Screening and Interventions in an Acute Care Setting

描述（由申请人提供）：一个指导，病人为导向，保罗B。Beeson职业发展奖旨在为候选人提供严格的方法学培训和临床老龄化研究经验，这些培训和经验可以应用于老年急诊医学的拟议研究项目。候选人的长期职业目标是成为一名独立的，有资金支持的老龄化研究调查员，他使用老年急诊医学“实验室”开发和评估一项使用紧急医疗服务（EMS）和急诊科的计划，以筛选老年人未满足的需求，并对确定的需求进行干预。这将是一个独立的职业生涯在老龄化研究，特别是在老年急救医学的基础。 该奖项提出了一个为期四年的培训计划，并在候选人已经完成的培训基础上进行广泛的指导。将进行研究方法的正式培训。所涵盖的主题将包括研究理论，方法和道德。将进行多学科评估方面的实际培训。将实施一个研究项目，收集数据，并测试假设。导师将在教学培训，开发的技能应用于研究项目，研究项目的发展提供指导整个奖励期间。 拟议的研究项目是一项由两部分组成的研究，首先评估基于EMS的老年人抑郁症，服药策略和痴呆症筛查的可靠性和有效性。第二部分完善，实施，并评估一个试点急诊科为基础的干预计划，以解决EMS与初级保健医生一起确定的需求。这些结果将允许测试的EMS筛查和急诊科干预计划的影响的可靠性和有效性相关的几个假设。这些结果将导致进一步的主要研究，评估这种EMS筛查和艾德干预计划的有效性。 这项研究通过展示这种创新的健康促进模式的价值，将利用急性护理系统的潜力来识别和治疗老年人未满足的健康需求。治疗这些需求，这往往是没有确定的卫生保健提供者，将防止不必要的疾病，伤害和死亡的老年人。

DESCRIPTION (provided by applicant): A mentored, patient oriented, Paul B. Beeson Career Development Award is proposed to provide the candidate rigorous methodological training and experience in clinical aging research that can be applied to the proposed research project in geriatric emergency medicine. The candidate's long-term career goal is to become established as an independent, funded investigator in aging research who uses a geriatric emergency medicine "laboratory" to develop and evaluate a program using emergency medical services (EMS) and emergency departments to screen for unmet needs among older adults and intervene upon identified needs. This would be the basis for an independent career in aging research, specifically in geriatric emergency medicine. This award proposes a four-year training plan with extensive mentorship to build upon the candidate's already completed training. Formal training in research methodology will occur. Topics covered will include research theory, methods, and ethics. Practical training in multidisciplinary assessments will occur. A research project will be implemented, data collected, and hypotheses tested. The mentors will provide guidance on the didactic training, the application of the developed skills to the research project, the development of the research project throughout the award period. The proposed research project is a two-part study that first evaluates the reliability and validity of EMS-based screening of older adults for depression, pill taking strategies, and dementia. The second part refines, implements, and evaluates a pilot emergency department based intervention program to address the needs identified by EMS in conjunction with the primary care physician. These results will permit the testing of several hypotheses related to the reliability and validity of the EMS screening and the impact of the emergency department intervention program. These results will lead to further major studies that evaluate the effectiveness of this EMS screening and ED intervention program. This research, by showing the value of this innovative model of health promotion, will harness the potential of the acute care system to identify and treat unmet health needs of older adults. Treating these needs, which are frequently not identified by health care providers, will prevent unnecessary illness, injury, and death among older adults.