Environment and Perceived Control: Improving Sleep in Hospitalized Older Patients

环境和感知控制：改善住院老年患者的睡眠

• 批准号: 7787584
• 负责人: Vineet Arora
• 金额: $ 15.24万
• 依托单位: UNIVERSITY OF CHICAGO
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-30 至 2014-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7787584
• 关键词: Academic Training; Admission activity; Adult; Age; Aging; Anxiety; Award; Blood Glucose; Caring; Characteristics; Chicago; Circadian Rhythms; Classification; Cognition; Communities; Complex; Control Locus; Controlled Environment; Data; Delirium; Depressed mood; Doctor of Philosophy; Educational Curriculum; Elderly; Environment; Environmental Risk Factor; Evidence based intervention; Faculty; Fatigue; Fellowship; Frequencies; Future; Geriatrics; Goals; Health; Health Services Research; Healthcare; Hospitalists; Hospitalization; Hospitals; Hygiene; Hyperglycemia; Hypertension; Impairment; Incidence; Inpatients; Intervention; Laboratory Study; Left; Length of Stay; Lighting; Measures; Medical; Medicine; Memory; Mentors; Mentorship; Metabolic; Morbidity - disease rate; Motivation; Noise; Non-Insulin-Dependent Diabetes Mellitus; Obstructive Sleep Apnea; Outcome; Pain; Pathologic; Pathway interactions; Patient Self-Report; Patients; Persons; Pharmaceutical Preparations; Physical activity; Population; Psyche structure; Recovery; Reporting; Research; Research Personnel; Research Proposals; Research Training; Risk; Self Efficacy; Sleep; Sleep disturbances; Sleeplessness; Slow-Wave Sleep; Structure; Symptoms; Time; Training; Universities; Venous blood sampling; Work; Wrist; actigraphy; authority; base; career development; clinical care; cohort; design; dosage; experience; functional decline; health economics; hypnotic; improved; improved functioning; insight; instrument; normal aging; older patient; patient oriented research; physical conditioning; prevent; programs; prospective; public health relevance; sedative; skills; sleep regulation; ward

DESCRIPTION (provided by applicant): The purpose of this application is to support the patient-oriented research program and career development of Vineet Arora, MD, MA, a fellowship-trained academic hospitalist at the University of Chicago. Dr. Arora's overall goal is to develop into an independent investigator with a focus on characterizing and improving sleep duration and sleep quality for older hospitalized patients. Dr. Arora will develop her research skills under the mentorship of Eve Van Cauter, PhD, a well-known authority on sleep and circadian rhythms in normal and pathologic states, with a focus on sleep in older persons. David Meltzer, MD, PhD, an accomplished investigator in research in hospital medicine and health economics with a focus on aging, will serve as a co- mentor. Dr. Arora will also benefit from the collective expertise in clinical care and research of older persons from a team of advisors, including Drs. Greg Sachs, Eric Coleman, and Daniel Brauner. She will also obtain necessary training and research skills from a team of collaborators including: (1) Babak Mokhlesi, MD, Director of the Sleep Medicine Fellowship, who will enable Dr. Arora to obtain formal training in sleep medicine; (2) Kristen Knutson, PhD, a research faculty and anthropologist who specializes in the use of actigraphy and sleep scales to quantify sleep duration and quality; and (3) Anirban Basu, PhD, an expert in statistical analysis. During the proposed award, Dr. Arora will obtain formal training in sleep medicine, health services research, and geriatrics through structured curricula and coursework at the University of Chicago. The overall goal of this research proposal is to elucidate how environmental, healthcare, and patient factors, in addition to a patients' level of perceived control, impact sleep duration and sleep quality in hospitalized older patients. In addition, the relationship between inpatient sleep (duration and quality) and outcomes (physical activity and other health outcomes) for hospitalized older patients will be characterized. Through this period of career development and research, Dr. Arora will be able to better understand the determinants and effects of in- hospital sleep which can enable the design of evidence-based interventions that aim to improve in-hospital sleep and associated outcomes for hospitalized older adults. PUBLIC HEALTH RELEVANCE: The overall goal of this research proposal is to elucidate how environmental, healthcare, and patient factors, in addition to a patients' level of perceived control, impact sleep duration and sleep quality in hospitalized older patients. In addition, the relationship between inpatient sleep (duration and quality) and outcomes (physical activity and other health outcomes) for hospitalized older patients will be characterized. Through this period of career development and research, Dr. Arora will be able to better understand the determinants and effects of in-hospital sleep which can enable the design of evidence-based interventions that aim to improve in-hospital sleep and associated outcomes for hospitalized older adults.

描述（由申请人提供）：本申请的目的是支持 Vineet Arora（医学博士、文学硕士）的以患者为导向的研究计划和职业发展，Vineet Arora 是一位在芝加哥大学接受过奖学金培训的学术住院医生。 Arora 博士的总体目标是发展成为一名独立研究者，专注于描述和改善老年住院患者的睡眠持续时间和睡眠质量。 Arora 博士将在 Eve Van Cauter 博士的指导下发展她的研究技能，Eve Van Cauter 博士是正常和病理状态下睡眠和昼夜节律方面的知名权威，重点关注老年人的睡眠。 David Meltzer 医学博士、哲学博士是一位在医院医学和健康经济学研究领域颇有造诣的研究者，重点关注老龄化问题，他将担任联合导师。阿罗拉博士还将受益于包括阿罗拉博士在内的顾问团队在老年人临床护理和研究方面的集体专业知识。格雷格·萨克斯、埃里克·科尔曼和丹尼尔·布劳纳。她还将从合作者团队中获得必要的培训和研究技能，其中包括：(1) 睡眠医学奖学金主任 Babak Mokhlesi 医学博士，他将使 Arora 博士获得睡眠医学方面的正式培训； (2) Kristen Knutson 博士，研究人员和人类学家，专门研究使用体动记录仪和睡眠量表来量化睡眠持续时间和质量； (3) Anirban Basu，博士，统计分析专家。在拟议的奖励期间，阿罗拉博士将通过芝加哥大学的结构化课程和课程获得睡眠医学、健康服务研究和老年病学方面的正式培训。本研究提案的总体目标是阐明除了患者的感知控制水平之外，环境、医疗保健和患者因素如何影响住院老年患者的睡眠持续时间和睡眠质量。此外，还将描述住院老年患者的住院睡眠（持续时间和质量）与结果（体力活动和其他健康结果）之间的关系。通过这一时期的职业发展和研究，阿罗拉博士将能够更好地了解住院睡眠的决定因素和影响，从而能够设计基于证据的干预措施，旨在改善住院老年人的住院睡眠和相关结果。 公共健康相关性：本研究提案的总体目标是阐明环境、医疗保健和患者因素以及患者的感知控制水平如何影响住院老年患者的睡眠持续时间和睡眠质量。此外，还将描述住院老年患者的住院睡眠（持续时间和质量）与结果（体力活动和其他健康结果）之间的关系。通过这一时期的职业发展和研究，阿罗拉博士将能够更好地了解院内睡眠的决定因素和影响，从而能够设计基于证据的干预措施，旨在改善住院老年人的院内睡眠和相关结果。