Addressing the chronic pain epidemic among older adults in underserved community center; The GetActive+ study.
解决服务不足的社区中心老年人中流行的慢性疼痛问题;
基本信息
- 批准号:10536153
- 负责人:
- 金额:$ 162.03万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2022
- 资助国家:美国
- 起止时间:2022-09-01 至 2024-08-31
- 项目状态:已结题
- 来源:
- 关键词:AddressAdoptionAdultAlternative HealthAreaAttentionBehavioralBostonBypassCaringClinicClinicalClinical Nurse SpecialistsCognitiveCommunitiesCommunity HealthCompassionComplementary HealthDisadvantagedEconomically Deprived PopulationEconomicsElderlyEnrollmentEpidemicFeedbackFocus GroupsFrightFundingGrowthHealthHealthcareHelping to End Addiction Long-termHybridsImmigrantImpaired cognitionImpairmentInterventionLanguageLifeLinkLonelinessManualsMeasuresMedicalMethodsModelingMorbidity - disease rateNeighborhood Health CenterNurse PractitionersNursesOutcomePainPain intensityPain managementPatient Self-ReportPatientsPerformancePersistent painPharmaceutical PreparationsPhasePhysical FunctionPopulationPrimary Health CareProblem SolvingProceduresProctor frameworkProviderRandomizedResourcesRiskSocial supportThinkingTimeTraining ProgramsVisitWalkingWorkacceptability and feasibilityadverse event riskbasebody-mindcare seekingchronic musculoskeletal painchronic painchronic pain managementcommunity centercommunity cliniccommunity engaged researchcopingcostdisadvantaged backgrounddisadvantaged populationeffectiveness evaluationeffectiveness implementation trialeffectiveness outcomeemotional functioningethnic minorityevidence baseexperiencefallshealth equityhigh riskimplementation evaluationimplementation facilitatorsimplementation outcomesimprovedlow socioeconomic statusmindfulnessmortalitymultiple chronic conditionspain outcomepatient populationprogramsracial and ethnicracial diversityracial minorityresilienceresponsesedentaryside effectskillssocialtreatment as usualunderserved community
项目摘要
PROJECT SUMMARY:
Chronic musculoskeletal pain (pain > 3 months) is prevalent, costly, challenging to treat and a national priority area. Older
adults have the highest rates of chronic pain, and these are expected to increase given the growth of the older adult population
over the next three decades. Older adults from underserved communities (low SES, racial and ethnic minorities, immigrants)
are at the highest risk for negative pain related health consequences such as lower physical and emotional function and
morbidity and mortality. We lack evidence based non-pharmacological treatments to address chronic pain within community
health clinics that serve this older adult patient population. GetActive is an evidence-based mind-body activity program that
directly targets improvement in pain outcomes by combining cognitive behavioral and mindfulness skills with gradual
increase in walking (preferred and safe activity for older adults) linked to valued activities. In direct response to RFA-NS-
22-002 we have partnered with the MGH-Revere HealthCare Center which serves >5,000 disadvantaged older adults, to
optimize GetActive to bypass socioecological barriers and effectively engage this population into non-pharmacological pain
management strategies. In the R61 phase, we will: 1) develop GetActive+ (optimized GetActive), 2) evaluate its feasibility
and acceptability; and 3) refine and finalize training, program manual, measures, and procedures. In the R33 phase, we will
conduct a randomized, hybrid type 1 effectiveness-implementation trial (N=200) to evaluate effectiveness and
implementation of GetActive+ versus treatment as usual on the following outcomes: 1) self-reported physical function
(primary), 2) performance based (6MWT) and objective (step count) physical function, emotional function, pain, social
support, loneliness (secondary); and 3) feasibility, acceptability, fidelity and adoption at patient, provider and organization
levels (implementation). Through this project we aim to solve the problem of lack of evidence based nonpharmacological
treatments for older adults in underserved communities. GetActive+ delivered by clinic staff can be routinely incorporated
into group visits (already available at MGH-Revere HealthCare Center and other similar community centers) which are
billable, thus providing a sustained model of care for older adults with chronic pain from disadvantaged backgrounds.
Because GetActive incorporates mind-body skills with activity (e.g., walking), there is potential for improvement in other
outcomes (e.g., decreased risk for morbidity and mortality) over and above pain.
