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 老年人数量的预期增加，通常具有更复杂的健康需求，造成了 医疗保健系统和服务优化健康和福祉的挑战和机遇。虽然 对初级保健的需求和卫生服务的连续性随着年龄的增长而变化，需要基于证据的 满足老年人需求的干预措施变得更加明显。然而，这个过程 即使有强有力的证据支持，将证据转化为实践既不是自动的也不是容易的事。这是 据估计，即使在疗效确定 17 年后，也只有 14% 的人口接受干预。 整合研究人员、临床医生、医疗保健管理人员和利益相关者的有针对性的活动是 需要加速证据的采用。即使在采用证据的领域，也存在重大机会 继续从事老龄化研究，以增加对大规模实施的关注（NIH 阶段模型的第五阶段）。 利用 NIA 中心之间的合作伙伴关系以及杜克大学和维克森林大学之间的密切合作 大学，我们提议举办一系列会议，以识别、解决问题并解决现实世界的障碍 研究翻译。在 NIA 中心和 NIA 中心之间创造协作和参与机会 研究人员可以利用新证据或既定证据，促进卫生系统采取干预措施 规模有限的干预措施。还需要强调实施或取消实施 干预措施、政策和做法存在巨大差异，且使用不足或过度。我们的目标是 (1) 参与 研究人员根据证据确定并帮助传播针对医疗保健机构中老年人的干预措施 维持或恢复尚未采用或达到公平实施规模的独立性； （2）探索创新务实的策略，优化新协作团队的实施；和（3） 提供年度老龄化研究和医疗保健会议，交叉科学的应用 实施、改进和学习卫生系统科学与卫生保健服务的方法 交货、付款和政策。我们对公平和多元化的承诺将有助于整合来自不同领域的个人 不同的观点带来新的能量和创造力，以克服知识、治疗方面的差距 惯性和变革过程。为了提高会议的可及性，该系列活动将作为预 克劳德·D·佩珀 (Claude D. Pepper) 美国老年人独立中心 (OAIC) 协调中心会议 年会，并通过虚拟或电话远程参与选项提供便利。我们的目标—— 激发新的研究-临床-管理伙伴关系，加速证据的影响和推进 医疗保健公平——与 NIA 的几个战略方向一致，因为我们专注于实施（并 实施）干预措施，以改善老年人的健康、福祉和独立性，并减少 健康差异。