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Implementation and Evaluation of Patient Priorities Care-North Carolina for Older Adults with Multiple Chronic Conditions

Award Number: R01AG062686
ORGANIZATION: NATIONAL INSTITUTE ON AGING
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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Project Summary/Abstract The long-term goal of this research is to re-engineer clinical decision-making for older adults with multiple chronic conditions (MCC) to center within the health priorities of patients. The overall objective of this Research Project Grant Program (R01) study is to implement and evaluate a Patient priorities care (PPC) intervention in primary care practices in North Carolina (NC) using a hybrid effectiveness-implementation design. Guided by the Minimally Disruptive Medicine model, our central hypothesis is that clinical decision-making guided by patients' priorities will result in less burdensome care for patients and their families, increase patient goal setting, facilitate patient-provider shared decision-making, and improve patient quality of life and satisfaction with care. As the prevalence, costs, and treatment burden of MCC continue to rise, new approaches to care are urgently needed in this growing population. Findings from this study will inform practical approaches for aligning clinical decision-making in older adults with MCC with their health priorities. This project is highly relevant to priorities of the National Institute on Aging (NIA) which call for research to develop and evaluate health care models and approaches aligned with patient values, preferences, and goals in older adults with MCC.


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: 2023 ( Subtotal = -$990,788 )
2023	2022	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL	104 AIRPORT DR STE 2200	CHAPEL HILL	NC	27599	ORANGE	USA	Aging Research	000	4	2/24/2023	NON-COMPETING CONTINUATION	$0
2023	2022	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL	104 AIRPORT DR STE 2200	CHAPEL HILL	NC	27599	ORANGE	USA	Aging Research	002	4	9/20/2023	NON-COMPETING CONTINUATION	-$545,908
2023	2021	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL	104 AIRPORT DR STE 2200	CHAPEL HILL	NC	27599	ORANGE	USA	Aging Research	001	3	9/20/2023	NON-COMPETING CONTINUATION	-$444,880
														Subtotal = -$990,788

Issue Date FY: 2022 ( Subtotal = $545,908 )
2022	2022	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL	104 AIRPORT DR STE 2200	CHAPEL HILL	NC	27599	ORANGE	USA	Aging Research	000	4	6/2/2022	NON-COMPETING CONTINUATION	$545,908
														Subtotal = $545,908

Issue Date FY: 2021 ( Subtotal = $577,775 )
2021	2021	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL	104 AIRPORT DR STE 2200	CHAPEL HILL	NC	27599	ORANGE	USA	Aging Research	000	3	7/8/2021	NON-COMPETING CONTINUATION	$577,775
														Subtotal = $577,775

Issue Date FY: 2020 ( Subtotal = $600,843 )
2020	2020	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL	104 AIRPORT DR STE 2200	CHAPEL HILL	NC	27599	ORANGE	USA	Aging Research	001	2	7/29/2020	NON-COMPETING CONTINUATION	$600,843
2020	2019	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL	104 AIRPORT DR STE 2200	CHAPEL HILL	NC	27599	ORANGE	USA	Aging Research	000	1	4/21/2020	NEW	$0
														Subtotal = $600,843

Issue Date FY: 2019 ( Subtotal = $564,753 )
2019	2019	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL	104 AIRPORT DR STE 2200	CHAPEL HILL	NC	27599	ORANGE	USA	Aging Research	000	1	9/16/2019	NEW	$564,753
														Subtotal = $564,753

Grand Total All Awards = $1,298,491

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Implementation and Evaluation of Patient Priorities Care-North Carolina for Older Adults with Multiple Chronic Conditions

Award Number: R01AG062686

ORGANIZATION: NATIONAL INSTITUTE ON AGING

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

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

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