项目总结:
慢性肌肉骨骼疼痛(疼痛&>3个月)很普遍,治疗费用昂贵,具有挑战性,是国家优先考虑的领域。更老的
成年人的慢性疼痛发生率最高,鉴于老年人口的增长,预计这一比例还会增加。
在接下来的三十年。来自服务不足社区的老年人(低社会保障、种族和少数民族、移民)
是与疼痛相关的负面健康后果的最高风险,如身体和情感功能下降和
发病率和死亡率。我们缺乏基于证据的非药物治疗来解决社区内的慢性疼痛
为老年患者群体提供服务的医疗诊所。GetActive是一个基于证据的身心活动计划,
通过将认知、行为和正念技能与循序渐进相结合,直接针对疼痛结果的改善
增加步行(老年人首选的安全活动)与有价值的活动有关。作为对RFA-NS的直接回应-
22-002我们与MGH-Revere医疗保健中心合作,为5,000名弱势老年人提供服务,以
优化GetActive,绕过社会生态障碍,有效地让这些人群陷入非药理性痛苦
管理策略。在R61阶段,我们将:1)开发GetActive+(优化的GetActive),2)评估其可行性
和可接受性;以及3)改进和最终确定培训、计划手册、措施和程序。在R33阶段,我们将
进行随机、混合类型1有效性实施试验(N=200),以评估有效性和
实施GetActive+与照常治疗的结果:1)自我报告的身体功能
(主要),2)基于绩效(6MWT)和目标(步数)的身体功能、情感功能、疼痛、社交
支持、孤独感(次要);以及3)患者、提供者和组织的可行性、可接受性、忠诚度和采用率
级别(实施)。通过这个项目,我们的目标是解决缺乏基于非药理学证据的问题
在服务不足的社区为老年人提供治疗。由诊所工作人员提供的GetActive+可以常规合并
小组访问(已在MGH-Revere医疗中心和其他类似的社区中心提供),这些访问是
可收费,从而为来自弱势背景的慢性疼痛的老年人提供了一种持续的护理模式。
由于GetActive将身心技能与活动(如行走)相结合,因此在其他方面有改进的潜力
结果(例如,发病率和死亡率降低)超过了疼痛。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
数据更新时间:{{ journalArticles.updateTime }}
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
数据更新时间:{{ journalArticles.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ monograph.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ sciAawards.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ conferencePapers.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ patent.updateTime }}
Christine S Ritchie其他文献
Intervention for the management of neuropsychiatric symptoms to reduce caregiver stress: Protocol for the Mindful and Self-compassion Care (MASC) intervention for caregivers of persons living with dementia (Preprint)
管理神经精神症状以减轻护理人员压力的干预措施:针对痴呆症患者护理人员的正念和自我同情护理 (MASC) 干预方案(预印本)
- DOI:
- 发表时间:
2024 - 期刊:
- 影响因子:1.7
- 作者:
Aniyah Travis;Arden O’Donnell;Natalia Giraldo;Sarah M. Stone;Daniel Torres;Shelley R Adler;A. Vranceanu;Christine S Ritchie - 通讯作者:
Christine S Ritchie
Christine S Ritchie的其他文献
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
{{ truncateString('Christine S Ritchie', 18)}}的其他基金
Bridging the Science-to-Service Gap in Aging Care: Prevention, Optimization and Living Well with Persistent or Serious Illnesses
缩小老年护理中科学与服务的差距:持续或严重疾病的预防、优化和健康生活
- 批准号:
10638577 - 财政年份:2023
- 资助金额:
$ 162.03万 - 项目类别:
Addressing the chronic pain-early cognitive decline comorbidity among older adults; The Active Brains study
解决老年人慢性疼痛-早期认知能力下降的合并症;
- 批准号:
10370093 - 财政年份:2022
- 资助金额:
$ 162.03万 - 项目类别:
The Mindful and Self-Compassionate Care Program (MASC): Reducing Stress for Caregivers of Persons with Dementia
正念和自我关怀护理计划 (MASC):减轻痴呆症患者护理人员的压力
- 批准号:
10505172 - 财政年份:2022
- 资助金额:
$ 162.03万 - 项目类别:
Addressing the chronic pain-early cognitive decline comorbidity among older adults; The Active Brains study
解决老年人慢性疼痛-早期认知能力下降的合并症;
- 批准号:
10558586 - 财政年份:2022
- 资助金额:
$ 162.03万 - 项目类别:
Addressing the chronic pain epidemic among older adults in underserved community center; The GetActive+ study (McDermott-Career Enhancement Supplement)
解决服务不足的社区中心老年人中流行的慢性疼痛问题;
- 批准号:
10789061 - 财政年份:2022
- 资助金额:
$ 162.03万 - 项目类别:
Palliative Care Research Cooperative Group (PCRC): Investigator Development Center
姑息治疗研究合作小组 (PCRC):研究者发展中心
- 批准号:
10438802 - 财政年份:2013
- 资助金额:
$ 162.03万 - 项目类别:
相似海外基金
WELL-CALF: optimising accuracy for commercial adoption
WELL-CALF:优化商业采用的准确性
- 批准号:
10093543 - 财政年份:2024
- 资助金额:
$ 162.03万 - 项目类别:
Collaborative R&D
Investigating the Adoption, Actual Usage, and Outcomes of Enterprise Collaboration Systems in Remote Work Settings.
