Aging in place for older adults with cancer: The role of physical function and home environment
患有癌症的老年人的就地老龄化:身体机能和家庭环境的作用
基本信息
- 批准号:10742252
- 负责人:
- 金额:$ 4.92万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2023
- 资助国家:美国
- 起止时间:2023-08-10 至 2025-07-31
- 项目状态:未结题
- 来源:
- 关键词:AgeAgingAreaAwardCancer PatientCommunitiesDataData SetDevelopmentElderlyEnvironmentFutureGoalsHealthHealth BenefitHomeHome environmentImpairmentInjuryKnowledgeLinkMalignant NeoplasmsMeasuresMedicareMedicare claimMentorsNeighborhoodsOutcomePatientsPhasePhysical FunctionPhysical environmentPopulationPostdoctoral FellowProviderResearchResearch PersonnelResearch Project GrantsRiskRoleSamplingStructureSystemTrainingUnited StatesWorkaging in placebeneficiarycancer carecancer diagnosiscancer typeexperiencefallshealth care service utilizationimprovedmortalitynovelpre-doctoralprospectiveresponseskillstrend
项目摘要
Project Summary and Abstract
This award will support Dr. Jensen-Battaglia’s long-term goal of developing the expertise and skills needed to
become an independent investigator exploring the overlapping roles of physical function and environment in
health outcomes for older adults with cancer. By 2050, 20% of new cancer diagnoses will be among those age
80 or older, comprising an estimated 6.9 million cases worldwide. The majority of older adults in the United
States (U.S.) prefer to remain in their homes as they age (i.e., ‘age in place’), which is associated with health
benefits. Conversely, both unsupportive neighborhood environment and residential relocation are associated
with increased healthcare utilization, decreased survival, and falls. Although impairments in physical function
are common and highly modifiable, we do not yet know if older adults with cancer are at greater risk for
residential relocation as a result of these impairments compared to those without cancer. Whether negative
health outcomes such as healthcare utilization, mortality, and falls associated with relocation are due to
relocation itself or associated changes in the neighborhood environment remains unclear. Dr. Jensen-Battaglia
will address these gaps in her proposed project by prospectively evaluating the association between
impairments in physical function and residential relocation among community dwelling older adults in the U.S.,
and examining how this association differs for those with cancer compared to those without cancer.
Additionally, she will assess how residential relocation modifies the effect of neighborhood environment on
future health for those with cancer. For the F99 phase, Dr. Jensen-Battaglia will leverage data from a nationally
representative sample of U.S. Medicare beneficiaries [National Health and Aging Trends Study (NHATS)] to
refine a novel measure of mobility-related physical function, assess whether this is associated with increased
risk of residential relocation, and evaluate if cancer diagnosis positively modifies this relationship. She will also
explore how the relationship between mobility-related physical function and residential relocation differs across
home environments and cancer types. For the K00 phase, she will create a dataset linking the NHATS with
Medicare claims and area-based measures, and evaluate if residential relocation positively modifies the effect
of worsening (compared to stable or improving) neighborhood environment supports on cancer-related health
outcomes. Dr. Jensen-Battaglia has worked closely with her sponsors to develop a training plan which
supports successful completion of the predoctoral research project and smooth transition to a competitive,
cancer-focused postdoctoral placement. This includes training to improve knowledge of the patient cancer care
experience, obtain expertise in analysis of residential relocation dynamics, and identify a postdoctoral mentor.
Together, the proposed research and training plan provide optimal opportunities and structure for Dr. Jensen-
Battaglia to develop new skills and progress toward becoming an independent cancer researcher.
项目摘要及摘要
项目成果
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Marielle Jensen-Battaglia其他文献
Marielle Jensen-Battaglia的其他文献
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