Among community-living older persons, disability in essential activities of daily living (ADLs), such as bathing,dressing, and walking, is common and highly morbid. During the first 44 months of the current 5-year funding cycle, we have have published or submitted more than two dozen original reports that are directly relevant to the overall objective of the MERIT Award, which is to further elucidate the epidemiology of disability and recovery among older persons. For the MERIT extension, we plan to build on what we have learned about disability and recovery during the pa4idecade, while expanding the scope of this research by incorporating detailed participant-level data on health care utilization in. acute care hospitals, rehabilitation and long-term care facilities, ambulatory and home settings, and hospice through linkages with Medicare and Medicaid claims. For this 5-year extension, we propose 3 distinct sets of specific aims and hypotheses. The first set will retain our focus on essential ADLs. The second set will expand our focus to include higher-level functional tasks, including community mobility and instrumental activities of daily living (lADLs). The third set will take advantage of administrative data on health care utilization that will be newly integrated into our primary database.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Method to Extend Research in Time (MERIT) Award (R37)
Project #
5R37AG017560-12
Application #
8143415
Study Section
Special Emphasis Panel (NSS)
Program Officer
Joseph, Lyndon
Project Start
2000-01-01
Project End
2015-08-31
Budget Start
2011-09-01
Budget End
2012-08-31
Support Year
12
Fiscal Year
2011
Total Cost
$894,232
Indirect Cost
Name
Yale University
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
043207562
City
New Haven
State
CT
Country
United States
Zip Code
06520
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Gill, Thomas M; Allore, Heather G; Gahbauer, Evelyne A et al. (2015) Establishing a Hierarchy for the Two Components of Restricted Activity. J Gerontol A Biol Sci Med Sci 70:892-8
Fodeh, Samah J; Trentalange, Mark; Allore, Heather G et al. (2015) Baseline cluster membership demonstrates positive associations with first occurrence of multiple gerontologic outcomes over 10 years. Exp Aging Res 41:177-92
Gill, Thomas M; Allore, Heather G; Gahbauer, Evelyne A et al. (2015) The role of intervening illnesses and injuries in prolonging the disabling process. J Am Geriatr Soc 63:447-52

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