A Research Mentoring Program in Geriatric Rehabilitative Care

老年康复护理研究指导计划

• 批准号: 10441592
• 负责人: JONATHAN F BEAN
• 金额: $ 13.22万
• 依托单位: HARVARD MEDICAL SCHOOL
• 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 2025-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10441592
• 关键词: Academy; Achievement; Address; Aging; American; Appointment; Archives; Area; Award; Biomechanics; Biometry; Boston; Capsicum; Caring; Center for Translational Science Activities; Clinical; Clinical Assessment Tool; Clinical Sciences; Clinical Trials; Collaborations; Conduct Clinical Trials; Consultations; Data Analyses; Development; Doctor of Philosophy; Elderly; Elements; Environment; Epidemiology; Exercise Physiology; Exposure to; Faculty; Feedback; Foundations; Funding; Gait speed; Generations; Geriatrics; Grant; Impairment; Individual; Interdisciplinary Study; Joints; K-Series Research Career Programs; Knowledge; Laboratories; Lead; Leadership; Longitudinal cohort study; Medical Students; Mentors; Modeling; Morbidity - disease rate; Neurological Nursing; New England; Outcome; Physiatrist; Physical Function; Physical Medicine; Physical Rehabilitation; Physical therapy; Physical therapy exercises; Play; Prevention; Preventive care; Privatization; Process; Publications; Randomized Controlled Trials; Rehabilitation therapy; Research; Research Project Grants; Research Training; Resources; Risk Factors; Role; Scientist; Senior Scientist; Societies; Time; Training; Training Programs; Translational Research; United States National Institutes of Health; Work; care seeking; career; career development; catalyst; clinical center; cognitive neuroscience; disability; disability risk; education research; experience; falls; functional decline; functional disability; implementation research; interest; medical schools; member; mid-career faculty; modifiable risk; mortality; patient oriented research; professor; programs; rehabilitation research; rehabilitation science; rehabilitative care; responsible research conduct

Rehabilitative care can play a major role in preventative care for older adults, targeting the prevention of functional decline and disability. This is known as Prehabilitative Care. There are an insufficient number of mentors in Geriatric Rehabilitative care and specifically Prehabilitative care. I am Physiatrist in the Department of Physical Medicine and Rehabilitation (PM&R) at Harvard Medical School applying for a renewal of a highly successful K24 mid-career development award. The patient-oriented research (POR) in my initial award used a longitudinal cohort study as its platform and advanced our knowledge of: 1) clinical assessment tools targeting mobility and falls; 2) important modifiable risk factors for mobility decline; and 3) characterized important conditions that influence these outcomes. I successfully mentored 18 trainees, from diverse backgrounds, leading to over 45 original publications. In addition to the pre-existing longitudinal cohort study, which was recently publicly archived, a new VA funded randomized controlled trial focusing on Prehabilitative care will serve as the primary platform for this renewal. Trainees will be exposed to principles and concepts of geriatric rehabilitation, Prehabilitative care, POR and the conduct of clinical trials. Over the previous 20 years, I have led a successful research career in the Department of PM&R at Harvard Medical School (HMS). In 2015, I became the Director of New England Geriatric Research Education and Clinical Center (NEGRECC), the first Physiatrist to ever lead a VA GRECC. The transition to my VA leadership role took time and diverted my effort. I am now ready to resume my role as a K24 mentor. I am an Associate Professor, and my appointment to Professor is advancing through the promotions process. My current administrative, research, educational and clinical responsibilities within VA only allows 10% effort/week for mentoring of research trainees. I have a joint appointment between the VA and HMS. Under this award, my non-VA responsibilities will be relieved such that I will be enabled to direct an additional 30% effort/week towards the mentoring of research trainees in POR bringing my total effort to devote to mentoring to 40%. Projects that support this award include a VA merit award (RX003095-01A1) as well as the recently archived longitudinal cohort study (1R01AG032052). Also, the work will be supported by the NIH funded Boston Pepper Center, the Boston Roybal Center and the Harvard Clinical and Translational Science as well as the NEGRECC. With the themes of Geriatric Rehabilitation and Prehabilitation, we will provide: direct mentoring with the PI, training in rehabilitation science and aging research, training in the responsible conduct of research, training in research project management, data analysis, biostatistical consultation, and an K24 advisory board consisting of experienced scientists in relevant fields of interest. Redundancies are built in to the offerings to provide varying options that successfully serve the individual needs of all trainees. This grant will have a significant impact on geriatric rehabilitative care by supporting our laboratory as a vital pipeline for POR.

康复护理可以在老年人的预防性护理中发挥重要作用，以预防为目标 功能衰退和残疾。这就是所谓的康复前护理。没有足够数量的 老年康复护理，特别是康复前护理方面的导师。我是世界上的物理学家 哈佛医学院物理医学与康复系(PM&R)申请续签 一项非常成功的K24职业中期发展奖。我最初的以病人为中心的研究(POR) AWARD以纵向队列研究为平台，推进了我们对以下方面的认识：1)临床评估 针对流动性和跌倒的工具；2)导致流动性下降的重要的可更改风险因素；以及3)特征 影响这些结果的重要条件。我成功地指导了18名学员，来自不同的 背景，导致了45种以上的原创出版物。除了先前存在的纵向队列研究外， 最近公开存档的，一项由退伍军人事务部资助的新的随机对照试验，重点是 康复前护理将作为这次更新的主要平台。实习生将接触到 老年康复、康复前护理、POR和进行临床试验的原则和概念。 在过去的20年里，我在PM&R部门领导了一段成功的研究生涯 哈佛医学院(HMS)。2015年，我成为新英格兰老年研究教育局局长 和临床中心(NEGRECC)，有史以来第一位领导退伍军人事务部GRECC的物理学家。向退伍军人管理局的过渡 领导角色耗费了我的时间，分散了我的精力。我现在已经准备好恢复我作为K24导师的角色。我是一个 副教授，我被任命为教授正在经历晋升过程。我的 退伍军人管理局目前的行政、研究、教育和临床职责每周只允许10%的努力 用于指导研究实习生。我和退伍军人事务部和HMS有个联合约会。在这个奖项下，我的 非退伍军人管理局的责任将被减轻，这样我将能够每周额外指导30%的工作 对于POR研究实习生的指导，使我在指导方面的总努力达到了40%。 支持该奖项的项目包括退伍军人荣誉奖(RX003095-01A1)以及最近的 存档纵向队列研究(1R01AG032052)。此外，这项工作将得到美国国立卫生研究院资助的波士顿基金会的支持 胡椒中心、波士顿罗伊巴尔中心、哈佛临床和翻译科学以及 NEGRECC。以老年康复和康复为主题，我们将提供：直接指导 康复科学和老龄研究方面的培训，负责任的研究行为方面的培训， 研究项目管理、数据分析、生物统计学咨询和K24咨询委员会方面的培训 由相关感兴趣领域的经验丰富的科学家组成。冗余被内置到产品中，以 提供各种选择，成功地满足所有受训者的个人需求。这笔赠款将有一个 通过支持我们的实验室作为POR的重要渠道，对老年康复护理产生重大影响。