Cornell Roybal Center-Translational Research Institute on Pain in Lather Life

项目概要-总体 在过去的5年里，康奈尔大学罗伊巴尔中心-晚年疼痛转化研究所 （TRIPLL）开发了创新的方法和有效的基础设施， 和社会科学研究，以改善老年人的健康和福祉。TRIPLL的一个主要优点是 它展示了将行为和社会科学研究与真实的世界背景联系起来的能力。TRIPLL具有 专注于开发行为干预和利用新技术， 在疼痛的背景下，适应性行为的变化，一个由医学研究所作为一个 这是一个非常重要但未得到充分解决的公共卫生问题。在此更新应用程序中，我们将建立在我们的 通过可衡量地扩大中心的基础设施， 开发有效和可扩展的疼痛行为干预措施，特别注重进行这一 研究代表性不足的人群，即，有认知障碍的老年人，少数族裔老年人， 农村老年人和艾滋病毒携带者！这种关注是合理的，因为疼痛是非常普遍的， 成本高昂，并且经常使老年人致残，特别是在代表性不足的人群中。行为 干预（例如，心理和运动疗法）现在通常被鼓励作为主要治疗方法 但需要进行研究，以提高其功效、有效性和长期效益。康奈尔的 Roybal中心将通过以下方式在先前成功的基础上再接再厉：1）开放新的学员管道; 2）扩大 研究人员，商业实体和社区利益相关者支持翻译中心支持的 研究; 3）利用行为改变科学和传播科学领域的进步， 使用NIH阶段模型开发和测试创新的行为干预措施，以指导其开发 和评价。康奈尔大学罗伊巴尔中心的总体目标将是：1）开发强大的和可扩展的 行为干预，以解决晚年疼痛的问题; 2）进行充满活力的调查 3）提供一个有效的基础设施，用于开发新的行为干预措施， 可以增强干预效果的技术; 4）利用智力，财政和其他资源 学术合作者在这个应用程序，从而实现的结果，将无法达到任何 一个机构。在伊萨卡岛的著名研究中心之间扩大了多学科合作， 纽约市（NYC），包括威尔康奈尔大学和康奈尔科技沿着与三个新的战略合作伙伴（ 康奈尔大学老龄化和技术增强研究与教育中心 密歇根州城市非裔美国人老龄化研究中心（Michigan Center for Urban African American Aging Research）， 此更新应用程序的强度。

Project Summary – Overall Over the past 5 years, Cornell’s Roybal Center–The Translational Research Institute on Pain in Later Life (TRIPLL) has developed innovative approaches and an effective infrastructure for the translation of behavioral and social science research to improve the health and well-being of older adults. A major strength of TRIPLL is its demonstrated ability to link behavioral and social science research to real world contexts. TRIPLL has focused on developing behavioral interventions and on leveraging new technologies that can bring about adaptive behavior change in the context of pain, an issue characterized by the Institute of Medicine as a critically important and under-addressed public health problem. In this renewal application, we will build on our accomplishments to date by measurably expanding the infrastructure of the Center to augment the development of potent and scalable behavioral interventions for pain, with a particular focus on conducting this research with underrepresented populations, i.e., older persons with cognitive impairment, minority elders, rural-dwelling older adults, and those aging with HIV.!This focus is justified because pain is highly prevalent, costly, and frequently disabling in older adults, particularly among underrepresented populations. Behavioral interventions (e.g., psychological and exercise therapies) are now routinely encouraged as primary treatments for pain, but research is needed to enhance their efficacy, effectiveness and long-term benefits. Cornell’s Roybal Center will build on prior successes by: 1) opening new mentee pipelines; 2) expanding networks of researchers, commercial entities and community stakeholders to support the translation of Center-supported research; and 3) leveraging advances in the fields of behavior change science and communication science to develop and test innovative behavioral interventions using the NIH Stage Model to guide their development and evaluation. The overarching aims of Cornell’s Roybal Center will be to: 1) Develop potent and scalable behavioral interventions to address the problem of later-life pain; 2) Conduct a vibrant investigator development program; 3) Provide an effective infrastructure for developing behavioral interventions using new technologies that can enhance intervention effects; and 4) Leverage the intellectual, fiscal, and other resources of the academic collaborators in this application, thereby achieving results that would not be attainable by any one institution. The expanded multi-disciplinary collaboration among prominent research centers in Ithaca and New York City (NYC), including Weill Cornell and Cornell Tech along with three new strategic partners (the Center for Research and Education on Aging and Technology Enhancement, the Cornell Office for Research on Evaluation, and the Michigan Center for Urban African American Aging Research), constitutes a major strength of this renewal application.