From Evidence-Base to Practice: Implementing RDAD in AAA Community-Based Services

从证据到实践：在 AAA 社区服务中实施 RDAD

• 批准号: 8762167
• 负责人: LINDA TERI
• 金额: $ 23.97万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-04-01 至 2017-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8762167
• 关键词: Address; Aftercare; Aging; Alzheimer' s Disease; Ankle; Area; Caregivers; Communities; Community Services; Data; Dementia; Development; Effectiveness; Elderly; Enrollment; Environment; Evaluation; Evidence based intervention; Family Caregiver; Future; Health; Home environment; Impairment; Individual; Injury; Intervention; Investigation; Laboratories; Lead; Life; Measures; Monitor; Motion; Movement; Outcome Measure; Outcome Study; Parents; Participant; Performance; Persons; Physical activity; Property; Reporting; Research; Series; Solutions; System; Systems Analysis; Technology; Telephone; Time; Training; Translations; base; community based service; community setting; computerized; design; disability; evidence base; falls; high risk; indexing; informant; innovation; innovative technologies; insight; instrument; minimally invasive; parent grant; public health relevance; sensor; spatiotemporal; user-friendly

DESCRIPTION (provided by applicant): Older adults with dementia are at high risk for fall-related injuries and loss of independence due to functional mobility impairments. This proposal is a revision to 1RO1 AG041716, From Evidence-Base to Practice: Implementing RDAD in AAA Community Services, a translational investigation of RDAD (Reducing Disability in Alzheimer's disease; L. Teri, PI). The parent RO1 investigates the translation, implementation, and effectiveness of Reducing Disability in Alzheimer's Disease (RDAD), as administered by eight Area Agencies on Aging (AAA), in helping older adults remain healthy and living in their own homes as long as possible. To adhere to the translational properties of the RFA, assessments proposed in the original proposal rely predominantly on self and informant report. This revision will enable us to add an innovative ready-for- translation, user-friendly computerized system to quantify measures of functional mobility in the homes of older adults with dementia. Capitalizing on the parent grant, a staggered time series design will be used to conduct three in-home assessments on 78 dyads (persons with dementia and their family caregivers) enrolled in RDAD. The primary objective of the current proposal is to add these more sensitive measures of functional mobility to investigate the effectiveness of RDAD and to identify potential mechanisms and predictors that explain loss of independence by examining the relationship between innovative in-home measures of functional mobility and parent study outcomes. The addition of these in-home measures will address two unique aims that benefit the parent study: 1) To evaluate the effectiveness of RDAD, and 2) to identify potential mechanisms and predictors that explain loss of independence. This research has several implications for future studies aimed at helping older adults to maintain their health and independence in the community. First, it will introduce innovative technology to quantify functional mobility within th homes of individuals with dementia. Second, in addition to investigating the effectiveness of RDAD, we will be able to study potential mechanisms as well as predictors of parent study outcomes. Finally, based on our findings, it will lead to further translation of RDAD through the development of informed strategies to assist older adults with dementia to maintain health and independence.

描述（由申请人提供）：老年痴呆症患者因功能性移动障碍而发生跌倒相关损伤和丧失独立性的风险较高。本提案是对1 RO 1 AG 041716《从循证到实践：在AAA社区服务中实施RDAD》的修订，这是对RDAD（减少阿尔茨海默病残疾; L. Teri，PI）。家长RO 1调查的翻译，实施和有效性减少残疾的阿尔茨海默病（RDAD），由八个地区机构对老龄化（AAA）管理，在帮助老年人保持健康和生活在自己的家中尽可能长。为了坚持RFA的翻译属性，原始提案中提出的评估主要依赖于自我和线人报告。这一修订将使我们能够增加一个创新的、易于翻译的、用户友好的计算机化系统，以量化老年痴呆症患者家中的功能活动性。利用父母补助金，将采用交错时间序列设计对参加RDAD的78对夫妇（痴呆症患者及其家庭照顾者）进行三次家庭评估。目前的建议的主要目标是增加这些更敏感的功能移动性的措施，以调查RDAD的有效性，并确定潜在的机制和预测因素，通过研究创新的功能移动性和家长的研究结果之间的关系，解释失去独立性。增加这些家庭测量将解决两个有利于母研究的独特目标：1）评价RDAD的有效性，2）确定解释独立性丧失的潜在机制和预测因素。这项研究对未来旨在帮助老年人在社区中保持健康和独立的研究有几个影响。首先，它将引入创新技术来量化痴呆症患者家中的功能移动性。其次，除了研究RDAD的有效性外，我们还将能够研究潜在的机制以及母研究结果的预测因素。最后，根据我们的研究结果，它将通过制定明智的策略来帮助老年痴呆症患者保持健康和独立性，从而进一步翻译RDAD。