HSR&D Merit Review Research Career Scientist Award

高铁

• 批准号: 10250600
• 负责人: Courtney Harold Van Houtven
• 金额: --
• 依托单位: DURHAM VA MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-10-01 至 2026-09-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10250600
• 关键词: Academy; Affect; Age; Award; Budgets; Caregiver support; Caregivers; Caring; Clinical; Clinical Trials; Communities; Conflict (Psychology); Counseling; Economics; Elderly; Engineering; Evaluation; Expenditure; Face; Faculty; Family member; Feedback; Financial Hardship; Financial Support; Friends; Funding; Geriatrics; Goals; Grant; Grant Review; Health; Health Services; Health Services Research; Healthcare Systems; Hexachlorobenzene; Home; Home Nursing Care; International; Intervention; Journals; K-Series Research Career Programs; Leadership; London; Measurement; Measures; Medicine; Mentors; Mentorship; Methods; Mission; Modeling; Nursing Homes; Patients; Performance; Policies; Program Evaluation; Publications; Publishing; Quality of life; Randomized; Research; Research Activity; Research Personnel; Research Support; Research Training; Risk; Schools; Science; Scientist; Services; Site; Strategic Planning; Structure; Testing; Time; Training; Training Programs; United States Department of Veterans Affairs; United States National Academy of Sciences; United States National Institutes of Health; Veterans; Work; career; community based service; cost; design; disability; economic evaluation; effectiveness testing; experience; functional disability; health care service utilization; health economics; health equity; human old age (65+); implementation evaluation; implementation science; implementation study; improved; improved functioning; indexing; informal care; informal caregiver; informal caregiving; innovation; lens; next generation; person centered; post 9/11; programs; recruit; research study; service engagement; skills; skills training

This proposed Research Career Scientist award is to support the activities of Dr. Courtney Van Houtven, who is an experienced Department of Veterans Affairs investigator, allowing her to expand her scientific, men- toring, and service contributions. Dr. Van Houtven leads research studies that test care models to improve the function and independence of older adults with functional limitations and the function of their informal caregivers. The overarching goal of her research agenda is to enable at-risk Veterans to remain at home as safely as pos- sible and for as long as possible. This research is important because there are 9.8 million Veterans over age 65 and 5.5 million Veterans receive informal care in order to remain at home. The majority of Dr. Van Houtven’s research has been conducted in the VA healthcare system. Dr. Van Houtven used a VA HSR&D funded Career Development Award to gain mentorship and training to design and test interventions. Her 116 published articles are in top-tier health economics, health services research, and geriatrics journals. A Google Scholar query shows that her work has earned 4,011 citations with an h-index of 28 (8/2020). Dr. Van Houtven has led or co-led five VA studies, representing over $13 million in VA grant funding, and been co-I on 13 VA studies. Her research contributions include testing the effectiveness of a skills training program for caregivers of Veteran patients with functional impairment in an RCT, called HI-FIVES (JGIM 2019). An adapted version of HI-FIVES called iHI-FIVES has been implemented at 8 VA sites using a stepped wedge cluster ran- domized RCT as a part of the Optimizing Function and Independence QUERI. The Program Office has requested that iHI-FIVES be a part of its performance standards to expand services to caregivers. Additionally, Dr. Van Houtven directs the partnered evaluation of the VA Caregiver Support Program with a team from Durham ADAPT and the VA National Caregiver Support Program. Over the past six years, she has measured program impacts and provided feedback to the program office detailing how the program is improving the lives of caregivers and Veterans and where the program can improve. Besides publishing 10 articles for the evaluation program, she supported congressional testimony of the SecVA (2017) and filled rapid requests from Program Office leaders. In addition to Dr. Van Houtven’s research activities, she is helping build the next generation of VA researchers through mentoring. Today she mentors 4 VA CDAs (2 as primary, 2 as co-mentor), 1 K-awardee, and has served on 10 dissertation committees. Her VA service engagement includes contributions to VA Caregiver Sup- port Program strategic planning, chairing the metrics committee of the Choose Home Initiative, performing grant reviews for HSR&D/QUERI, and participating in SOTAs and special VA initiatives. Her professional stature can be assessed by national and international invited talks, such as from the National Academies of Sciences, En- gineering, and Medicine, National Institutes of Health, and London School of Economics; through impactful pub- lications (e.g. senior author on HSR&D 2017 article of the year, Thorpe et al); and, activities such as her coedi- torships, such as at Medical Care Research and Review. In 2019 she co-founded the VA Caregiver Collabora- tive, comprising of leading VA caregiver researchers. Dr. Van Houtven is recognized internationally as the lead- ing scholar in economics of informal care research. The protected time allowed by a Research Career Scientist award will allow her to expand her contributions to the VA HSR&D mission, with a focus on improving care for Veterans with functional impairments and the lives of caregivers. Dr. Van Houtven’s proposed activities for the award period include: 1) leveraging the Function and Independence Core in the Durham COIN to expand the VA Caregiver Collaborative; 2) advancing methods in person-centered measurement and advancing methods in economic evaluation of implementation studies; and, 3) recruiting, training and mentoring fellows and early career investigators to build expertise in care models for functionally impaired Veterans and caregivers, especially focused on health equity.

