Improving Person-Environment Fit of Community-Residing Older Adults with Dementia Through Assessment and Individualized Intervention

通过评估和个体化干预改善社区痴呆症老年人的人-环境适应性

• 批准号: 10525127
• 负责人: Elizabeth Rhodus
• 金额: $ 16.51万
• 依托单位: UNIVERSITY OF KENTUCKY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-01 至 2027-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10525127
• 关键词: Active Learning; Address; Adoption; Adult; Advisory Committees; Aggressive behavior; Aging; Agitation; Alzheimer' s Disease; Alzheimer' s disease related dementia; Analysis of Covariance; Anxiety Disorders; Behavior; Behavior Therapy; Behavior assessment; Behavioral; Behavioral Mechanisms; Behavioral Model; Behavioral Symptoms; Caregiver Burden; Caregivers; Caring; Client satisfaction; Clinic; Clinical; Clinical Trials Design; Clinical assessments; Communities; Country; Cues; Data; Dementia; Dementia caregivers; Development; Development Plans; Diagnosis; Dimensions; Elderly; Environment; Extramural Activities; Faculty; Fellowship; Fostering; Foundations; Funding; Future; Goals; Grant; Health; Health Services Accessibility; Home; Home environment; Individual; Institutes; Institution; Intervention; Interview; Kentucky; Letters; Measurement; Measures; Medicine; Mental Depression; Mentored Patient-Oriented Research Career Development Award; Mentors; Mentorship; Morbidity - disease rate; Neurology; Neurosciences; Pamphlets; Performance; Persons; Physiological; Population; Positioning Attribute; Protocols documentation; Proxy; Psychiatrist; Psychophysiology; Quality of life; Randomized Controlled Trials; Reporting; Research; Research Activity; Research Personnel; Research Project Grants; Residencies; Rural; Rural Appalachia; Rural Community; Safety; Scholarship; Science; Scientist; Single-Blind Study; Sleep Disorders; Stimulus; Surveys; Teacher Professional Development; Testing; Time; Training; Underrepresented Populations; United States National Institutes of Health; Universities; Work; aging in place; arm; base; behavior change; behavioral response; career; career development; caregiver education; college; community based research; dementia care; environmental intervention; evidence base; experience; feasibility trial; follow-up; health disparity; health equity; improved; in-home care; innovation; knowledge base; mortality; novel strategies; patient home care; programs; psychiatric symptom; response; rural area; satisfaction; sensor; social; standard of care; supportive environment; symptom management; telehealth; tenure track; therapy development; tool

Project Summary Aging with Alzheimer's disease and related dementias (ADRD) is compounded by onset of behavioral and psychiatric symptoms (BPSD) seen in over 80% of those with the condition. BPSD often precipitate caregiver burden, institutionalized care, and increased rates of mortality. Despite the critical need, there currently are few non-pharmacological interventions to manage BPSD and those that exist have weak evidence. Research: The project titled, Improving Person-Environment Fit of Community-Residing Older Adults with Dementia Through Assessment and Individualized Intervention, identifies person-environment relationships as a mechanism of action to guide assessment of and intervention for functional behavior within the home context for persons with ADRD. By improving the relationship between persons with ADRD and their home environment (person- environment fit), it is hypothesized that people with ADRD will have improved BPSD and activity engagement within their home. We will employ the NIH Stage Model of Behavioral Intervention Development to define assessment of person-environment fit (Stage 0; Aim 1) and pilot the feasibility of a telehealth intervention to maximize person-environment fit within the homes of community-residing adults with ADRD within rural communities (Aim 2). Findings of this research will inform discovery of best practices for a non-pharmacological, environmental approach to BPSD for persons with ADRD living in their home. Candidate: Dr. Elizabeth Rhodus is an early-career investigator, who is transitioning from a NIH T32-funded postdoctoral fellowship to a full-time tenure-track faculty position at the University of Kentucky (UK) College of Medicine. Three training goals will enhance her trajectory toward becoming an independent, successfully funded investigator: 1) Develop a strong knowledge base on integrated physiological and behavioral assessment of person-environment interactions on community-dwelling people living with ADRD, 2) Build expertise in development and implementation of behavioral interventions among older adults with ADRD, and 3) Expand understanding of research strategies for inclusion of underrepresented populations in aging studies. Mentors/Environment: The current career development plan includes substantial mentorship, didactic training, and experiential learning at the UK Center for Health Equity Transformation with Director, Dr. Nancy Schoenberg (primary mentor), UK Sanders-Brown Center on Aging with Associate Director, Dr. Donna Wilcock (co-mentor), Dr. Anton Porsteinsson (mentor), a prominent clinical researcher and psychiatrist for treatment of BPSD, and a renowned, interdisciplinary advisory committee. Dr. Rhodus will receive support from her institution through internal grants, faculty education, networking, and scholarship. Dr. Rhodus has full support from UK (see institutional letter of support) to advance her career development and research activities. Thus, the overall objective of this K23 application is to propel the career development of Dr. Rhodus to an independent scientist in ADRD research using the findings of this project to inform a future extramural R01 targeting non-pharmacological interventions for BPSD management.

项目总结