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: 10755149
• 负责人: Ula Y Hwang
• 金额: $ 150.52万
• 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 2023-09-22
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10755149
• 关键词: Acceleration; Accident and Emergency department; Accreditation; Address; Admission activity; Advisory Committees; Alzheimer' s Disease; Alzheimer' s disease related dementia; Applied Research; Award; Caregivers; Caring; Collaborations; Communication; Consensus; Consultations; Data; Decision Making; Delirium; Dementia; Detection; Development; Dissemination and Implementation; Education; 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; Productivity; Research; Research Infrastructure; Research Methodology; Research Personnel; Research Priority; Research Support; Resources; Risk Factors; Science; Testing; United States National Institutes of Health; Update; advanced dementia; 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.

项目简介: