During the last 4 years, the PESC has invested -$650,000 (total costs) in 7 pilot/exploratory studies that have resulted, to date, in 27 publications and ~$17.2 million (total costs) in extramural funding received or expected by July 2012, with an additional ~$7.9 million (5 grants) currently under review. The primary goal of the PESC is to facilitate the development of innovative and rigorous research studies that will enhance our understanding ofthe pathogenesis, etiology, diagnosis, prevention, and management of multifactorial geriatric health conditions (the stated focus ofthe Yale OAIC), leading ultimately to the development of efficacious and cost-effective interventions to increase or maintain the independence of older Americans.
The specific aims are to: (1) solicit and select the most meritorious research proposals for PESC funding;(2) provide investigators of Pilot / Exploratory Studies (PESs) with access to resources from the other OAIC Cores;(3) identify potential opportunities for co-sponsorship of PESs;(4) identify potential opportunities for collaboration among PESC investigators;(5) monitor the progress of PESs;(6) provide assistance so that the PESs can be successfully developed into independently funded grant applications;and (7) ensure the safety and protection of human subjects and vertebrate animals enrolled in PESs. Priority for PESC funding will be given to junior investigators as well as to accomplished mid-career and senior investigators who wish to redirect or expand their research to the study of multifactorial geriatric health conditions. In addition to traditional one- or two-year PESs, we propose a new Expedited Pilot Program (EXPI), which will fund small grants capped at a maximum of $5000 that will be awarded within 4 weeks of application. These grants will be limited to junior investigators, up to and including the level of Assistant Professor, and are intended for research activities in which a rapid infusion of a relatively small amount of funds will facilitate a successful extramural grant application. These two PESC grant mechanisms will provide crucial support and access to the research infrastructure provided by the OAIC Operations and Biostatistics Cores, facilitating future external grant support that will advance our understanding of multifactorial geriatric health conditions. In partnership with the OAIC Executive Committee, the key tasks ofthe PESC will be achieved by two highly accomplished physician scientists with complementary areas of expertise: Dr. Albert Shaw (Core Leader), a new NIA K24 recipient, and Dr. Mary Tinetti (Core Co-Leader), former Director of the Yale OAIC, who defined the field of research related to multifactorial geriatric health conditions.

Public Health Relevance

The Pilot / Exploratory Studies Core will facilitate and support innovative and methodologically rigorous studies focused on elucidating the pathogenesis, etiology, diagnosis, prevention, and management of multifactorial geriatric health conditions?leading ultimately to the development of beneficial and cost-effective interventions to increase or maintain independence in older Americans.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Center Core Grants (P30)
Project #
2P30AG021342-11
Application #
8673927
Study Section
Special Emphasis Panel (ZAG1-ZIJ-8 (J1))
Project Start
Project End
2018-06-30
Budget Start
2013-07-01
Budget End
2014-06-30
Support Year
11
Fiscal Year
2013
Total Cost
$254,062
Indirect Cost
$101,472
Name
Yale University
Department
Type
DUNS #
043207562
City
New Haven
State
CT
Country
United States
Zip Code
06520
Callahan, Kathryn E; Lovato, Laura; Miller, Michael E et al. (2018) Self-Reported Physical Function As a Predictor of Hospitalization in the Lifestyle Interventions and Independence for Elders Study. J Am Geriatr Soc 66:1927-1933
Karter, Andrew J; Moffet, Howard H; Liu, Jennifer Y et al. (2018) Surveillance of Hypoglycemia-Limitations of Emergency Department and Hospital Utilization Data. JAMA Intern Med 178:987-988
Hadley, Evan C; Kuchel, George A; Newman, Anne B et al. (2018) Corrigendum to: Report: NIA Workshop on Measures of Physiologic Resiliencies in Human Aging. J Gerontol A Biol Sci Med Sci 73:995
Bhasin, Shalender; Gill, Thomas M; Reuben, David B et al. (2018) Strategies to Reduce Injuries and Develop Confidence in Elders (STRIDE): A Cluster-Randomized Pragmatic Trial of a Multifactorial Fall Injury Prevention Strategy: Design and Methods. J Gerontol A Biol Sci Med Sci 73:1053-1061
Liu, Zuyun; Han, Ling; Gahbauer, Evelyne A et al. (2018) Joint Trajectories of Cognition and Frailty and Associated Burden of Patient-Reported Outcomes. J Am Med Dir Assoc 19:304-309.e2
Wasson, Emily; Rosso, Andrea L; Santanasto, Adam J et al. (2018) Neural correlates of perceived physical and mental fatigability in older adults: A pilot study. Exp Gerontol 115:139-147
Thomas, John M; Fried, Terri R (2018) Defining the Scope of Prognosis: Primary Care Clinicians' Perspectives on Predicting the Future Health of Older Adults. J Pain Symptom Manage 55:1269-1275.e1
Miner, Brienne; Gill, Thomas M; Yaggi, H Klar et al. (2018) Insomnia in Community-Living Persons with Advanced Age. J Am Geriatr Soc 66:1592-1597
Andersson, Matthew A; Monin, Joan K (2018) Informal Care Networks in the Context of Multimorbidity: Size, Composition, and Associations With Recipient Psychological Well-Being. J Aging Health 30:641-664
Fragoso, Carlos A Vaz; Gill, Thomas M; Leo-Summers, Linda S et al. (2018) Spirometric Criteria for Chronic Obstructive Pulmonary Disease in Clinical Trials of Pharmacotherapy. COPD 15:17-20

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