Improving the Management of Pain in Later Life

描述(由申请者提供)：在过去的五年里，康奈尔老龄问题翻译研究所(CITRA)开发了创新的方法，以促进社区环境中关于老龄化的翻译研究。在这次更新中，该中心寻求将这一广泛的工作应用于促进关于以后生活中疼痛和疼痛管理主题的翻译性研究。这一主题对于翻译工作至关重要，因为疼痛是一种非常普遍的、代价高昂的、经常在晚年生活中致残的障碍，并导致巨大的痛苦。成功地解决晚年疼痛问题将需要更快地将基本的行为和社会科学研究成果转化为针对老年人的计划、实践和政策。该中心的具体目标将是：1)将基础行为和社会科学研究成果转化为治疗、干预计划和政策，以改善患有疼痛或面临更高疼痛风险的老年人的健康和福祉；2)促进基于证据的做法、治疗和干预措施在不同场所的翻译，以改善疼痛的管理；3)开发和测试创新的方法、工具和战略，促进将证据成功地转化为实践；4)维护和扩大有效的基础设施，以利用纽约市多样化的多文化环境，进行关于衰老和疼痛的翻译研究；以及5)在这一应用中利用学术合作者的大量智力、财政、临床和其他资源，从而实现任何一个机构单独无法实现的结果。为了实现这些目标，我们将扩大我们的罗伊巴尔中心，目前包括康奈尔大学医学院及其社会和行为科学教员的优势和专业知识，与哥伦比亚大学的梅尔曼公共卫生学院建立合作伙伴关系。此外，我们将全面整合康奈尔大学附属的两个主要学术机构，它们在疼痛和疼痛管理方面拥有广泛的学术专业知识和资源：纪念斯隆·凯特林(肿瘤学和姑息治疗)和特殊外科医院(关节炎和康复)。康奈尔·罗伊巴尔中心的这个扩建项目将被称为康奈尔-哥伦比亚老龄问题翻译研究所(C-Citra)。这一独特的伙伴关系将老年学和老年医学领域最著名的两个机构聚集在一起，这两个机构都有长期的翻译研究活动历史，广泛的社区合作伙伴关系，以及大量潜在的附属机构和受训者。

DESCRIPTION (provided by applicant): Over the last five years, the Cornell Institute for Translational Research on Aging (CITRA) has developed innovative approaches to facilitate translational research on aging in community settings. In this renewal, the Center seeks to apply this extensive body of work to promoting translational research on the topic of pain and pain management in later life. This theme is of critical importance for translational efforts, because pain is a highly prevalent, costly, and frequently disabling disorder in later life and causes substantial suffering. Successful solutions to the problem of later-life pain will require moving basic behavioral and social science findings more rapidly into programs, practices, and policies targeting older adults. The specific aims of the Center will be to: 1) Translate the findings of basic behavioral and social science research into treatments, intervention programs, and policies that improve the health and well-being of older adults who suffer from or are at increased risk for pain; 2) Promote translation of evidence-based practices, treatments, and interventions across diverse venues to improve the management of pain; 3) Develop and test innovative methods, tools, and strategies that facilitate successful translation of evidence into practice; 4) Maintain and expand an effective infrastructure for conducting translational research on aging and pain, taking advantage of the diverse, multicultural environment of New York City; and 5) Leverage the substantial intellectual, fiscal, clinical, and other resources of the academic collaborators in this application, thereby achieving results that would not be attainable by any one institution alone. To accomplish these aims, we will expand our Roybal Center, which currently includes the strengths and expertise of Cornell University's Medical College and its social and behavioral science faculty, to partnership with Columbia University's Mailman School of Public Health. Further, we will fully integrate two major Cornell-affiliated academic institutions into the Center that have extensive academic expertise and resources devoted to pain and pain management: Memorial Sloan Kettering (Oncology and Palliative care) and the Hospital for Special Surgery (Arthritis and Rehabilitation). This expansion of the Cornell Roybal Center will be called The Cornell-Columbia Institute for Translational Research on Aging (C-CITRA). This unique partnership brings together two of the most prominent institutions in the field of gerontology and geriatrics, both of which have a long history of translational research activities, extensive community partnerships, and large pools of potential affiliates and mentees.