Screening and Interventions in an Acute Care Setting

描述(由申请人提供)：建议设立保罗·B·比森职业发展奖，为候选人提供严格的方法培训和临床衰老研究方面的经验，这些培训和经验可应用于拟议的老年急救医学研究项目。候选人的长期职业目标是成为一名独立的、有资金支持的老龄化研究调查员，利用老年急救医学“实验室”来开发和评估一项利用紧急医疗服务(EMS)和急诊科的计划，以筛选老年人中未得到满足的需求，并对已确定的需求进行干预。这将是在老龄化研究，特别是老年急救医学方面独立职业生涯的基础。 该奖项提出了一项为期四年的培训计划，并在候选人已经完成的培训的基础上进行广泛的指导。将进行研究方法方面的正式培训。课程内容包括研究理论、方法和伦理学。将进行多学科评估方面的实践培训。将实施一项研究项目，收集数据，并检验假设。在整个获奖期间，导师将就教学培训、将发展的技能应用于研究项目以及研究项目的发展提供指导。 拟议的研究项目是一个由两部分组成的研究，首先评估基于EMS的老年人抑郁症、服药策略和痴呆筛查的可靠性和有效性。第二部分细化、实施和评估基于急诊科的试点干预计划，以满足EMS与初级保健医生共同确定的需求。这些结果将允许检验与EMS筛查的可靠性和有效性以及急诊科干预计划的影响相关的几个假设。这些结果将导致进一步的重大研究，以评估该EMS筛查和ED干预计划的有效性。 这项研究通过展示这一健康促进的创新模式的价值，将利用急性护理系统的潜力来识别和治疗老年人未得到满足的健康需求。治疗这些通常不被卫生保健提供者识别的需求，将防止老年人中不必要的疾病、伤害和死亡。

DESCRIPTION (provided by applicant): A mentored, patient oriented, Paul B. Beeson Career Development Award is proposed to provide the candidate rigorous methodological training and experience in clinical aging research that can be applied to the proposed research project in geriatric emergency medicine. The candidate's long-term career goal is to become established as an independent, funded investigator in aging research who uses a geriatric emergency medicine "laboratory" to develop and evaluate a program using emergency medical services (EMS) and emergency departments to screen for unmet needs among older adults and intervene upon identified needs. This would be the basis for an independent career in aging research, specifically in geriatric emergency medicine. This award proposes a four-year training plan with extensive mentorship to build upon the candidate's already completed training. Formal training in research methodology will occur. Topics covered will include research theory, methods, and ethics. Practical training in multidisciplinary assessments will occur. A research project will be implemented, data collected, and hypotheses tested. The mentors will provide guidance on the didactic training, the application of the developed skills to the research project, the development of the research project throughout the award period. The proposed research project is a two-part study that first evaluates the reliability and validity of EMS-based screening of older adults for depression, pill taking strategies, and dementia. The second part refines, implements, and evaluates a pilot emergency department based intervention program to address the needs identified by EMS in conjunction with the primary care physician. These results will permit the testing of several hypotheses related to the reliability and validity of the EMS screening and the impact of the emergency department intervention program. These results will lead to further major studies that evaluate the effectiveness of this EMS screening and ED intervention program. This research, by showing the value of this innovative model of health promotion, will harness the potential of the acute care system to identify and treat unmet health needs of older adults. Treating these needs, which are frequently not identified by health care providers, will prevent unnecessary illness, injury, and death among older adults.