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 #
5P30AG021342-12
Application #
8691628
Study Section
Special Emphasis Panel (ZAG1-ZIJ-8)
Project Start
Project End
Budget Start
2014-07-01
Budget End
2015-06-30
Support Year
12
Fiscal Year
2014
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
Datta, Rupak; Advani, Sonali; Rink, Andrea et al. (2018) Frequency of Infection during Fever Episodes among Long-Term Care Residents. J Gerontol Geriatr Res 7:
Crawford, Katherine M; Gallego-Fabrega, Cristina; Kourkoulis, Christina et al. (2018) Cerebrovascular Disease Knowledge Portal: An Open-Access Data Resource to Accelerate Genomic Discoveries in Stroke. Stroke 49:470-475
Lipska, Kasia J; Parker, Melissa M; Moffet, Howard H et al. (2018) Association of Initiation of Basal Insulin Analogs vs Neutral Protamine Hagedorn Insulin With Hypoglycemia-Related Emergency Department Visits or Hospital Admissions and With Glycemic Control in Patients With Type 2 Diabetes. JAMA 320:53-62
Makris, Una E; Weinreich, Mark A; Fraenkel, Liana et al. (2018) Restricting Back Pain and Subsequent Disability in Activities of Daily Living Among Community-Living Older Adults. J Aging Health 30:1482-1494
Vaz Fragoso, Carlos A; Van Ness, Peter H; Murphy, Terrence E et al. (2018) Spirometric impairments, cardiovascular outcomes, and noncardiovascular death in older persons. Respir Med 137:40-47
Mecca, Adam P; Barcelos, Nicole M; Wang, Shuo et al. (2018) Cortical ?-amyloid burden, gray matter, and memory in adults at varying APOE ?4 risk for Alzheimer's disease. Neurobiol Aging 61:207-214
Gill, Thomas M; Han, Ling; Leo-Summers, Linda et al. (2018) Distressing Symptoms, Disability, and Hospice Services at the End of Life: Prospective Cohort Study. J Am Geriatr Soc 66:41-47
Liu, Zu-Yun; Wei, Yin-Zhi; Wei, Li-Qing et al. (2018) Frailty transitions and types of death in Chinese older adults: a population-based cohort study. Clin Interv Aging 13:947-956
Monin, Joan K; Xu, Annie; Mitchell, Hannah-Rose et al. (2018) Recalling support provision decreases distress and anger in response to partner suffering. Aging Ment Health 22:587-594
Gill, Thomas M; Gahbauer, Evelyne A; Leo-Summers, Linda et al. (2018) Days Spent at Home in the Last Six Months of Life Among Community-Living Older Persons. Am J Med :

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