Geriatric emergency care applied research network 2.0 - advancing dementia care (gear 2.0 ADC)

Active Project Grant Awarded Last action

Award ID
R33AG069822
Recipient
Awarding agency
Obligated
$24,629,894

Award facts

Assistance listing
93.866 Aging Research
Completion date 56% complete
Originally
Place of performance
New York, NY 10016, USA

Award details come from USAspending.gov.

Description

As the agency reported it.

Abstract
Emergency care of older adults with alzheimer's disease and related dementias (adrd) is suboptimal despite greater rates of emergency department (ED) use than for matched controls. Persons with dementia (PWD) are poorly identified in the ED, are more likely to have an avoidable ED visit, be admitted to the hospital, struggle in the ED environment, and experience numerous other challenges. Despite calls in the national plans to address alzheimer's disease and their updates, limited research has been performed to optimize the emergency care of PWD. To advance the emergency care of PWD first requires delineation of the research gaps related to identifying PWD receiving emergency care and providing them optimal care, followed by establishing and testing strategies to resolve the gaps. To effectively and efficiently identify and address these gaps, the goal of this proposal is to launch the geriatric emergency care applied research network 2.0 - advancing dementia care (gear 2.0 ADC). Specifically, this network would partner and leverage existing adrd and emergency care focused networks, foundations, stakeholders, and organizations through a transdisciplinary team of leading investigators and consultants who have already transformed the emergency care of older adults and the care of PWD through rigorous NIH-funded research. During the first phase of this proposal, a stakeholder engagement approach will be used that has been previously and successfully implemented by investigators. They will determine research priorities for ED patients and caregivers using a consensus process in four domains: 1. ED practices 2. ED care transitions 3. Detection, and 4. Communication and decision making. The gear 2.0 - ADC infrastructure and its network will be established that includes the gedc, adrcs, and gear 2.0 cores: 1. Administrative; 2. Research; 3. Data/informatics; and 4. Dissemination & implementation. The second phase of the proposal will solicit, review, select and fund research that will lead to future full-scale proposals addressing research gaps in emergency care for PWD and their caregivers identified during the first phase. There will be over $1.1M in pilot study awards. This proposal will create a platform from which gear 2.0 ADC and future investigators will generate preliminary data for large-scale funding opportunities, including multicenter project proposals. This "priming" of the research pipeline will promote further transdisciplinary studies and science and lay the groundwork for a sustainable research network infrastructure to support development of an evidence base to optimize the emergency care of PWD.

Transactions

Action Obligated Date
Amendment $748,222
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Amendment Geriatrics emergency care applied research network 2.1 - advancing and expanding dementia care (gear 2.1 - aced) $0
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Subawards

Subrecipient Amount Awarded
Yale Univ AIM 1: Strengthen and expand partnerships supporting an emergency care dementia research infrastructure. AIM 2: Expand and optimize the GEAR research data… $290,337
University Of Wisconsin System $47,969
Ohio State University Solicit, review, select, and fund research that will lead to future full-scale proposals addressing research gaps in emergency care for PwD and their caregivers… $44,952
Mayo Clinic Gear 2.0 is a national institutes of health funded program to advance the science supporting emergency care for people with dementia. IT brings together key… $207,650

Quick answers

Who received award R33AG069822?

R33AG069822 was awarded to New York University by National Institute on Aging (National Institutes of Health) on September 30, 2020.

How much is award R33AG069822 worth?

$24,629,894 has been obligated on R33AG069822.

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