementary research and mentoring plans to create a synergistic effect of mentoring and research. The proposed mentoring, research, and career development activities leverage existing infrastructure, resources, and training initiatives provided by NIH including the UCSF Clinical and Translational Science Institute (CTSI), SF Building Infrastructure Leading to Diversity (BUILD), MSTAR, the National Clinician Scholars Program and several of UCSF’s T32 supported research fellowships including the Primary Care Research and Aging Research Fellowships.

项目摘要 博士Kushel是加州大学弗朗西斯科分校医学系的教授 UCSF弱势群体中心（CVP）主任。作为一名普通内科医生和健康 作为一名服务研究员，Kushel博士过去曾指导过许多不同级别的培训人员 十年她这样做的同时，建立了一个蓬勃发展的研究计划，重点是在脆弱的老龄化 这一方案的重点是解决无家可归者人数不断增加的问题，特别是无家可归的老年人。她 目前由NIA资助，资助HOPE HOME研究，这是一项针对50岁及以上成年人的队列研究 研究开始时无家可归，她的团队自2013-2014年入学以来一直在跟踪她。在她最初的 K24奖期间，她收到了额外的NIA资金，包括R 01检查家庭关系， 无家可归的老年人和一个R34，为以前无家可归的老年人制定预先护理规划材料 居住在永久性支持性住房中的成年人。她指导了39名学员，发表了45篇论文， 大多数人都是第一作者。随着她的K24奖的更新，她将扩大她的研究计划 通过关注有无家可归经历的老年人的睡眠，继续她的努力， 初级研究人员研究脆弱人群的老龄化，并加倍努力指导来自 研究中的背景不足。 K24更新建议的总体目标是：（1）使用HOPE HOME纵向数据，检查 个人（例如健康状况）、行为（例如物质使用）、社会（例如关系）和 环境因素（如住房状况和环境）导致无家可归的老年人睡眠不佳;（2） 采用定性研究方法，探讨老年无家可归者睡眠质量的障碍和促进因素， （3）采用参与式设计，为无家可归者系统和住房提供者开发一个工具包，以促进 睡在无家可归的老年人身上该奖项的指导目标包括增加Kushel博士的专业知识， 指导来自生物医学科学历史上代表性不足的群体的研究人员。 K24将确保有足够的时间进行库舍尔博士的下一阶段研究，同时保护时间， 致力于指导研究人员为弱势群体进行老龄化研究。她设计 补充研究和指导计划，以创造指导和研究的协同效应。的 建议的指导、研究和职业发展活动利用现有的基础设施、资源， 和NIH提供的培训计划，包括UCSF临床和转化科学研究所（CTSI）， SF Building Infrastructure Leading to Diversity（BUILD），MSTAR，National Clinician Scholars Program， 加州大学旧金山分校的几个T32支持研究奖学金，包括初级保健研究和老龄化 研究奖学金。