Official websites use .gov

A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS

A lock ( 🔒 ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

Need Help

Improving integration of treatment burden information in primary care for older adults with multiple chronic conditions

Award Number: K38AG094915
ORGANIZATION: NATIONAL INSTITUTE ON AGING
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 08/15/2025
PERIOD OF PERFORMANCE END DATE: 04/30/2027

Group Awards By:

View Award Description

Improving integration of treatment burden information in primary care for older adults with multiple chronic conditions - PROJECT SUMMARY/ABSTRACT Over two-thirds of older adults in the US are diagnosed with multiple chronic conditions (MCCs). Due to the increased complexity of their care, these adults are at higher risk of experiencing treatment burden, defined as the patient-perceived effort of accommodating health care into one’s life, including cognitive load, time, and cost. Guidelines currently recommend reducing treatment burden as a part of the care of older adults with MCCs, yet no evidence-based approach exists to support this goal. Existing validated methods for assessing treatment burden, such as the Treatment Burden Questionnaire (TBQ), are lengthy and require information not routinely collected in clinical care (i.e. inaccessible in electronic health records or claims data), making them difficult to automate and implement in primary care settings where most older adults receive care. There is a critical need for a scalable, systematic approach to evaluate and respond to treatment burden, tailored to older adults with MCCs. The objective of this proposal is to establish a foundation for the integration of treatment burden information in primary care for older adults with MCCs. Mentored by an outstanding team of experts in aging research, I will: 1) Develop a scalable model to estimate TBQ treatment burden scores in older adults with MCCs, using data from the nationally- representative 2022 Health and Retirement Study TBQ linked with Medicare claims data, and 2) Conduct qualitative interviews with primary care providers (n=10), their patients aged ≥65 with MCCs (n=10), and caregivers of their patients aged ≥65 with MCCs (n=10) to understand key perspectives on experiences with assessing, managing, and communicating about treatment burden in primary care for older adults with MCCs. These aims will be undertaken in conjunction with career development activities focused on 1) prediction modeling using large observational data, 2) qualitative methods, and 3) research for older adults with MCCs. This proposal will advance our understanding of strategies to estimate treatment burden and to incorporate this information into primary care decision-making for older adults with MCCs, and inform future work developing strategies to reduce treatment burden for older adults with MCCs. It will also provide critical research skills and data to support progress towards my long-term goal of becoming an independent investigator reducing treatment burden and improving quality of life for older adults with MCCs.


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: 2026 ( Subtotal = $107,330 )
2026	2026	BETH ISRAEL DEACONESS MEDICAL CENTER, INC.	330 BROOKLINE AVE	BOSTON	MA	02215	SUFFOLK	USA	Aging Research	000	2	4/21/2026	NON-COMPETING CONTINUATION	$107,330
														Subtotal = $107,330

Issue Date FY: 2025 ( Subtotal = $107,330 )
2025	2025	BETH ISRAEL DEACONESS MEDICAL CENTER, INC.	330 BROOKLINE AVE	BOSTON	MA	02215	SUFFOLK	USA	Aging Research	000	1	8/8/2025	NEW	$107,330
														Subtotal = $107,330

Grand Total All Awards = $214,660

Top

All Categories

About

Search

Reports

Data Submission

Award Information

Improving integration of treatment burden information in primary care for older adults with multiple chronic conditions

Award Number: K38AG094915

ORGANIZATION: NATIONAL INSTITUTE ON AGING

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 08/15/2025

PERIOD OF PERFORMANCE END DATE: 04/30/2027

Federal Websites

Department of Health & Human Services

HHS Operating Divisions

HHS Staff Divisions

Download A Document Viewer