Roybal Center for Behavioral Interventions in Aging

摘要 罗伊巴尔老龄行为干预中心的试点核心将开发和测试 基于行为科学洞察力的干预措施，以促进健康老龄化。具体的 该中心的目标是：(1)招聘和培养一批不同的高级和初级研究人员 在我们的重点领域发起和支持试点项目，以更好地了解 目前的做法和干预模式将改善护理提供、护理质量、 以及对老年人的价值；(2)根据NIH阶段模型进行先导研究 促进制定和使用最有效的干预措施和(3)报告和 将研究结果传播给卫生系统和政府组织，他们可以从 研究结果。试点核心将支持跨越NIH五阶段模型的项目 进行行为干预。建议在第一年进行两项与阿片类药物有关的试点研究 美国的危机。第一个建立在我们以前的工作基础上，即通知医生他们的病人的 在一项随机试验中比较两封不同边框的信件，结果与 第四阶段研究。第二个阶段是可行性研究(第一阶段)，以评估什么是可能的推动 目的：提高内科医生对阿片类药物使用障碍丁丙诺啡的摄入量。通向 讨论了这两个项目的推进阶段，以及在 很久以前了。该中心资助的所有飞行员都将以行为经济学为主题 提高护理质量。我们鼓励采取循证护理和取消执行 低价值和有害的做法。潜在的试点研究的影响由以下方面提供信息 来自Roybal Center资源的模拟结果，这些资源来自我们之前的 奖项。在颁奖过程中，试点核心将支持进行研究研究 鼓励适当使用药物治疗的行为干预：阿片类药物 药物辅助治疗中的处方、多药联用、抗生素处方、临床惰性 以及其他医疗决定与指南不符的护理领域 并对人口健康产生负面影响。

Abstract The Pilot Core for the Roybal Center for Behavioral Interventions in Aging will develop and test interventions based on insights from behavioral science to promote healthy aging. The specific aims of the Center are to: (1) Recruit and develop a diverse set of senior and junior researchers to initiate and support pilot projects in our focus area to better understand the consequences of current patterns of practice and interventions that will improve care delivery, the quality of care, and its value to aging adults; (2) Conduct pilot research in accordance with the NIH stage model to facilitate development and use of the most effective interventions and (3) Report and disseminate findings to health systems and government organizations who can benefit from the results of the research. The Pilot Core will support projects that span the NIH Five Stage Model for behavioral interventions. Two pilot studies are proposed in Year 1 both relating to the opioids crisis in the US. The first builds on our previous work in informing physicians of their patient’s fatal overdose comparing two differently framed letters in a randomized trial consistent with Stage IV research. The second is a feasibility study (Stage I) to evaluate what nudges are likely to improve physician uptake of buprenorphine for opioid use disorder. Pathways toward advancing the stages of these two projects are discussed as are solicitations for new pilots in out-years. All pilots funded at the Center will address the theme of behavioral economics to improve quality of care. We encourage adoption of evidence-based care and de-implementation of low-value and harmful practices. The impact of potential pilot studies is informed by simulation results that follow from the Roybal Center resources developed from our previous awards. During the course of the award, the Pilot Core will support research studies conducting behavioral interventions to encourage appropriate use of medical treatments: Opioid prescribing, polypharmacy, antibiotic prescribing, clinical inertia in medication assisted therapy for addiction, and other areas of care where medical decisions are discordant with guidelines and are having a negative impact on population health.