A Research Mentoring Program in Geriatric Rehabilitative Care

老年康复护理研究指导计划

基本信息

批准号：
10256744
负责人：
JONATHAN F BEAN
金额：
$ 13.22万
依托单位：
HARVARD MEDICAL SCHOOL
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-09-30 至 2025-05-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10256744
关键词：
Academy Achievement Address Aging American Appointment Archives Area Award Biomechanics Biometry Boston Capsicum Caring Center for Translational Science Activities Clinical Clinical Assessment Tool Clinical Sciences Clinical Trials Collaborations Conduct Clinical Trials Consultations Data Analyses Development Doctor of Philosophy Elderly Elements Environment Epidemiology Exercise Physiology Exposure to Faculty Feedback Foundations Funding Gait speed Generations Geriatrics Grant Impairment Individual Interdisciplinary Study Joints K-Series Research Career Programs Knowledge Laboratories Lead Leadership Longitudinal cohort study Medical Students Mentors Modeling Morbidity - disease rate Neurological Nursing New England Outcome Physiatrist Physical Function Physical Medicine Physical Rehabilitation Physical therapy Physical therapy exercises Play Prevention Preventive care Privatization Process Publications Randomized Controlled Trials Rehabilitation therapy Research Research Project Grants Research Training Resources Risk Factors Role Scientist Senior Scientist Societies Time Training Training Programs Translational Research United States National Institutes of Health Work care seeking career career development catalyst clinical center cognitive neuroscience disability disability risk education research experience falls functional decline functional disability implementation research interest medical schools member mid-career faculty modifiable risk mortality patient oriented research professor programs rehabilitation research rehabilitation science rehabilitative care responsible research conduct

项目摘要

Rehabilitative care can play a major role in preventative care for older adults, targeting the prevention of functional decline and disability. This is known as Prehabilitative Care. There are an insufficient number of mentors in Geriatric Rehabilitative care and specifically Prehabilitative care. I am Physiatrist in the Department of Physical Medicine and Rehabilitation (PM&R) at Harvard Medical School applying for a renewal of a highly successful K24 mid-career development award. The patient-oriented research (POR) in my initial award used a longitudinal cohort study as its platform and advanced our knowledge of: 1) clinical assessment tools targeting mobility and falls; 2) important modifiable risk factors for mobility decline; and 3) characterized important conditions that influence these outcomes. I successfully mentored 18 trainees, from diverse backgrounds, leading to over 45 original publications. In addition to the pre-existing longitudinal cohort study, which was recently publicly archived, a new VA funded randomized controlled trial focusing on Prehabilitative care will serve as the primary platform for this renewal. Trainees will be exposed to principles and concepts of geriatric rehabilitation, Prehabilitative care, POR and the conduct of clinical trials. Over the previous 20 years, I have led a successful research career in the Department of PM&R at Harvard Medical School (HMS). In 2015, I became the Director of New England Geriatric Research Education and Clinical Center (NEGRECC), the first Physiatrist to ever lead a VA GRECC. The transition to my VA leadership role took time and diverted my effort. I am now ready to resume my role as a K24 mentor. I am an Associate Professor, and my appointment to Professor is advancing through the promotions process. My current administrative, research, educational and clinical responsibilities within VA only allows 10% effort/week for mentoring of research trainees. I have a joint appointment between the VA and HMS. Under this award, my non-VA responsibilities will be relieved such that I will be enabled to direct an additional 30% effort/week towards the mentoring of research trainees in POR bringing my total effort to devote to mentoring to 40%. Projects that support this award include a VA merit award (RX003095-01A1) as well as the recently archived longitudinal cohort study (1R01AG032052). Also, the work will be supported by the NIH funded Boston Pepper Center, the Boston Roybal Center and the Harvard Clinical and Translational Science as well as the NEGRECC. With the themes of Geriatric Rehabilitation and Prehabilitation, we will provide: direct mentoring with the PI, training in rehabilitation science and aging research, training in the responsible conduct of research, training in research project management, data analysis, biostatistical consultation, and an K24 advisory board consisting of experienced scientists in relevant fields of interest. Redundancies are built in to the offerings to provide varying options that successfully serve the individual needs of all trainees. This grant will have a significant impact on geriatric rehabilitative care by supporting our laboratory as a vital pipeline for POR.

康复护理可以在针对预防措施的老年人预防性护理中发挥重要作用功能下降和残疾。这被称为预科护理。数量不足老年康复护理的导师，特别是预科护理。我是医生哈佛医学院的物理医学与康复系（PM＆R）申请续签非常成功的K24中期发展奖。我的最初的以患者为导向的研究（POR）奖项使用纵向队列研究作为其平台，并提高了我们的知识：1）临床评估针对移动性和跌倒的工具； 2）重要的可修改风险因素导致流动性下降； 3）特征影响这些结果的重要条件。我成功地指导了18名学员，来自不同的学员背景，导致45多个原始出版物。除了先前存在的纵向队列研究外，最近被公开存档，一项新的VA资助的随机对照试验，重点是居民护理将成为这种续签的主要平台。学员将接触到老年康复，预科护理，POR和临床试验的行为的原理和概念。在过去的20年中，我领导了PM＆R系的成功研究职业哈佛医学院（HMS）。 2015年，我成为新英格兰老年研究教育主任和临床中心（NEGRECC），这是有史以来第一位领导VA Grecc的生理学家。向我的VA的过渡领导角色花了一些时间，转移了我的努力。我现在准备恢复我作为K24导师的角色。我是一个副教授，我被任命为教授正在通过促销过程进行前进。我的 VA内的当前行政，研究，教育和临床责任仅允许10％的努力/周用于指导研究学员。我在VA和HMS之间进行了联合任命。在这个奖项下，我非VA责任将得到缓解，以使我能够额外指导30％的努力/周为了指导研究受训者，我将全力以赴地致力于指导40％。支持该奖项的项目包括VA功绩奖（RX003095-01A1）以及最近存档的纵向队列研究（1R01AG032052）。此外，这项工作将由NIH资助的波士顿支持胡椒中心，波士顿皇家中心以及哈佛临床和转化科学以及 Negrecc。有了老年康复和预居住的主题，我们将提供：直接指导 PI，康复科学和衰老研究的培训，负责任进行研究的培训，研究项目管理，数据分析，生物统计咨询和K24咨询委员会的培训由相关领域的经验丰富的科学家组成。裁员是内置的提供多种选择，成功满足所有学员的个人需求。该赠款将有一个通过支持我们的实验室作为POR的重要管道，对老年康复护理的重大影响。