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Chronic Care Management of Geriatric Traumatic Brain Injury

Award Number: K01AG065492
ORGANIZATION: NATIONAL INSTITUTE ON AGING
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP
PERIOD OF PERFORMANCE START DATE: 08/01/2020
PERIOD OF PERFORMANCE END DATE: 05/31/2026

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Chronic Care Management of Geriatric Traumatic Brain Injury - ABSTRACT Traumatic brain injury (TBI) among older adults has emerged as a new silent epidemic. Older age is associated with long-lasting symptoms and poorer outcomes after injury. A need exists for an acute-to-chronic disease model of traumatic brain injury to guide the chronic care management of older adults with TBI. Limited evidence exists on the patterns and continuity of care following discharge from acute and post-acute care to the community after TBI. This mixed-methods Mentored Research Scientist Development Award (K01) will generate data on the patterns and continuity of care to identify disparities in care and inform initiatives to improve quality of care of older adults with TBI following hospital discharge. The overarching goal of this NIA K01 award is to provide the candidate with a better understanding of the needs and provision of care of older adults with TBI, advanced analytical skills to evaluate care delivery, skills in translating evidence into health initiatives to improve care, and development of an independent research program contributing to improving health outcomes of older adults with TBI. The candidate's mentoring team includes well-established researchers in geriatric medicine, post-acute care, health services, mixed methodology, quality improvement, implementation sciences, and health disparities. The candidate will receive mentorship and training in four essential areas to achieve her career goals, which are to: (1) understand the clinical care processes and health care policies influencing health care delivery of older adults; (2) increase proficiency in advanced analytical approaches to evaluate health care delivery for older adults using administrative claims data; (3) develop, adapt, and evaluate real-world evidence-based interventions to improve health care delivery for older adults; and (4) accelerate career trajectory to becoming an NIH-funded investigator focused on improving care for older adults with TBI. Using Medicare data (2015-2018), the training activities will prepare her to address the following specific aims, which are to: (1) determine the patterns of care in older adults with TBI during the year following acute discharge; (2) explore facilitators and barriers to continuity of care, and elicit stakeholder recommendations to improve care following acute discharge among older adults with TBI, caregivers, and healthcare personnel; and (3) examine the association between continuity of care and health outcomes following acute discharge among older adults with TBI. The findings from this K01 will contribute to describing current practice, and integrate stakeholder perspectives to guide efforts to address disparities in care receipt. Through the research aims and career development training activities, the candidate will be better equipped to submit an R01 to evaluate the effect of implementing an evidence-based, patient-informed transitional care intervention to improve care continuity and health outcomes following discharge among older adults with TBI.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2027 ( Subtotal = -$17,566 )
2027	2024	UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON	301 UNIVERSITY BLVD	GALVESTON	TX	77555	GALVESTON	USA	Aging Research	000	5	10/26/2026	NON-COMPETING CONTINUATION	-$17,566
														Subtotal = -$17,566

Issue Date FY: 2024 ( Subtotal = $79,016 )
2024	2024	UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON	301 UNIVERSITY BLVD	GALVESTON	TX	77555	GALVESTON	USA	Aging Research	001	5	5/30/2024	NON-COMPETING CONTINUATION	$98,802
2024	2023	UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON	301 UNIVERSITY BLVD	GALVESTON	TX	77555	GALVESTON	USA	Aging Research	000	4	11/30/2023	NON-COMPETING CONTINUATION	-$19,786
														Subtotal = $79,016

Issue Date FY: 2023 ( Subtotal = $118,588 )
2023	2023	UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON	301 UNIVERSITY BLVD	GALVESTON	TX	77555	GALVESTON	USA	Aging Research	000	4	6/22/2023	NON-COMPETING CONTINUATION	$118,588
														Subtotal = $118,588

Issue Date FY: 2022 ( Subtotal = $184,382 )
2022	2022	UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON	301 UNIVERSITY BLVD	GALVESTON	TX	77555	GALVESTON	USA	Aging Research	001	3	8/26/2022	SUPPLEMENT FOR EXPANSION	$65,794
2022	2022	UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON	301 UNIVERSITY BLVD	GALVESTON	TX	77555	GALVESTON	USA	Aging Research	000	3	6/15/2022	NON-COMPETING CONTINUATION	$118,588
														Subtotal = $184,382

Issue Date FY: 2021 ( Subtotal = $120,532 )
2021	2021	UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON	301 UNIVERSITY BLVD	GALVESTON	TX	77555	GALVESTON	USA	Aging Research	000	2	5/18/2021	NON-COMPETING CONTINUATION	$120,532
														Subtotal = $120,532

Issue Date FY: 2020 ( Subtotal = $120,532 )
2020	2020	UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON	301 UNIVERSITY BLVD	GALVESTON	TX	77555	GALVESTON	USA	Aging Research	000	1	7/20/2020	NEW	$120,532
														Subtotal = $120,532

Grand Total All Awards = $605,484

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Chronic Care Management of Geriatric Traumatic Brain Injury

Award Number: K01AG065492

ORGANIZATION: NATIONAL INSTITUTE ON AGING

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

PERIOD OF PERFORMANCE START DATE: 08/01/2020

PERIOD OF PERFORMANCE END DATE: 05/31/2026

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