Roybal Center for Behavioral Interventions in Aging

摘要 Roybal老龄化行为干预中心的试点核心将开发和测试 根据行为科学的见解进行干预，以促进健康老龄化。具体 中心的目标是：（1）招募和培养一批多样化的高级和初级研究人员 在我们的重点领域启动和支持试点项目，以更好地了解 目前的实践模式和干预措施，将改善护理服务，护理质量， 及其对老年人的价值;（2）按照NIH阶段模型进行试点研究 促进最有效的干预措施的制定和使用;（3）报告和 向卫生系统和政府组织传播研究结果， 研究的结果。试点核心将支持跨越NIH五阶段模型的项目 进行行为干预。建议在第一年进行两项试点研究，均与阿片类药物有关 美国的危机。第一个建立在我们以前的工作，告知医生他们的病人的 在随机试验中比较两个不同框架的字母， 第四阶段研究。第二个阶段是可行性研究（第一阶段），以评估可能的推动措施 以提高医生对丁丙诺啡用于阿片类药物使用障碍的摄取。通往 推进这两个项目的阶段进行了讨论，因为是招标新的试点， 外年。该中心资助的所有试点项目都将涉及行为经济学的主题， 提高护理质量。我们鼓励采用循证护理和取消执行 低价值和有害的做法。潜在的试点研究的影响是由以下方面提供信息的： 模拟结果来自Roybal中心的资源，这些资源是从我们以前的 奖在授予过程中，试点核心将支持开展研究 鼓励适当使用药物治疗的行为干预：阿片类药物 处方，多种药物，抗生素处方，药物辅助治疗中的临床惰性 成瘾，以及医疗决定与指导方针不一致的其他护理领域 并对人口健康产生负面影响。

Abstract The Pilot Core for the Roybal Center for Behavioral Interventions in Aging will develop and test interventions based on insights from behavioral science to promote healthy aging. The specific aims of the Center are to: (1) Recruit and develop a diverse set of senior and junior researchers to initiate and support pilot projects in our focus area to better understand the consequences of current patterns of practice and interventions that will improve care delivery, the quality of care, and its value to aging adults; (2) Conduct pilot research in accordance with the NIH stage model to facilitate development and use of the most effective interventions and (3) Report and disseminate findings to health systems and government organizations who can benefit from the results of the research. The Pilot Core will support projects that span the NIH Five Stage Model for behavioral interventions. Two pilot studies are proposed in Year 1 both relating to the opioids crisis in the US. The first builds on our previous work in informing physicians of their patient’s fatal overdose comparing two differently framed letters in a randomized trial consistent with Stage IV research. The second is a feasibility study (Stage I) to evaluate what nudges are likely to improve physician uptake of buprenorphine for opioid use disorder. Pathways toward advancing the stages of these two projects are discussed as are solicitations for new pilots in out-years. All pilots funded at the Center will address the theme of behavioral economics to improve quality of care. We encourage adoption of evidence-based care and de-implementation of low-value and harmful practices. The impact of potential pilot studies is informed by simulation results that follow from the Roybal Center resources developed from our previous awards. During the course of the award, the Pilot Core will support research studies conducting behavioral interventions to encourage appropriate use of medical treatments: Opioid prescribing, polypharmacy, antibiotic prescribing, clinical inertia in medication assisted therapy for addiction, and other areas of care where medical decisions are discordant with guidelines and are having a negative impact on population health.