Evidence to Impact: Accelerating Implementation of Aging Research

影响的证据：加速老龄化研究的实施

• 批准号: 10729694
• 负责人: Janet Alexandria Prvu Bettger
• 金额: $ 4.74万
• 依托单位: TEMPLE UNIV OF THE COMMONWEALTH
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-08-15 至 2027-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10729694
• 关键词: Acceleration; Address; Administrator; Adopted; Adoption; Age; Aging; Alzheimer' s Disease; American; Area; Attention; Awareness; Behavior Therapy; Capsicum; Caring; Case Study; Clinical; Collaborations; Complex; Creativeness; Deimplementation; Disparity; Dissemination and Implementation; Education; Elderly; Equitable healthcare; Equity; Evidence based intervention; Failure; Frontline worker; Funding; Geriatrics; Gerontology; Goals; Health; Health Personnel; Health Sciences; Health Services; Health system; Healthcare; Healthcare Systems; Heart Atrium; Independent Living; Individual; Intervention; Knowledge; Leadership; Learning; Life; Methodology; Modeling; Older Population; Pathway interactions; Patients; Personal Satisfaction; Persons; Policies; Population; Primary Care; Problem Solving; Process; Qualifying; Reduce health disparities; Research; Research Personnel; Science; Scientist; Series; Telephone; Therapeutic; Translating; Translational Research; Translations; United States National Institutes of Health; Universities; Work; aged; bench to bedside; burden of illness; care systems; collaborative approach; cost; disability burden; diversity and equity; evidence base; experience; forest; health care service; health care settings; healthcare community; human old age (65+); implementation intervention; implementation research; implementation science; improved; improved mobility; innovation; medical schools; meetings; multidisciplinary; payment; population health; programs; public health relevance; service delivery; symposium; translational model; trend; uptake; virtual; webinar; working group

ABSTRACT Expected increases in the number of older adults, in general with more complex health needs, creates both challenges and opportunities for health care systems and services to optimize health and well-being. While the demand on primary care and the continuum of health services changes with age, the need for evidence-based interventions that respond to the needs of older adults becomes even more apparent. However, the process of translating evidence to practice is neither automatic nor easy, even when supported by strong evidence. It is estimated that only 14% of a population receives an intervention even 17 years after efficacy is established. Targeted activities that integrate researchers, clinicians, healthcare administrators and stakeholders are needed to accelerate evidence adoption. Even among areas with evidence adoption, significant opportunities remain in aging research to increase attention to implementation at scale (Stage V of the NIH Stage Model). Leveraging a partnership across NIA centers and a strong collaboration between Duke and Wake Forest Universities, we are proposing a conference series to identify, problem solve and address real-world barriers to research translation. Generating collaboration and engagement opportunities across NIA centers and investigators could facilitate health system adoption of interventions with new evidence or established interventions with limited scale. Emphasis is also needed on implementation or de-implementation of interventions, policies and practices with wide disparities and under- or overuse. Our aims are to (1) engage researchers to identify and help disseminate interventions for older adults in health care settings with evidence to maintain or restore independence that have yet to be adopted or reach equitable implementation to scale; (2) explore innovative and pragmatic strategies to optimize implementation in new collaborative teams; and (3) provide an annual aging research and health care conference that intersects the application of scientific methodologies of implementation, improvement and learning health system sciences with health care service delivery, payment and policy. Our commitment to equity and diversity will help integrate individuals from different perspectives to bring renewed energy and creativity to overcome gaps in knowledge, therapeutic inertia, and processes for change. To improve accessibility of the meeting, this series will be held as a pre- conference to the Claude D. Pepper Older Americans Independence Centers (OAIC) Coordinating Center annual meeting and be facilitated with options for virtual or telephonic remote participation. Our goal—to stimulate new research-clinical-administrative partnerships that accelerate evidence to impact and advance healthcare equity—aligns with several of NIA’s strategic directions as we focus on implementation (and de- implementation) of interventions to improve older adults’ health, well-being and independence and reduce health disparities.

抽象的 总体而言，健康需求更复杂的老年人人数预计会增加，这两者都会产生 医疗保健系统和服务的挑战和机遇，以优化健康和福祉。而 对初级保健和卫生服务的连续性的需求随着年龄的增长而变化，需要基于证据 满足老年人需求的干预措施变得更加明显。但是， 将证据转换为实践既不是自动的也不容易的，即使得到有力证据的支持。这是 据估计，在建立效率17年后，只有14％的人口接受干预。 将研究人员，临床医生，医疗保健管理人员和利益相关者整合的有针对性活动是 需要加速采用证据。即使在采用证据的领域，大量机会 保持衰老研究，以增加对实施的关注（NIH阶段模型的V阶段）。 利用NIA中心建立合作伙伴关系，并在Duke和Wake Forest之间进行强有力的合作 大学，我们正在提出一个会议系列，以识别，问题解决和解决现实世界的障碍 研究翻译。在NIA中心以及 调查人员可以促进卫生系统采用新证据或已建立的干预措施 规模有限的干预措施。还需要强调实施或实施 干预措施，政策和实践，具有广泛的分布及过度使用。我们的目标是（1）参与 研究人员识别和帮助传播医疗保健环境中老年人的干预措施，并有证据 维持或恢复尚未采用或达到公平实施以进行规模的独立性； （2）探索创新和务实的策略，以优化新的合作团队的实施； （3） 提供年度老化研究和卫生保健会议，该会议与科学的应用相交 卫生保健服务的实施，改进和学习健康系统科学的方法 交付，付款和政策。我们对公平和多样性的承诺将帮助来自 不同的观点可以带来新的能量和创造力，以克服知识的差距，治疗 惯性和变革过程。为了提高会议的可访问性，本系列将作为预先举行 参加Claude D. Peper老年人独立中心（OAIC）协调中心会议 年度会议，并为虚拟或电话远程参与的选项做好准备。我们的目标 - 刺激新的研究 - 临床管理伙伴关系，以加速证据以影响和促进 医疗保健权益 - 与NIA的几个战略方向一致，因为我们专注于实施 实施）干预措施，以改善老年人的健康，福祉和独立性并减少 健康分布。