The potential impact of the IDS-1 and IDS-2 stroke interventions and disability among Americans is enormous, and large-scale trials will be needed to test methods designed to maximize independence. The implementation of these trials will require information regarding the generalizability of findings and the potential personal and societal effects of those interventions. RRC-A is designed both to meet the needs of current UM-OAIC projects and to lay the groundwork for future trials.
The specific aims of RRC-A are: 1. Support centralized recruitment and evaluation of factors affecting recruitment. 2. Implement interview-based measures of outcomes, including basic and instrumental activities of daily living, quality of life, and caregiver burden, as well as potential modifiers of that outcome, including comorbidities, mood, cognitive function, social support, and exercise perception. 3.Develop an innovative approach to modeling the potential health care cost savings of interventions that lead to changes in functional status. There is a compelling rationale for including these services in a core rather than in individual projects. Centralized recruitment of stroke patients for both IDS studies is more efficient, allows study of the determinants of recruitment, and can provide strategic consultation regarding recruitment to other studies of chronic disease in older Americans. Centralized performance of interview-based measures will facilitate training, quality control, standardization, and precision of measurements. The inclusion of a health-services component in this core makes this expertise available not only to the IDS studies, but also to R01 -funded studies of exercise interventions in peripheral vascular disease and hip fracture patients. The RRC-A will also contribute actively to training young geriatrics and gerontology investigators in epidemiology and health-services research, and will provide resources for the conduct of junior-faculty and pilot studies.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Comprehensive Center (P60)
Project #
3P60AG012583-07S1
Application #
6611089
Study Section
Special Emphasis Panel (ZAG1)
Project Start
2002-07-16
Project End
2003-06-30
Budget Start
Budget End
Support Year
7
Fiscal Year
2002
Total Cost
Indirect Cost
Name
University of Maryland Baltimore
Department
Type
DUNS #
003255213
City
Baltimore
State
MD
Country
United States
Zip Code
21201
Addison, Odessa; Prior, Steven J; Kundi, Rishi et al. (2018) Sarcopenia in Peripheral Arterial Disease: Prevalence and Effect on Functional Status. Arch Phys Med Rehabil 99:623-628
Woytowicz, Elizabeth J; Rietschel, Jeremy C; Goodman, Ronald N et al. (2017) Determining Levels of Upper Extremity Movement Impairment by Applying a Cluster Analysis to the Fugl-Meyer Assessment of the Upper Extremity in Chronic Stroke. Arch Phys Med Rehabil 98:456-462
Addison, Odessa; Ryan, Alice S; Prior, Steven J et al. (2017) Changes in Function After a 6-Month Walking Intervention in Patients With Intermittent Claudication Who Are Obese or Nonobese. J Geriatr Phys Ther 40:190-196
Ortmeyer, Heidi K; Goldberg, Andrew P; Ryan, Alice S (2017) Exercise with weight loss improves adipose tissue and skeletal muscle markers of fatty acid metabolism in postmenopausal women. Obesity (Silver Spring) 25:1246-1253
Addison, Odessa; Inacio, Mario; Bair, Woei-Nan et al. (2017) Role of Hip Abductor Muscle Composition and Torque in Protective Stepping for Lateral Balance Recovery in Older Adults. Arch Phys Med Rehabil 98:1223-1228
Kundi, Rishi; Prior, Steven J; Addison, Odessa et al. (2017) Contrast-Enhanced Ultrasound Reveals Exercise-Induced Perfusion Deficits in Claudicants. J Vasc Endovasc Surg 2:
Resnick, Barbara; Gruber-Baldini, Ann L; Hicks, Gregory et al. (2016) Measurement of Function Post Hip Fracture: Testing a Comprehensive Measurement Model of Physical Function. Rehabil Nurs 41:230-47
Kisser, Jason E; Allen, Allyssa J; Katzel, Leslie I et al. (2016) Relations of blood pressure and head injury to regional cerebral blood flow. J Neurol Sci 365:9-14
Resnick, Barbara; Beaupre, Lauren; McGilton, Katherine S et al. (2016) Rehabilitation Interventions for Older Individuals With Cognitive Impairment Post-Hip Fracture: A Systematic Review. J Am Med Dir Assoc 17:200-5
Addison, Odessa; Steinbrenner, Gregory; Goldberg, Andrew P et al. (2015) Aging, Fitness, and Marathon Times in a 91 Year-old Man Who Competed in 627 Marathons. Br J Med Med Res 8:1074-1079

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