Trajectories in Aging and Care

描述（由申请人提供）：本提案描述了杜克大学护理学院P20护理研究发展中心的延续，该中心专注于老龄化和护理的轨迹-“TRAC中心”。TRAC中心的总体目标是建立智力和物理基础设施，以支持针对老龄化和护理轨迹的新的和正在进行的研究。该中心是基于这样的假设，即从轨迹研究中获得的见解为老年护理干预的设计提供了信息，并提高了老年护理干预的精确度，旨在改善从家庭到机构的连续护理中受损老年人的健康状况。

DESCRIPTION (provided by applicant): This proposal describes the continuation of a P20 Nursing Research Developmental Center at Duke University School of Nursing focused on Trajectories of Aging and Care - "TRAC Center". The overall goal of the TRAC Center is to establish the intellectual and physical infrastructure to support new and ongoing research focused on trajectories of aging and care. The Center is based on the assumption that insights from trajectory research inform the design and increases the precision of gerontological nursing interventions intended to improve health outcomes among impaired older adults across the continuum of care, from home to institution. Specific aims are to: 1. Examine the influence of biopsychosocial and environmental factors on patterns of health in later life as a basis for developing innovative approaches to positively reorienting trajectories of aging and care. 2. Initiate nurse led interdisciplinary studies that test interventions to prevent disease or declines in function, promote recovery from illness and restoration of function, support and enhance where possible the dying process, and assist frail older adults to attain and maintain optimal quality of life. 3. Enhance the productivity of both new and established nurse scientists engaged in research related to trajectories of aging and care. 4. Develop new collaborative research on factors influencing trajectories of aging and care and expand existing collaboration with investigators from the Gerontological Nursing Research Center at the University of Iowa and other R Research centers. These aims will be advanced within the two major TRAC Center components: The Administrative and Coordination Core and the Pilot/Feasibility Studies Core. The Administrative and Coordination Core integrates and coordinates all Center activities and provides a) training in longitudinal research design and analysis, b) entry to a consortium of LTC research sites, and c) seamless access to extant longitudinal databases capable of identifying clinically relevant factors that shape health patterns of in later life. The Pilot/Feasibility Studies Core supports the development, review, and timely completion of high merit pilot/feasibility studies focused on trajectories of aging and care.