A partnership to translate an EBI for vulnerable older adults with heart disease

合作伙伴关系为患有心脏病的弱势老年人翻译 EBI

• 批准号: 9897474
• 负责人: Cathleen M Connell
• 金额: $ 54.95万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-06-15 至 2022-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9897474
• 关键词: Address; African American; Aging; American; Area; Attention; Cardiac; Caring; Cause of Death; Chronic Disease; Clinical; Clinical Trials; Communities; Control Groups; Cost Analysis; Cost Savings; Disease; Disease Management; Elderly; Elements; Emergency department visit; Ensure; Evaluation; Evidence based intervention; Evidence based program; Frequencies; Guidelines; Health; Health Promotion; Health Services Needs; Health Status; Heart; Heart Diseases; Hospitalization; Individual; Institution; Intervention; Investments; Low Income Population; Low income; Medical; Medical center; Michigan; Modeling; NIH Program Announcements; Older Population; Outcome; Participant; Patients; Population; Prevention; Process; Public Health; Randomized; Research; Self Management; Support System; Symptoms; Target Populations; Testing; Time; Translating; Translation Process; Translational Research; Translations; Universities; base; cost effective; cost effectiveness; disability; evidence base; experience; health care service utilization; hospital readmission; improved; improved functioning; interest; program costs; programs; public health relevance; randomized trial; response; scale up; symptomatic improvement; treatment as usual

DESCRIPTION (provided by applicant): This application is in response to PA 11-123, Translational Research to Help Older Adults Maintain their Health and Independence in the Community (R01). Using the Replicating Effective Programs (REP) framework, the proposed study will translate a University of Michigan Center for Managing Chronic Disease (CMCD) evidence-based program for older adults with heart disease for a vulnerable older, primarily African American population, in Detroit, Michigan. The study will be conducted in partnership with the Rosa Parks Geriatric Center at the Detroit Medical Center (RPC) and the Detroit Area Agency on Aging (DAAA). The specific aims of the research are to: (1) adapt, pilot test, and implement the "take PRIDE" heart disease management program as part of a partnership with the DAAA and RPC; (2) conduct a randomized trial of the translated intervention with 590 participants to assess health outcomes including frequency of cardiac symptoms; functional health status; emergency department visits and hospitalizations for heart disease; (3) assess the translation and implementation of the intervention in the target setting and identify factors that help and hinder the process; (4) assess cost savings associated with the intervention and return on investment (ROI) to the RPC and DAAA; and (5) develop guidelines for "scaling up", that is, for replicating the intervention in other low-income areas through the national network of Area Agencies on Aging. Given the aging of our population and the disproportionate burden of chronic disease among low income African American communities, the translation of evidence based programs to support disease-management and reduce health care utilization-e.g., emergency department visits and hospital readmissions--is timely and of great public health significance.

描述(申请人提供)：此申请是对PA 11-123，帮助老年人在社区中保持他们的健康和独立的转换研究(R01)的回应。利用复制有效计划(REP)框架，拟议的研究将把密歇根大学慢性病管理中心(CMCD)针对患有心脏病的老年人的循证计划转化为密歇根州底特律脆弱的老年人口，主要是非裔美国人。这项研究将与底特律医学中心(RPC)的罗莎·帕克斯老年中心(RPC)和底特律地区老龄机构(DAAA)合作进行。这项研究的具体目标是：(1)作为与DAAA和RPC合作的一部分，适应、试行和实施“引以为豪”的心脏病管理计划；(2)对翻译后的干预措施进行随机试验，以评估健康结果，包括心脏症状的频率；功能健康状况；急诊科就诊和心脏病住院；(3)评估目标设定中干预措施的翻译和实施情况，并确定有助于和阻碍这一过程的因素；(4)评估与RPC和DAAA的干预措施和投资回报(ROI)相关的成本节约；以及(5)制定“扩大”的指导方针，即通过全国网络将干预措施推广到其他低收入地区。 地区机构的老龄化问题。鉴于我们的人口老龄化和低收入非裔美国人社区慢性疾病负担不成比例，将循证方案转化为支持疾病管理和减少医疗保健利用的方案--例如急诊科就诊和重新住院--是及时的，对公共卫生具有重要意义。

项目成果

Using the Replicating Effective Programs Framework to Adapt a Heart Health Intervention.

使用复制有效计划框架来调整心脏健康干预措施。

• DOI: 10.1177/1524839918775740
• 发表时间: 2019
• 期刊: Health promotion practice
• 影响因子: 1.9
• 作者: Ramsay,JessicaE;Janevic,MaryR;Hogan,CainnearK;Edwards,DominiqueL;Connell,CathleenM
• 通讯作者: Connell,CathleenM