Geriatric Emergency care Applied Research network 2.0 - Advancing Dementia Care (GEAR 2.0 ADC)

老年急救护理应用研究网络 2.0 - 推进痴呆症护理 (GEAR 2.0 ADC)

• 批准号: 10094657
• 负责人: Ula Y Hwang
• 金额: $ 149.15万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-30 至 2022-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10094657
• 关键词: Acceleration; Accident and Emergency department; Accreditation; Address; Alzheimer' s Disease; Alzheimer' s disease related dementia; Applied Research; Award; Caregivers; Caring; Collaborations; Communication; Consensus; Consultations; Data; Decision Making; Delirium; Dementia; Detection; Development; Elderly; Emergency Care; Emergency Department patient; Emergency Medicine; Emergency department visit; Environment; Fostering; Foundations; Funding; Funding Opportunities; Future; Geriatrics; Goals; Grant; Growth; Guidelines; Health; Hospitals; Informatics; Infrastructure; Knowledge; Lead; Multicenter Studies; Network Infrastructure; Persons; Phase; Pilot Projects; Process; Research; Research Infrastructure; Research Methodology; Research Personnel; Research Priority; Research Support; Resources; Risk Factors; Science; Testing; Time; United States National Institutes of Health; Update; advanced dementia; base; data warehouse; dementia care; evidence base; experience; implementation science; improved; innovation; large scale data; learning network; medical specialties; meetings; operation; programs; skills

PROJECT ABSTRACT: Emergency care of older adults with Alzheimer's Disease and related dementias (ADRD) is suboptimal despite greater rates of emergency department (ED) use than for matched controls. Persons with dementia (PwD) are poorly identified in the ED, are more likely to have an avoidable ED visit, be admitted to the hospital, struggle in the ED environment, and experience numerous other challenges. Despite calls in the National Plans to Address Alzheimer's Disease and their updates, limited research has been performed to optimize the emergency care of PwD. To advance the emergency care of PwD first requires delineation of the research gaps related to identifying PwD receiving emergency care and providing them optimal care, followed by establishing and testing strategies to resolve the gaps. To effectively and efficiently identify and address these gaps, the goal of this proposal is to launch the Geriatric Emergency Care Applied Research Network 2.0 - Advancing Dementia Care (GEAR 2.0 ADC). Specifically, this network would partner and leverage existing ADRD and emergency care focused networks, foundations, stakeholders, and organizations through a transdisciplinary team of leading investigators and consultants who have already transformed the emergency care of older adults and the care of PwD through rigorous NIH-funded research. During the first phase of this proposal, a stakeholder engagement approach will be used that has been previously and successfully implemented by investigators. They will determine research priorities for ED patients and caregivers using a consensus process in four domains: 1. ED practices 2. ED care transitions 3. Detection, and 4. Communication and decision making. The GEAR 2.0 - ADC infrastructure and its network will be established that includes the GEDC, ADRCs, and GEAR 2.0 Cores: 1. Administrative; 2. Research; 3. Data/Informatics; and 4. Dissemination & Implementation. The second phase of the proposal will solicit, review, select and fund research that will lead to future full-scale proposals addressing research gaps in emergency care for PwD and their caregivers identified during the first phase. There will be over $1.1M in pilot study awards. This proposal will create a platform from which GEAR 2.0 ADC and future investigators will generate preliminary data for large-scale funding opportunities, including multicenter project proposals. This “priming” of the research pipeline will promote further transdisciplinary studies and science and lay the groundwork for a sustainable research network infrastructure to support development of an evidence base to optimize the emergency care of PwD.

项目摘要： 老年人阿尔茨海默病和相关痴呆症（ADRD）的急诊护理是次优的 尽管急诊科（艾德）的使用率高于匹配的对照组。痴呆症患者 (PwD)在艾德中识别不佳，更有可能避免艾德就诊，住院， 在艾德环境中挣扎，并经历许多其他挑战。尽管国家呼吁 计划解决阿尔茨海默病及其更新，有限的研究已经进行了优化， PwD的紧急护理。 为了推进PwD的紧急护理，首先需要划定与以下相关的研究差距： 确定正在接受紧急护理的残疾人，并为他们提供最佳护理， 测试解决差距的策略。为切实有效地查明和解决这些差距，目标是 这一建议的一部分是启动老年急救应用研究网络2.0 -推进 痴呆症护理（GEAR 2.0 ADC）。具体而言，这一网络将与现有的ADRD合作并利用现有的ADRD， 紧急护理为重点的网络，基金会，利益相关者和组织，通过跨学科的 由领先的调查人员和顾问组成的团队，他们已经改变了老年人的紧急护理， 成年人和PwD的护理通过严格的NIH资助的研究。 在本提案的第一阶段，将采用利益相关方参与的方法， 此前，研究人员已成功实施。他们将决定艾德的研究重点 患者和护理人员在四个领域使用共识过程：1.艾德实践2.艾德护理过渡3. 检测，4。沟通和决策。GEAR 2.0 - ADC基础设施及其网络 将建立包括GEDC、ADRC和GEAR 2.0核心的系统：1.行政管理; 2.研究; 3. 数据/信息学;和4.传播和执行。该提案的第二阶段将征求、审查、 选择和资助研究，这将导致未来的全面建议，解决紧急情况下的研究差距 在第一阶段确定的残疾人及其照顾者的护理。试点研究将超过110万美元 奖该提案将创建一个平台，GEAR 2.0 ADC和未来的研究人员将从中产生 大规模供资机会的初步数据，包括多中心项目提案。这种“启动” 该研究管道将促进进一步的跨学科研究和科学，并为 可持续研究网络基础设施，以支持建立证据库， PwD的紧急护理。