Reid Aging and Pain Research Training Program

摘要/摘要 我的以患者为中心的研究计划侧重于解决与以下问题相关的关键知识差距 晚年疼痛，一种常见的、病态的和代价高昂的疾病。我寻求更新我的国家老龄研究所(NIA) K24奖，以扩大过去4年建立的强大的导师计划，并支持我的 以病人为中心的研究方案侧重于晚期疼痛和症状处理。具体目标： 打算在下一个资助期完成的工作包括：1)开发、测试和传播非 药物干预策略改善老年老年人的疼痛和疼痛相关结局 在适当的时候注重新技术的使用；2)扩展现有的强大的 受训人员致力于以患者为中心的研究；3)扩大我的研究重点，以获得进一步的 在以下方面具有专门知识和能力：a)认知受损的老年人口 与疼痛有关；b)家庭照顾者在改善疼痛护理结果方面的作用；c)非药理学方法 除了行为干预(例如，认知行为疗法)以外的疼痛，如非侵入性神经- 刺激技术(例如，经颅直流电刺激)；和d)开发和评价 新的疼痛评估工具；最后4)获得新的资金，以支持利用 最近完成并正在进行的研究，从而扩大了吸引和培训新学员的机会 在整个颁奖期间。我的导师计划包括有计划的教育和职业 发展活动根据受训者的经验、兴趣和需求而制定的有监督的研究计划 需求构成了核心的辅导活动。本培训的补充是访问丰富的 教育和其他职业建设资源和发展的个性化职业发展 与定期安排的评估一起制定计划，以帮助确保实习生及时取得进展和实现 共同商定的目标。康奈尔大学的环境提供了广泛的资源来支持候选人的 研究和指导计划，并提供丰富的实习生渠道。康奈尔大学NIA资助的爱德华 R.Roybal中心(我领导)和一个行为老年学研究的博士后培训计划(我 共同直接)构成了主要的杠杆资源。自收到K24资助以来导师制成功的证据 2016年包括征聘、培训和促进25名受训人员的职业发展，其中包括5名少数族裔 实习生和18名女性。研究效率的证据包括发表70篇同行评议的文章 这段时间，许多在高影响力的期刊上，以及成功地推出了T32培训计划 以及为康奈尔的罗伊巴尔中心获得竞争性续签资金(P30赠款)。我正在进行的重点是 项目、我上述拟议的职业发展活动，以及我对少年的持续指导 而职业生涯早期和中期的研究人员，将有助于推动后期研究领域的发展，导致改进 成年人的健康和福祉受到晚年生活痛苦的不利影响。

Summary/Abstract My patient-oriented research program focuses on addressing key knowledge gaps related to the problem of later-life pain, a common, morbid, and costly disorder. I seek renewal of my National Institute on Aging (NIA) K24 Award to expand a robust program of mentorship established over the past 4 years and to support my program of patient-oriented research focused on later-life pain and symptom management. Specific aims I intend to accomplish over the next funding period include: 1) Developing, testing, and disseminating non- pharmacologic intervention strategies to improve pain and pain-related outcomes among older adults with a focus on the use of new technologies when appropriate; 2) Expanding an already existing robust pipeline of trainees committed to careers in patient-oriented research; 3) Expanding my research focuses to gain further expertise in and ability to conduct patient-oriented research on: a) cognitively impaired older adult populations with pain; b) the role of family caregivers in improving pain care outcomes; c) non-pharmacologic approaches to pain other than behavioral interventions (e.g., cognitive behavioral therapy) such as non-invasive neuro- stimulation techniques (e.g., transcranial direct current stimulation); and d) the development and evaluation of new pain assessment tools; and finally 4) Obtaining new funding to support research that capitalizes on recently completed and ongoing research, thereby expanding opportunities to attract and train new mentees throughout the award period. My mentorship program consists of structured educational and career development activities A supervised research program tailored to the trainees’ experience, interests, and needs constitutes the core mentorship activity. This training is supplemented by access to a rich array of educational and other career building resources and the development of an individualized career development plan along with regularly scheduled evaluations that help to ensure timely trainee progress and achievement of mutually agreed upon goals. The Cornell environment offers extensive resources to support the candidate’s research and mentoring programs and provides a rich array of trainee pipelines. Cornell’s NIA-funded Edward R. Roybal Center (which I direct) and a postdoctoral training program in behavioral geriatrics research (which I co-direct) constitute major leveraged resources. Evidence of mentorship success since receipt of K24 funding in 2016 includes recruiting, training and fostering the career development of 25 trainees, including 5 minority trainees and 18 women. Evidence of research productivity includes publishing 70 peer-reviewed articles over this period of time, many in high impact journals, as well as successfully launching the T32 training program and obtaining competitive renewal funding for Cornell’s Roybal Center (P30 grant). The focus of my ongoing projects, my proposed career development activities described above, and my continued mentorship of junior and early mid-career investigators, will help to move the field of later-life research forward, leading to improved health and well-being of adults adversely affected by later-life pain.