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News from TRIPLL
May 2013
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The Importance of Trunk Strength for Balance and Fall Prevention among Older Adults
A recent systematic review published in Sports Medicine evaluated the functional relationship between trunk muscle strength and fall prevention, and identified helpful core therapies and exercises for community dwelling older adults. The authors reviewed 582 longitudinal studies focused on fall prevention, and found 20 studies that met the inclusion criteria. The authors found that preliminary evidence in the literature suggests that "core strength training (CST) and pilates exercise training (PET) have a positive influence on measures of strength, balance, functional performance, and falls in older adults."
Full Story
Perceptions of Older Adults Utilizing Emergency Department
The journal Clinical Nursing Research featured a study that examined barriers to "primary care among older adults who present to an inner city emergency department (ED) for nonurgent care." Each study participant completed a study specific questionnaire that collected demographic information, illness characteristics, and health care utilization. The authors found that "nearly all participants reported barriers to primary care; difficulty with phone systems and staff, and lack of available appointments resulting in an ED visit;" and concluded that "interventions to improve access for vulnerable older adults might have benefits not only for patient outcomes but also for health policy issues related to cost effective care and overcrowded EDs."
Full Story
The Impact of Pain on Quality of Life Among Older Adults
A study published in the Journal of Gerontological Nursing examined the associated burden of arthritis, sciatica, and back pain to determine the impact of pain conditions on quality of life (QOL) among older adults. Study participants completed a QOL assessment questionnaire that controlled for patient demographic, socioeconomic, and health status characteristics. Older adults with arthritis, sciata, and back pain reported (on average) significantly lower quality of life scores on the physical and mental components of the questionnaire in comparison to older adults with out pain. The authors conclude that, "the impact of pain on QOL was greater than that for many other commonly treated medical conditions, and "clinicians should discuss pain with their patients to maximize their QOL"
Full Story
Acupuncture for Geriatric Pain Conditions An acupuncture intervention for treating chronic pain conditions among older adults was recently featured in the Journal of Integrative Medicine. The objective of the study was to "investigate the acceptability and effectiveness of acupuncture for persistent musculoskeletal pain in the elderly." The study consisted of 60 hospitalized geriatric patients who completed 8 successive acupuncture sessions over five weeks. Study participants reported improved sleep quality and a reduction in their anxiety symptoms. The study results indicate that acupuncture can be useful "in the management of chronic pain when performed in very old frail people with chronic physical and mental disability." Full Story |
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Upcoming Events
The following list includes upcoming seminars, meetings, and conferences that focus on aging, pain, or general research methods
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May Work-in-Progress Seminar
TRIPLL will host a WIP seminar on May 15, 2013.
Presenter: Matt Baldwin, MD, MS, Assistant Professor of Clinical Medicine, Columbia University, College of Physicians and Surgeons.
To participate, contact Marcus Warmington at [email protected] if you have any questions or would like to participate in future WIPs.
Using CBPR to Address Oral Health in NYC MOW Recipients Tuesday, May 21, 2013 12:00pm-1:00pm EST
Presenters: Kavita Ahluwalia, DDS, MPH; Associate Professor of Clinical Dental Medicine, Columbia University, College of Dental Medicine ; Rachel Sherrow, LCSW; Chief Program Officer, Citymeals-on-Wheels .
Overview: The goal of this on-going work is to bring together MOW stakeholders and researchers to collaborate on capacity-building and future funding initiatives to translate and integrate evidence-based oral health promotion and disease prevention into the MOW systems. This work, which uses a community-academic partnership, has resulted in the development of a number of policy changes that will be implemented city-wide. Pilot development, implementation and testing of health promotion/disease prevention interventions that target NYC meal recipients is underway, and the partnership is actively seeking additional funding to sustain and expand this wor .
TRIPLL Webinar Series
Issues in the Management of Pain in Later Life
Wednesday, May 15, 2013 3:00pm - 4:00pm EST
Presenter: Cary Reid, MD, PhD, Director of TRIPLL, Irving Sherwood Wright Associate Professor and Director of the Office of Geriatric Research in the Division of Geriatrics and Palliative Medicine at Weill Cornell Medical College.
