Rapid growth of U.S. seniors in the next two decades will significantly increase the burden of chronic health conditions. The overwhelming majority of healthcare for seniors is delivered by physicians in subspecialties of internal medicine or surgery. Recognizing the demographic imperative and the need for a coherent strategy to infuse gerontology and geriatrics into the consciousness of specialists and NIH institutes/centers (ICs) outside NIA, we embarked on a series of scientific workshops over the last seven years with support from the John A. Hartford Foundation (JAHF) and the NIA (U13 AG040938) to conduct a series of meetings that resulted in state-of-the-art reviews in high impact journals with research-setting agendas, and provided the basis for funding opportunities jointly sponsored by NIA with other NIH ICs. In each conference, the importance of functional evaluation - physical, cognitive and sensory - to determine patient-centered, individualized goals and drive therapeutic decision-making was identified as a resounding need. However, a function first implementation strategy has lagged in specialty research, and function remains a rarely mentioned factor in clinical guidelines or quality metrics. We believe the time is right to bring together leaders and innovators in specialty medicine with researchers who have spent their entire professional careers thinking about physical, cognitive and sensory function to identify best practices and conceptual or empirical gaps that inhibit the use of functional assessment to guide care in specialty medicine. This U13 application leverages ongoing foundation funding from JAHF and is a request to renew and expand the trans-disciplinary approach employed in our prior grant to further these goals. This will require linking across all four branches of NIA, multiple NIH ICs, and other federal agencies (e.g. PCORI, CMS, CDC). The project includes health disparities as a major focus - given the great racial/ethnic/gender divide in functional outcomes - and fosters career development of minority and junior faculty.

Public Health Relevance

The Association of Subspecialty Professors' project, 'A Transdisciplinary Approach to Engage Specialty Investigators in Aging Research,' has focused on improving the health care of America's rapidly aging population. This renewal project is a request to expand the trans- disciplinary approach previously employed, linking across all four branches of NIA, multiple NIH ICs, and other federal agencies (e.g. PCORI, CMS, CDC) to further these goals to guide future research. The project will convene three workshops bringing together leaders and innovators in specialty medicine with researchers who have spent their entire professional careers thinking about physical, cognitive and sensory function to identify best practices and conceptual or empirical gaps that inhibit the use of functional assessment to guide care in specialty medicine. The project includes health disparities as a major focus - given the great racial/ethnic/gender divide in functional outcomes - and fosters career development of minority and junior faculty.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Conference--Cooperative Agreements (U13)
Project #
7U13AG040938-05
Application #
9245225
Study Section
Neuroscience of Aging Review Committee (NIA)
Program Officer
Eldadah, Basil A
Project Start
2011-09-15
Project End
2020-05-31
Budget Start
2016-07-01
Budget End
2017-05-31
Support Year
5
Fiscal Year
2016
Total Cost
Indirect Cost
Name
Wake Forest University Health Sciences
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
937727907
City
Winston-Salem
State
NC
Country
United States
Zip Code
27157
Hurria, Arti; High, Kevin P; Mody, Lona et al. (2017) Aging, the Medical Subspecialties, and Career Development: Where We Were, Where We Are Going. J Am Geriatr Soc 65:680-687
Gould, Lisa; Abadir, Peter; Brem, Harold et al. (2015) Chronic wound repair and healing in older adults: current status and future research. J Am Geriatr Soc 63:427-38
Rothberg, Amy E; Halter, Jeffrey B (2015) Obesity and diabetes in an aging population: time to rethink definitions and management? Clin Geriatr Med 31:1-15, vii
Gould, Lisa; Abadir, Peter; Brem, Harold et al. (2015) Chronic wound repair and healing in older adults: current status and future research. Wound Repair Regen 23:1-13
Halter, Jeffrey B; Musi, Nicolas; McFarland Horne, Frances et al. (2014) Diabetes and cardiovascular disease in older adults: current status and future directions. Diabetes 63:2578-89
High, Kevin P; Brennan-Ing, Mark; Clifford, David B et al. (2012) HIV and aging: state of knowledge and areas of critical need for research. A report to the NIH Office of AIDS Research by the HIV and Aging Working Group. J Acquir Immune Defic Syndr 60 Suppl 1:S1-18
Abecassis, M; Bridges, N D; Clancy, C J et al. (2012) Solid-organ transplantation in older adults: current status and future research. Am J Transplant 12:2608-22