Staffing Costs and Behavioral Nutritional Interventions

描述(由申请者提供)：NIA职业生涯的目的 发展奖(CDA)的申请是为调查人员提供 知识、分析技能和初步数据库，以描述 疗养院(NH)必要的员工资源，以实施行为和 改善NH居民营养摄入量的环境干预。这个 拟议的CDA将允许调查员接受三个主要方面的培训 每一个领域都与她现有的知识相得益彰：(1) 老年人，这将补充她现有的健康和 NH人口面临的相关生活质量问题；(2)成本分析， 和(3)运筹学建模，这两者都是对她现有的补充 研究方法和统计分析方面的知识。这份CDA 应用程序旨在为调查人员提供必要的 知识和分析技能，以追求她直接的职业目标 提炼和验证与开发相关的三种方法工具 行为和环境干预以改善营养状况 NH居民：(1)就餐时间偏好-满意度访谈；(2) 用于确定行为和环境的营养评估工具 食物摄入量的决定因素；和(3)检查居民的评估工具 对行为和环境干预的反应性，以提高 并评估实施评价所需的工作人员时间。 拟议的CDA培训方案包括正式课程和 为调查人员提供必要的个性化教程 知识和技能，以实现她眼前的职业目标。大卫博士 鲁本是一位老年病学家，也是老年人营养问题的专家， 将担任S研究员、发起人和主要导师。[盖尔博士 哈里森是一位营养学家和营养评估问题专家，他将 在营养评估工具的开发中担任导师。] [John Schnelle博士，行为心理学家和应用研究专家， 将作为她的开发、实施和评估的导师 在NH环境中的行为和环境干预。[单博士 克丁，兰德公司的高级运筹学家]将成为她的导师 运营-研究模型，将用于预测NH工作人员 实施干预措施所需的资源；而埃米特·基勒博士， 兰德的一名高级统计师将提供与成本分析相关的培训 对干预措施和必要的工作人员资源的支持。这样的培训将 允许调查员追求她的长期职业目标，即发展 行为和环境干预措施，以提高儿童的生活质量 安老院舍及厘定健康院舍员工资源及 在NH环境中实施这种干预措施所需的相关费用。 因此，拟议的CDA培训将是调查员S能力的核心 在她选择的领域内发展成为一名独立的科学家 老年学研究。

DESCRIPTION (provided by applicant): The purpose of this NIA Career Development Award (CDA) application is to provide the investigator with the knowledge, analytical skills, and preliminary database to delineate the nursing home (NH) staff resources necessary to implement behavioral and environmental interventions to improve nutritional intake in NH residents. The proposed CDA will allow the investigator to receive training in three primary areas, each of which compliments her existing knowledge: (1) undernutrition in older adults, which will compliment her existing expertise in the health and associated quality-of-life issues facing the NH population; (2) cost analysis, and (3) operations-research modeling, both of which compliment her existing knowledge in research methodology and statistical analysis. This CDA application is designed to provide the investigator with the necessary knowledge and analytical skills to pursue her immediate career goal of refining and validating three methodological tools related to the development of behavioral and environmental interventions to improve nutritional status among NH residents: (1) a mealtime preference-satisfaction interview; (2) a nutritional assessment instrument to identify behavioral and environmental determinants of food intake; and (3) an evaluation tool to examine residents responsiveness to a behavioral and environmental intervention to improve intake and to assess the staff time required to implement the evaluation. The proposed CDA program of training incorporates formal coursework and individualized tutorials to provide the investigator with the requisite knowledge and skills to accomplish her immediate career goals. Dr. David Reuben, a geriatrician and expert in nutritional issues among older adults, will serve as the investigator s sponsor and primary mentor. [Dr. Gail Harrison, a nutritionist and expert in nutritional assessment issues, will serve as a mentor in the development of the nutritional assessment tools.] [Dr. John Schnelle, a behavioral psychologist and expert in applied research, will serve as her mentor for the development, implementation, and evaluation of behavioral and environmental interventions in the NH setting. [Dr. Shan Cretin, a senior operations-research scientist at RAND,] will be her mentor in operations-research modeling, which will be used to project the NH staff resources necessary to implement the interventions; while, Dr. Emmett Keeler, a senior statistician at RAND, will provide training in cost analysis related to the interventions and the necessary staff resources. Such training will permit the investigator to pursue her long-term career goal of developing behavioral and environmental interventions to improve quality of life among the institutionalized elderly and determine the NH staff resources and the associated costs necessary to implement such interventions in the NH setting. Thus, the proposed CDA training would be central to the investigator s ability to develop as an independent scientist within her chosen area of gerontological research.