Staffing Costs and Behavioral Nutritional Interventions

描述（由申请人提供）：本NIA职业生涯的目的 发展奖（CDA）申请是为研究者提供 知识，分析技能和初步数据库，以描述 护理之家（NH）的工作人员资源，必要的实施行为和 环境干预，以改善NH居民的营养摄入。的 拟议的CDA将允许研究者在三个主要领域接受培训， （1）营养不良，其中每一个补充她现有的知识： 老年人，这将补充她现有的专业知识在健康和 NH人群面临的相关生活质量问题;（2）成本分析， 和（3）运筹学建模，这两个补充她现有的 研究方法和统计分析知识。这个CDA 申请旨在为研究者提供必要的 知识和分析能力，以追求她的直接职业目标， 完善和验证与发展有关的三个方法工具， 行为和环境干预，以改善营养状况 在NH居民中：（1）进餐时间偏好满意度访谈;（2） 营养评估工具，以确定行为和环境 食物摄入量的决定因素;（3）检查居民的评估工具 对行为和环境干预的反应，以改善 （c）评估工作人员接收评价报告的情况，并评估实施评价所需的工作人员时间。 拟议的CDA培训计划包括正式的课程， 个性化的教程，为研究者提供必要的 知识和技能，以实现她的直接职业目标。 大卫医生 鲁本是一位老年病学家和老年人营养问题专家， 将担任研究者的申办者和主要导师。[Dr.盖尔 哈里森是营养学家和营养评估问题专家， 在开发营养评估工具方面担任导师。] [Dr.约翰·施内尔是一位行为心理学家和应用研究专家， 将作为她的导师，负责开发、实施和评估 行为和环境的干预。[Dr.单 克瑞汀是兰德公司的高级运筹学研究科学家，]将是她在 业务研究模型，这将用于项目的NH工作人员 实施干预措施所需的资源;而Emmett Keeler博士， 兰德公司的一名高级统计员，将提供与成本分析有关的培训 干预措施和必要的人力资源。这类培训将 允许研究者追求她的长期职业目标， 行为和环境干预措施，以提高生活质量， 机构化的老年人，并确定卫生部的人力资源和 在NH环境中实施此类干预措施所需的相关费用。 因此，拟议的CDA培训对研究者的能力至关重要 在她所选择的领域内发展成为一名独立的科学家， 老年学研究

DESCRIPTION (provided by applicant): The purpose of this NIA Career Development Award (CDA) application is to provide the investigator with the knowledge, analytical skills, and preliminary database to delineate the nursing home (NH) staff resources necessary to implement behavioral and environmental interventions to improve nutritional intake in NH residents. The proposed CDA will allow the investigator to receive training in three primary areas, each of which compliments her existing knowledge: (1) undernutrition in older adults, which will compliment her existing expertise in the health and associated quality-of-life issues facing the NH population; (2) cost analysis, and (3) operations-research modeling, both of which compliment her existing knowledge in research methodology and statistical analysis. This CDA application is designed to provide the investigator with the necessary knowledge and analytical skills to pursue her immediate career goal of refining and validating three methodological tools related to the development of behavioral and environmental interventions to improve nutritional status among NH residents: (1) a mealtime preference-satisfaction interview; (2) a nutritional assessment instrument to identify behavioral and environmental determinants of food intake; and (3) an evaluation tool to examine residents responsiveness to a behavioral and environmental intervention to improve intake and to assess the staff time required to implement the evaluation. The proposed CDA program of training incorporates formal coursework and individualized tutorials to provide the investigator with the requisite knowledge and skills to accomplish her immediate career goals. Dr. David Reuben, a geriatrician and expert in nutritional issues among older adults, will serve as the investigator s sponsor and primary mentor. [Dr. Gail Harrison, a nutritionist and expert in nutritional assessment issues, will serve as a mentor in the development of the nutritional assessment tools.] [Dr. John Schnelle, a behavioral psychologist and expert in applied research, will serve as her mentor for the development, implementation, and evaluation of behavioral and environmental interventions in the NH setting. [Dr. Shan Cretin, a senior operations-research scientist at RAND,] will be her mentor in operations-research modeling, which will be used to project the NH staff resources necessary to implement the interventions; while, Dr. Emmett Keeler, a senior statistician at RAND, will provide training in cost analysis related to the interventions and the necessary staff resources. Such training will permit the investigator to pursue her long-term career goal of developing behavioral and environmental interventions to improve quality of life among the institutionalized elderly and determine the NH staff resources and the associated costs necessary to implement such interventions in the NH setting. Thus, the proposed CDA training would be central to the investigator s ability to develop as an independent scientist within her chosen area of gerontological research.