Overview: Chronic pain is a significant public health problem and confers substantial morbidity and suffering across all age groups, particularly among persons ages 65 and above. Advancing age constitutes an important risk factor for underassessment and undertreatment of pain, providing strong support for efforts that seek to develop and translate effective interventions for older adults with chronic pain. Some of this work may involve developing new models of dissemination for existing evidence-based programs, as well as developing new targets for intervention. This Webinar will present an overview of the impact of pain in later life, describe gaps in management, and outline recommendations to improve pain care of older adults.
Movement & Meditation to Ease Chronic Pain
When living with pain, it is easy to find yourself avoiding daily activities, opting to stay still and avoiding unnecessary movement. Unfortunately, not moving your muscles and joints often leads to more pain. Let's get moving! Join us for this gentle class that will utilize the movements of yoga and stretching in addition to breathing awareness and meditation to help ease stiffness, aches and pains.
For more information: www.hss.edu/pped or (212) 606-1613.
The Faculty Development Collaborative Program in Geriatrics is a training program designed to enhance the knowledge and skills of health professions faculty in inter-professional teaching, leadership, project development and program implementation in geriatrics. This course will prepare health professions faculty from multiple disciplines to utilize contemporary evidence-based educational strategies, inter-professional team approaches, and innovative evaluation processes in teaching collaborative patient- centered care. Palliative Care in the Community: Strategies to Address the Provision for Palliative Care to Underserved Populations and their Caregivers in the Community Setting The Brookdale Center For Healthy Aging will present a panel discussion on palliative care in the community with perspectives from public health, social work, and nursing as part of a lecture series co-sponsored by the Silberman School of Social Work and the CUNY School of Public Health at Hunter College. Information below and on our website: www.brookdale.org Date: Wednesday, May 8, 2013 Time: 4:00PM-5:50PM Place: Silberman Building, Hunter College, CUNY 8th Annual NIH Pain Consortium Symposium on Advances in Pain Research
The NIH Pain Consortium holds their annual symposium to highlight new and exciting advances in pain research, featuring work done through NIH support. This year's theme will be "Integrated Self-Management Strategies for Chronic Pain". This theme is relevant to recommendations in the IOM Report, "Relieving Pain in America", which recommends the promotion and enablement of self-management of pain. Session topics will include: Self-Management Strategies in Community Health Care Settings; Tailored Self-Management Strategies for Patients and Caregivers; and Predictors and Indicators of Outcomes in Integrated Self-Management Strategies. A poster session will include a broad selection of current pain research findings presented by young investigators. Members of the extramural scientific community, the NIH scientific community, health care providers, and the public are invited to attend.
To view agenda and register for the meeting, visit the For Further Information contact: Linda Porter [email protected] or Cheryse Sankar [email protected]. Date: May 29 - 30, 2013
Website: http://painconsortium.nih.gov/
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Pain-Related Funding
Pain in Aging (R01)
Program Announcement (PA) Number: PAR-10-282
"This FOA encourages Research Project Grant (R01) applications from institutions/organizations that propose to study pain from an aging perspective, including studies of older populations, studies of age differences and age-related changes in pain processes and experiences, and studies of pain treatment and management in older adults. This FOA particularly encourages studies on 1) mechanisms and predictors of pain experience in aging, 2) development and evaluation of pain assessment tools for older adults or older model organisms, and 3) development and evaluation of pain management strategies in older adults, with particular attention to the challenges associated with treating pain in patients with multiple morbidities. Studies may address a variety of approaches and outcomes including biological (i.e., genetic, molecular, neurobiological), clinical, behavioral, psychological, and social factors. Both animal models (especially aged animals) and human subjects are appropriate for this FOA."
To Register
Pilot and Feasibility Clinical Research Grants in Arthritis and Musculoskeletal and Skin Diseases (R21)
Program Announcement (PA) Number: PAR-10-282
"This FOA, issued by National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) of the National Institutes of Health, encourages exploratory/developmental clinical research related to the prevention or treatment of arthritis and musculoskeletal and skin diseases, conditions, and/or injuries. The Pilot and Feasibility Clinical Research Grants Program is designed to allow initiation of exploratory, short-term clinical studies, so that new ideas may be investigated without stringent requirements for preliminary data. The short-term studies should focus on research questions that are likely to gather critical preliminary data in support of a future, planned clinical trial. They can include testing new or prevention strategies, a new intervention, or unique combinations of therapies. A high priority is the use of such studies to help stimulate the translation of promising research developments from the laboratory into clinical practice."
