The overarching goals of the Biostatistics Core (BC), RC-2, are to provide design and analytical services to OAIC investigators conducting studies of multifactorial geriatric conditions; to develop and disseminate new design and analytical techniques for conducting studies with older persons; and to train a cadre of clinical investigators, biostatisticians, and epidemiologists in the skills necessary to design, conduct, and analyze gerontologic studies. The BC provides state-of-the-art research design and biostatistical expertise for the Yale OAIC with the following specific aims: 1) to collaborate with Pepper Scholars and other REC trainees, PES investigators, Operations Core (RC-1) colleagues, and investigators of External Projects (EPs) to achieve the mission of the Yale OAIC in promoting the understanding and management of multifactorial geriatric conditions; 2) to develop new and rigorous methods that address the challenges of designing and analyzing studies in basic, translational, and clinical geriatric/aging research, with special emphasis on introducing rigorous statistical methods; and 3) to train the next generation of gerontologic biostatisticians, epidemiologists, and early-stage investigators in Gerontologic Biostatistics research methods specific to studies of multifactorial geriatric conditions, e.g., methods for handling missing data due to attrition. The BC?s standard operating procedures address: 1) missing data, 2) reproducibility, 3) effect modification and mediation, 4) design of experiments, 5) conduct of trials, 6) multiplicity, 7) consideration of sex as a biological variable, 8) assignments and resource allocation to Yale OAIC projects, 9) mentoring, 10) documentation of data and analytical procedures, and 11) publication of statistical results. The BC?s collaboration and services to the OAIC and EPs include: 1) design for grant preparation of clinical trials and basic, translational, and epidemiological studies, including sample size estimation, randomization, and strategies to prevent or reduce missing data; 2) consultation on measurement instruments; 3) quality control procedures for ensuring rigor and reproducible analyses; 4) statistical analyses; 5) interpretation of study results in statistically responsible and clinically meaningful ways for abstracts, manuscripts, and presentations, often with specialized figures; 6) methodological development and novel application of methods from other fields relevant to the study of multifactorial geriatric conditions; and 7) education, mentoring, and training of junior investigators in Gerontologic Biostatistics. The proposed Biostatistics Core?s Development Project (DP-2), which focuses on the application of time-varying effects modeling (TVEM) in aging research, is innovative because (TVEM) has rarely been used in aging research. These longitudinal TVEM models can make important contributions to understanding the health of older adults by numerically and graphically showing how the effects of patient or clinical characteristics vary intensely over time. DP-2 will also provide new insights about how rigorous missing data methods can be used with TVEM.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Center Core Grants (P30)
Project #
5P30AG021342-17
Application #
9737786
Study Section
Special Emphasis Panel (ZAG1)
Project Start
Project End
Budget Start
2019-07-01
Budget End
2020-06-30
Support Year
17
Fiscal Year
2019
Total Cost
Indirect Cost
Name
Yale University
Department
Type
DUNS #
043207562
City
New Haven
State
CT
Country
United States
Zip Code
06520
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 :
Wang, Christina; Stephens-Shields, Alisa J; DeRogatis, Leonard R et al. (2018) Validity and Clinically Meaningful Changes in the Psychosexual Daily Questionnaire and Derogatis Interview for Sexual Function Assessment: Results From the Testosterone Trials. J Sex Med 15:997-1009
Marini, Sandro; Devan, William J; Radmanesh, Farid et al. (2018) 17p12 Influences Hematoma Volume and Outcome in Spontaneous Intracerebral Hemorrhage. Stroke 49:1618-1625
Buford, Thomas W; Manini, Todd M; Kairalla, John A et al. (2018) Mitochondrial DNA Sequence Variants Associated With Blood Pressure Among 2 Cohorts of Older Adults. J Am Heart Assoc 7:e010009
McCoy, Rozalina G; Herrin, Jeph; Lipska, Kasia J et al. (2018) Recurrent hospitalizations for severe hypoglycemia and hyperglycemia among U.S. adults with diabetes. J Diabetes Complications 32:693-701
Shook, Brett A; Wasko, Renee R; Rivera-Gonzalez, Guillermo C et al. (2018) Myofibroblast proliferation and heterogeneity are supported by macrophages during skin repair. Science 362:
Miller, Michael E; Magaziner, Jay; Marsh, Anthony P et al. (2018) Gait Speed and Mobility Disability: Revisiting Meaningful Levels in Diverse Clinical Populations. J Am Geriatr Soc 66:954-961

Showing the most recent 10 out of 691 publications