Pilot Core

这是印第安纳州大学爱德华R。罗伊博中心 该lU-Roybal促进研究，以改善对自我管理的支持和教育， 由全科医生照顾的脆弱的老年人。IU Roybal的研究已经在 多个部门和印第安纳州大学和印第安纳波利斯社区的校园，现在 包括20个不同的试点项目和越来越多的“下一步”项目和临床实践。 通过这些经验，我们已经学会了什么是必要的，以最大限度地提高概率，一个飞行员将 发展成为一个成功的研究项目。 在本核心中，我们描述了与管理和行政核心以及我们的 设立咨询小组，以确定试点项目并支持这些项目取得成功。符合 Roybal RFA（09-008），我们描述了在本提案的前两年完成的四个试点项目。 试点1响应Roybal RFA对扩展NIA高级认知工作的项目的兴趣 独立和重要的老年人培训（ACTIVE）研究。Fred Unverzagt博士，印第安纳波利斯 ACTIVE研究的研究中心PI和多研究中心领导小组的一部分将领导该试点。 试点2响应我们的社区咨询委员会的建议， 过渡到熟练或长期护理。Greg Arling博士将领导该试点项目， 扩展了他在印第安纳州医疗补助计划办公室的工作。 试点项目3回应了我们从第一个五年供资中吸取的一个教训，即 促进沟通，支持自我管理。这包括供应商之间的通信 和患者之间的关系。迈克尔韦纳，医学博士，公共卫生硕士领导这个试点，继续我们的轨道 利用印第安纳州中部独特信息技术环境的记录。 试点4回应了身体活动作为一种必要的自我管理的基本作用的日益认识 针对各种慢性疾病的任务，包括身体、情绪和认知 方面克拉克博士将他的工作扩展到改善身体活动的适应和维持， 老年人在定期参加体育活动方面面临许多障碍。

This is a competing renewal application (Years 06-10) for the Indiana University Edward R. Roybal Center. The lU-Roybal facilitates research on improving support and education for self-management among vulnerable older adults cared for by generalist physicians. IU Roybal research has been carried-out across multiple departments and campuses of Indiana University and the community of Indianapolis and now includes 20 different pilot projects and a growing list of "next step" projects and translafion to clinical practice. Through these experiences, we have learned what is necessary to maximize the probability that a pilot will evolve into a successful research program. In this Core, we describe our processes for working with the Management and Administrative Core and our advisory groups to identify pilot projects and to support the success of these projects. Consistent with the Roybal RFA (09-008), we describe four pilot projects to be completed in the first two years of this proposal. Pilot 1 responds the Roybal RFA interest in projects that extend the work of the NIA's Advanced Cognitive Training for Independent and Vital Elderiy (ACTIVE) study. Fred Unverzagt, PhD who was the Indianapolis site PI for the ACTIVE study and part of the mulfi-site leadership group will lead this pilot. Pilot 2 responds to our Community Advisory Board recommendation to increase Roybal research around transifions into and out of skilled or long-term nursing care. Greg Arling, PhD will lead this pilot which extends his work with the Indiana State Office for Medicaid Planning. Pilot 3 responds to one of the lessons learned from our first five years of funding regarding the importance of facilitafing communication in support of self-management. This includes communicafion between providers and patients and across settings. Michael Weiner, MD, MPH leads this pilot which continues our track record of exploiting the unique information technology environment in Central Indiana. Pilot 4 responds to the growing recognifion of the fundamental role of physical activity as an essential selfmanagement task for a wide variety of chronic conditions spanning physical, emofional, and cognitive aspects. Dr. Clark extends his work on improving the adopfion and maintenance of physical activity among older adults who face numerous barriers to regular engagement in physical activity.