To Register Mayday Fund of New York
"The Mayday Fund is dedicated to alleviating the incidence, degree, and consequence of human physical pain. The Mayday Fund's current grant-making targets are projects that result in clinical interventions to reduce the toll of physical pain, pediatric pain, pain in non-verbal populations, and pain in the context of emergency medicine. Mayday will also continue to be proactive in its commitment to promote networking between veterinary and human medicine, especially in an effort to inform measurements of pain in non-verbal populations. Finally, the trustees of the Mayday Fund wish to be nimble enough to respond as special opportunities present themselves. Grants are made only to public charities and educational institutions officially recognized as such by the IRS. The Mayday Fund concentrates its activities in the United States. On occasion, grants have been made to Canadian organizations when the project has an effect that reaches beyond Canada. Grants cannot be made to individuals." Applications are continuous and no specified due date is applied. Age-Related Funding Translational Research at the Aging/Cancer Interface (TRACI) (R01) Program Announcement (PA) Number: PA-12-136 This Funding Opportunity Announcement (FOA) encourages translational research proposals in the overlapping areas of human aging and cancer, linking basic and clinical research relevant to the care of older cancer patients through both bench-to-bedside and bedside-to-bench approaches. Ultimately, information from the research supported by this initiative should improve the health and well-being of elderly patients at risk for, or diagnosed with, cancer and decrease the functional impairment and morbidity associated with cancer in this population. T1 Translational Research: Novel interventions for prevention and treatment of age-related conditions (R21) Program Announcement (PA) Number: PAS-11-280 This funding opportunity announcement (FOA) encourages exploratory/developmental R21 research projects to accelerate the pace of development of novel therapeutics involving biologics, pharmacological and non-pharmacological approaches for preventing and treating key health issues affecting the elderly. For the purposes of this FOA, T1 translational research on aging is defined as the application of basic and clinical biomedical findings towards the development of new strategies for prevention and treatment of age-related pathologies. For projects proposing basic research that is being conducted in animal models, the potential to treat a clinical age-related pathology must be clearly stated in the proposal. Direct relevance of the data to a clinical aging condition must be established and clearly stated in the application.
Translational Research to Help Older Adults Maintain their Health and Independence in the Community (R01) Program Announcement (PA) Number: PA-11-123 The National Institute on Aging (NIA) and the Administration on Aging (AoA) invite applications using the R01 award mechanism for translational research that moves evidence-based research findings towards the development of new interventions, programs, policies, practices, and tools that can be used by community-based organizations to help elderly individuals remain healthy and independent, and living in their own homes and communities. The goal of this FOA is to support translational research involving collaborations between academic research centers and community-based organizations with expertise serving the elderly (such as city and state health departments, city/town leadership councils, and Area Agencies on Aging) that will enhance our understanding of practical tools, techniques, programs and policies that communities across the nation can use to more effectively respond to needs of their aging populations.
Program Announcement (PA) Number: PA-12-018
"This Funding Opportunity Announcement (FOA) issued by the National Institute on Aging (NIA) and the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) invites applications on research employing genetically defined and modified mouse models, other animal models such as dogs and monkeys or archived human joint tissues to explore the biological mechanisms underlying osteoarthritis. Osteoarthritis is a significant problem in the elderly population, and a major contributor to mobility limitations that are endemic in this population and, therefore, is an important element in the research missions of NIA and NIAMS. Inflammatory processes are evident in advanced stages of osteoarthritis, and are likely to be major contributors to the chronic pain that is the most common symptom of the condition. However, for the purpose of this announcement, osteoarthritis is distinguished from other joint diseases, such as rheumatoid arthritis, in which inflammation arising from autoimmunity is the primary cause of tissue damage. The root causes of joint degeneration in osteoarthritis remain unclear. Research efforts in the past have focused primarily on the more advanced stages of osteoarthritis, but relatively little is understood about the initial changes triggering disease etiology and early progression. This FOA is intended to encourage and accelerate the characterization of new or underutilized models and the testing of hypotheses that will lead to an improved understanding of the mechanisms mediating osteoarthritic progression."
