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| Individualized Care for At-Risk Older Adults | |
|---|---|
| Investigator (PI): | Naylor, Mary D; Bowles, Kathryn Helene |
| Performing Organization (PO): |
(Current): University of Pennsylvania, School of Nursing, New Courtland Center for Transitions and Health / (215) 898-2381 |
| Supporting Agency (SA): | National Institutes of Health (NIH), National Institute of Nursing Research (NINR) |
| Initial Year: | 2005 |
| Final Year: | 2024 |
| Record Source/Award ID: | RePorter/T32NR009356 |
| Funding: | 2007 Award Amount: $425,310 2008 Award Amount: $404,795 2009 Award Amount: $310,447 2010 Award Amount: $417,618 2011 Award Amount: $394,795 2014 Award Amount: $238,112 2015 Award Amount: $428,770 2016 Award Amount: $433,277 2017 Award Amount: $654,775 2018 Award Amount: $458,024 2019 Award Amount: $456,568 |
| Award Type: | Grant |
| Award Information: | Reports resulting from this project |
| Abstract: | For the foreseeable future, addressing the complex health and social needs of the growing population of older adults with multiple chronic conditions (MCCs) and supporting their family caregivers, especially during frequent transitions in health, is a societal priority. This T32, Individualized Care for At-Risk Older Adults, based at the University of Pennsylvania School of Nursing (SON), where expertise in aging and transitional care research are hallmarks of our faculty, is uniquely designed to prepare nurse scholars who will address this challenge. Since 2007, this program has successfully prepared 15 PhD graduates and 13 postdoctoral fellows who are now pursuing successful scholarly careers and advancing science related to health and health care transitions of older adults. This proposed renewal, led by two highly experienced nurse scientists is supported by nine additional core and eight associated faculty in the SON with complementary programs of research. Our emphasis on team science is actualized with co-mentored training from 25 interprofessional Penn faculty external to nursing. Guided by the AHRQ Multiple Chronic Conditions Research Network's conceptual model, our training program will prepare four predoctoral and four postdoctoral nurse scientists appointed annually with the skills and knowledge to 1) advance science related to the impact of frequent and complex transitions in health and health care on older adults with MCCs and their family caregivers, with particular emphasis on the role of nurses; 2) conduct research with the highest standards of rigor and integrity, using a team science approach, and employing contemporary and emerging research designs and methodologies; and 3) perform synthesis, dissemination, implementation, and translation of research findings designed to inform and improve health care practices and policies. This renewal builds on our success and is responsive to dynamic population, research, and health care system changes through innovative program modifications. Specifically, this renewal expands the program's emphasis on care of chronically ill older adults to focus on the complex health and social needs of the growing population of older adults with multiple chronic conditions and their family caregivers. Further, we emphasize the longitudinal care of diverse and vulnerable subgroups of older adults with MCCs throughout multiple health transitions. We enhance our current training in research methods to include (a) a broader range of designs with enhanced translational potential, (b) advanced data science, (c) sophisticated qualitative and mixed methods, and, (d) rigorous measurement of outcomes. Current attention to dissemination of individual study findings extends to a more robust focus on knowledge synthesis, implementation, and translation. The rich scientific base, resources, and networks contributed by committed faculty mentors provide an excellent foundation and environment for this training grant. Building on our prior success, we will produce nurse scientists and leaders prepared to contribute scientific advances designed to have a major, positive impact on the care and outcomes of older adults with MCCs and their family caregivers. |
| Abstract Archived: |
Since launched in 2007, Individualized Care for At-Risk Older Adults, a National Institute of Nursing Research (NINR)-funded institutional NRSA training program based at the University of Pennsylvania School of Nursing (Penn Nursing) has successfully prepared a cadre of new nurse scientists (six PhD graduates and 10 postdoctoral research fellows) who now are actively pursuing scholarly careers and advancing science related to transitions and aging. An additional seven students are expected to complete their doctoral degrees in nursing within the next two years. The primary goal of this renewal application is to train additional highly qualified nurse scientists who will generate, disseminate, and translate new knowledge with a unique focus on improving the care experience, health, and quality of life outcomes of a growing population of chronically ill older adults as they experience common and difficult transitions in health and health care. In addition to preparing scholars to address the significant human and economic challenges associated with assisting this increasingly diverse and vulnerable population to achieve their health goals, this renewal will capitalize on the strong foundation in science contributed by program faculty members, build upon an established collaboration between faculty members in two of Penn Nursing's research centers (the New Courtland Center for Transitions and Health and the Center for Integrative Science in Aging), employ innovative interprofessional mentorship and training models that engage preeminent scholars throughout Penn, offer trainees unparalleled opportunities to learn sophisticated and emerging research methods, and place a new emphasis on preparing future scholars who can rigorously translate science to have an impact on clinical practice and health policy. During this five-year renewal, four predoctoral students and four postdoctoral research fellows will be appointed annually. The goals of the proposed training program align with each of NINR's strategic priorities as well as the Department of Health and Human Services' strategic goal of optimizing the health and quality of life for individuals with multiple chronic conditions. |
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| Country: | United States |
| State: | Pennsylvania |
| Zip Code: | 19104 |
| UI: | 20183390 |
| Project Status: | Ongoing |
| Record History: | ('2019: Project extended to 2024, and archived abstract in Abstract Archived 1 and replaced abstract.',) |