调查远程工作环境中企业协作系统的采用、实际使用和结果。
- 批准号:
24K16436 - 财政年份:2024
- 资助金额:
$ 162.03万 - 项目类别:
Grant-in-Aid for Early-Career Scientists
Unraveling the Dynamics of International Accounting: Exploring the Impact of IFRS Adoption on Firms' Financial Reporting and Business Strategies
揭示国际会计的动态:探索采用 IFRS 对公司财务报告和业务战略的影响
- 批准号:
24K16488 - 财政年份:2024
- 资助金额:
$ 162.03万 - 项目类别:
Grant-in-Aid for Early-Career Scientists
ERAMET - Ecosystem for rapid adoption of modelling and simulation METhods to address regulatory needs in the development of orphan and paediatric medicines
ERAMET - 快速采用建模和模拟方法的生态系统,以满足孤儿药和儿科药物开发中的监管需求
- 批准号:
10107647 - 财政年份:2024
- 资助金额:
$ 162.03万 - 项目类别:
EU-Funded
Assessing the Coordination of Electric Vehicle Adoption on Urban Energy Transition: A Geospatial Machine Learning Framework
评估电动汽车采用对城市能源转型的协调:地理空间机器学习框架
- 批准号:
24K20973 - 财政年份:2024
- 资助金额:
$ 162.03万 - 项目类别:
Grant-in-Aid for Early-Career Scientists
Ecosystem for rapid adoption of modelling and simulation METhods to address regulatory needs in the development of orphan and paediatric medicines
快速采用建模和模拟方法的生态系统,以满足孤儿药和儿科药物开发中的监管需求
- 批准号:
10106221 - 财政年份:2024
- 资助金额:
$ 162.03万 - 项目类别:
EU-Funded
Our focus for this project is accelerating the development and adoption of resource efficient solutions like fashion rental through technological advancement, addressing longer in use and reuse
我们该项目的重点是通过技术进步加快时装租赁等资源高效解决方案的开发和采用,解决更长的使用和重复使用问题
- 批准号:
10075502 - 财政年份:2023
- 资助金额:
$ 162.03万 - 项目类别:
Grant for R&D
Engage2innovate – Enhancing security solution design, adoption and impact through effective engagement and social innovation (E2i)
Engage2innovate — 通过有效参与和社会创新增强安全解决方案的设计、采用和影响 (E2i)
- 批准号:
10089082 - 财政年份:2023
- 资助金额:
$ 162.03万 - 项目类别:
EU-Funded
De-Adoption Beta-Blockers in patients with stable ischemic heart disease without REduced LV ejection fraction, ongoing Ischemia, or Arrhythmias: a randomized Trial with blinded Endpoints (ABbreviate)
在没有左心室射血分数降低、持续性缺血或心律失常的稳定型缺血性心脏病患者中停用β受体阻滞剂:一项盲法终点随机试验(ABbreviate)
- 批准号:
481560 - 财政年份:2023
- 资助金额:
$ 162.03万 - 项目类别:
Operating Grants
Collaborative Research: SCIPE: CyberInfrastructure Professionals InnoVating and brOadening the adoption of advanced Technologies (CI PIVOT)
合作研究:SCIPE:网络基础设施专业人员创新和扩大先进技术的采用 (CI PIVOT)
- 批准号:
2321091 - 财政年份:2023
- 资助金额:
$ 162.03万 - 项目类别:
Standard Grant