A partnership to translate an EBI for vulnerable older adults with heart disease

合作伙伴关系为患有心脏病的弱势老年人翻译 EBI

• 批准号: 9087122
• 负责人: Cathleen M Connell
• 金额: $ 57.7万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-06-15 至 2021-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9087122
• 关键词: Address; African American; Aging; American; Area; Attention; Cardiac; Caring; Cause of Death; Chronic Disease; Clinical; Clinical Trials; Communities; Control Groups; Cost Savings; Disease; Disease Management; Elderly; Elements; Emergency department visit; Ensure; Evaluation; Evidence based intervention; Evidence based program; Frequencies; Guidelines; Health; Health Promotion; Health Services Needs; Health Status; Heart; Heart Diseases; Hospitalization; Individual; Institution; Intervention; Investments; Learning; Low Income Population; Low income; Medical; Medical center; Michigan; Modeling; NIH Program Announcements; Older Population; Outcome; Participant; Patients; Population; Prevention; Process; Public Health; Randomized; Research; Rosa; Self Management; Support System; Symptoms; Target Populations; Testing; Translating; Translation Process; Translational Research; Translations; Universities; base; community setting; cost effective; cost effectiveness; disability; evidence base; experience; health care service utilization; hospital readmission; improved; improved functioning; interest; meetings; programs; randomized trial; response; scale up; treatment as usual

DESCRIPTION (provided by applicant): This application is in response to PA 11-123, Translational Research to Help Older Adults Maintain their Health and Independence in the Community (R01). Using the Replicating Effective Programs (REP) framework, the proposed study will translate a University of Michigan Center for Managing Chronic Disease (CMCD) evidence-based program for older adults with heart disease for a vulnerable older, primarily African American population, in Detroit, Michigan. The study will be conducted in partnership with the Rosa Parks Geriatric Center at the Detroit Medical Center (RPC) and the Detroit Area Agency on Aging (DAAA). The specific aims of the research are to: (1) adapt, pilot test, and implement the "take PRIDE" heart disease management program as part of a partnership with the DAAA and RPC; (2) conduct a randomized trial of the translated intervention with 590 participants to assess health outcomes including frequency of cardiac symptoms; functional health status; emergency department visits and hospitalizations for heart disease; (3) assess the translation and implementation of the intervention in the target setting and identify factors that help and hinder the process; (4) assess cost savings associated with the intervention and return on investment (ROI) to the RPC and DAAA; and (5) develop guidelines for "scaling up", that is, for replicating the intervention in other low-income areas through the national network of Area Agencies on Aging. Given the aging of our population and the disproportionate burden of chronic disease among low income African American communities, the translation of evidence based programs to support disease-management and reduce health care utilization-e.g., emergency department visits and hospital readmissions--is timely and of great public health significance.

描述（由申请人提供）：本申请是对PA 11 - 123，帮助老年人在社区中保持健康和独立的转化研究（R01）的回应。使用复制有效计划（REP）框架，拟议的研究将翻译密歇根大学慢性病管理中心（CMCD）的循证计划，用于密歇根州底特律市脆弱的老年人，主要是非洲裔美国人。这项研究将与底特律医疗中心（RPC）的罗莎帕克斯老年病中心和底特律地区老龄化机构（DAAA）合作进行。该研究的具体目标是：（1）调整，试点测试，并实施“骄傲”心脏病管理计划，作为与DAAA和RPC合作的一部分;（2）对590名参与者进行翻译干预的随机试验，以评估健康结果，包括心脏症状的频率;功能健康状况;急诊室就诊和心脏病住院;（3）评估干预措施在目标设定中的转化和实施情况，并确定有助于和阻碍这一进程的因素;（4）评估与干预措施相关的成本节约情况以及RPC和DAAA的投资回报;以及（5）制定"扩大规模"的指导方针，即通过全国网络在其他低收入地区推广干预措施。 老龄化地区机构。鉴于我们的人口老龄化和低收入非洲裔美国人社区慢性病的不成比例的负担，翻译基于证据的计划，以支持疾病管理和减少医疗保健的利用-例如，急诊室就诊和再入院----及时，具有重大的公共卫生意义。