这项拟议的研究职业科学家奖是为了支持考特尼货车Houtven博士的活动， 她是一位经验丰富的退伍军人事务部调查员，这使她能够扩大她的科学，男人- 支持和服务贡献。货车Houtven博士领导的研究测试护理模式，以改善 老年人的功能和独立性，以及他们的非正式照顾者的功能。 她的研究议程的总体目标是使处于危险中的退伍军人留在家里一样安全，因为职位- 尽可能长的时间。这项研究很重要，因为有980万65岁以上的退伍军人 550万退伍军人接受非正式护理，以便留在家中。货车豪特文医生的大部分 在VA医疗保健系统中进行了研究。货车Houtven博士使用VA HSR&D资助的职业生涯 发展奖，以获得指导和培训，以设计和测试干预措施。 她发表的116篇文章发表在顶级卫生经济学，卫生服务研究和老年医学期刊上。 Google Scholar查询显示，她的工作获得了4，011次引用，h指数为28（8/2020）。货车医生 Houtven已经领导或共同领导了五项VA研究，代表超过1300万美元的VA赠款资金，并被共同I 13篇研究她的研究贡献包括测试技能培训计划的有效性， 在一项名为HI-FIVES的RCT中，功能障碍退伍军人患者的护理人员（JGIM 2019）。适配的 HI-FIVES版本（称为iHI-FIVES）已在8个VA站点使用阶梯式楔形群集范围实施， 作为优化功能和独立性QUERI的一部分的domized RCT。项目办公室要求 iHI-FIVES是其绩效标准的一部分，以扩大对护理人员的服务。另外，货车医生 Houtven与来自达勒姆ADAPT的一个团队一起指导对VA护理人员支持计划的合作评估 以及退伍军人事务部全国看护者支持计划在过去的六年里，她衡量了项目的影响， 并向项目办公室提供反馈，详细说明该项目如何改善护理人员的生活， 退伍军人以及该计划可以改进的地方。除了为评估项目发表10篇文章外， 支持SecVA（2017）的国会证词，并满足计划办公室领导人的快速请求。 除了货车Houtven博士的研究活动，她正在帮助建立下一代VA研究人员 通过指导。今天，她指导4个VA CDA（2个作为主要，2个作为共同导师），1个K获奖者， 在10个论文委员会任职。她的VA服务参与包括贡献VA照顾者补充- 港口计划战略规划，主持选择家园倡议的指标委员会，执行赠款 审查HSR&D/QUERI，并参与SOTA和特殊VA计划。她的专业地位可以 通过国家和国际邀请会谈进行评估，例如来自美国国家科学院， 英国国家卫生研究院和伦敦经济学院;通过有影响力的出版， 作品（例如，HSR&D 2017年度文章的资深作者，Thorpe等人）;以及，她的合作伙伴等活动- 例如，在医疗保健研究和审查。2019年，她与人共同创立了VA Caregiver Collabora- 由领先的VA护理人员研究人员组成。货车Houtven博士是国际公认的领导- 非正式护理经济学研究的学者。 研究职业科学家奖允许的受保护时间将使她能够扩大她的贡献 VA HSR&D使命，重点是改善对有功能障碍的退伍军人的护理， 照顾者。货车Houtven博士在授予期间的建议活动包括：1）利用职能， 独立核心在达勒姆硬币，以扩大VA护理人员协作; 2）推进方法， 以人为本的衡量方法和实施研究的经济评价方法;以及， 3)招募、培训和指导研究员和早期职业调查员， 功能受损的退伍军人和照顾者，特别关注健康公平。