To Register
Notice of Intent to Publish a Funding Opportunity Announcement (FOA) on Multidisciplinary Studies in HIV/AIDS and Aging (R03)
Notice Number: NOT-AG-12-004
"The National Institute on Aging (NIA) announces a trans-NIH Funding Opportunity Announcement (FOA) on Multidisciplinary Studies in HIV/AIDS and Aging. This FOA will encourage applications proposing to study HIV infection, HIV-associated conditions, HIV treatment, or biobehavioral or social factors associated with HIV/AIDS in the context of aging and/or in older adults. The research areas encouraged in this FOA are based, in part, on the recommendations of the Working Group on HIV and Aging convened by the NIH Office of AIDS Research. These areas include, but are not limited, to the following:
* Cellular and molecular mechanisms of HIV in aging
* Biomarkers or clinical indices of HIV-associated pathology
* HIV-Associated Non-AIDS (HANA) conditions / Co-morbidities
* HIV-Associated Neurocognitive Disorders (HAND)
* Intervention studies (prevention or treatment)
* Frailty/Vulnerability
* Social, behavioral, and mental health studies
The FOA is expected to be published in Spring 2012 with non-standard receipt dates beginning in Summer 2012. Multiple other NIH Institutes and Centers are expected to participate."
Please direct all inquiries to:
Basil Eldadah, MD, PhD
Division of Geriatrics and Clinical Gerontology
National Institute on Aging
7201 Wisconsin Ave, Suite 3C307
Bethesda, MD 20892
Phone: 301-496-6761
Email:[email protected]
Network and Infrastructure Support for Development of Interdisciplinary Aging Research (R24)
Program Announcement (PA) Number: PA-12-064
"The purpose of this FOA is to provide network and infrastructure support to foster development of novel interdisciplinary research approaches on important topics in aging research. This FOA will use the NIH Resource-Related Research Project (R24) mechanism to facilitate research networks that will advance specific scientific goals through activities such as meetings, conferences, small scale pilots, short term training opportunities, and visiting scholar programs, and dissemination activities to encourage growth and development in these interdisciplinary areas."
To Register
National Science Foundation funding grant "General & Age-Related Disabilities Engineering (GARDE)"
"The General & Age Related Disabilities Engineering (GARDE) program supports research that will lead to the development of new technologies, devices, or software for persons with disabilities. Research may be supported that is directed to the characterization, restoration, and/or substitution of human functional ability or cognition, or to the interaction of persons with disabilities and their environment. Areas of particular recent interest are disability-related research in neuroscience/neuroengineering and rehabilitation robotics. Emphasis is placed on significant advancement of fundamental engineering and scientific knowledge and not on incremental improvements. Proposals should advance discovery or innovation beyond the frontiers of current knowledge in disability-related research. Applicants are encouraged to contact the Program Director Ted Conway at [email protected], or call (703) 292-7091, prior to submitting a proposal."
To Register
The New Investigator Awards in Alzheimer's Disease
"Funded by The Rosalinde and Arthur Gilbert Foundation and The Diane and Guilford Glazer Foundation, the major goal of this partnership program is to support important research in areas in which more scientific investigation is needed to improve the prevention, diagnosis, and treatment of Alzheimer's disease. The program will also serve to encourage junior investigators in the United States and Israel to pursue research and academic careers in the neurosciences, and Alzheimer's disease in particular. Projects in basic and translational research related to Alzheimer's disease (AD) that are clinically relevant, will be considered. Projects that focus on healthy brain aging are also considered. For one of the awards, priority may be given to an investigator with a research interest related to healthy brain aging. Areas of research could for example include learning and memory, nutrition, exercise, cardiovascular risk factors, as they relate to the brain and the aging process. The applicant must be an independent investigator with assigned independent space as assigned by the departmental chair or equivalent official, and must be within the first ten years of receiving a doctoral degree by July 1, 2011. Exceptions to the ten year rule may be requested for unusual circumstances by emailing an NIH-style bio-sketch to AFAR at [email protected] .The proposed research must be conducted at any type of not-for-profit setting in the United States or Israel." To Register |
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The Translational Research Institute on Pain in Later Life (TRIPLL) is an NIA funded Edward R. Roybal center with a focus on persistent pain due to both cancer and non-cancer related causes. TRIPLL is a collaboration between investigators at Weill Cornell Medical College, Cornell-Ithaca, Columbia University's Mailman School of Public Health, Hospital for Special Surgery, Memorial Sloan Kettering Cancer Center, Visiting Nurse Service of New York and Council of Senior Centers & Service of NYC, Inc.
For more information on TRIPLL please contact Marcus Warmington at [email protected].
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