The National Institutes of Health (NIH) is seeking applications to advance the science and implementation of innovative multi-level health care research for older adults from populations that experience health disparities.
Donor Name: National Institutes of Health (NIH)
State: All States
County: All Counties
Type of Grant: Grant
Deadline: 01/05/2025
Size of the Grant: Not Available
Grant Duration: 5 Years
Details:
The purpose of this initiative is to advance the science and implementation of innovative multi-level health care research for older adults from populations that experience health disparities. The initiative will support research designed to (1) gain a better understanding of appropriate screening, diagnostic, and clinical care guidelines in a primary care setting, (2) explore shared decision-making that is needed to enhance care planning and patient agency between clinicians and care teams with the older adult and their caregiver(s), and (3) identify effective strategies for care coordination.
Specific Areas of Research Interest
NIMHD areas of research interests include but are not limited to the following:
Optimization of screening, diagnostic and clinical care guidelines for commonly experienced conditions
- Addressing gaps in timely assessment, diagnosis, and treatment of highly prevalent conditions (infectious and chronic non-communicable conditions) and coexisting conditions in this population. This may include:
- Establishing or modifying diagnostic criteria or identifying phenotypes that may be different in older adults.
- Developing and/or tailoring, testing, and evaluating existing tools to assess symptom burden, quality of life, and/or function, or implementing diagnostic and care guidelines that are adaptable to this population.
- Studies that seek to understand optimal practices for the recommendation of screening tests and assessments while considering tradeoffs of harm (e.g., false-positives, over-diagnosis) and benefits (e.g., quality of life) as well as optimal time for screening (e.g., intervals, stopping age) and discontinuation of screening.
Shared medical decision-making to enhance care planning and patient agency.
- Studies that explore the concept of shared decision-making between clinicians/care team and the older adult and their caregiver(s). These may include:
- Addressing conflicting recommendations for care as well as balancing clinician recommendations, patient preferences, and caregiver perspectives regarding harms, benefits, and outcomes. This may include point of care interventions that incorporate clinical decision support (CDS) within electronic health records (EHRs).
- Considering patient agency and the legal aspects and cultural norms of decision making (e.g., advance directives), especially within the context of major junctions in care, like invasive procedures, aggressive therapy with significant adverse reactions, or treatment or procedures for which there is insufficient prognostic evidence in older adults.
- Developing, testing and/or evaluating interventions in the health care settings that mitigate ageism, racism, and/or other forms of discrimination, prejudices, and stereotypes against older adults.
- Developing, testing and/or evaluating culturally tailored interventions that strengthen care settings and/or their workforce to care for older adults while being responsive to their diverse racial, ethnic, cultural, religious, social, economic, and geographical backgrounds.
- Developing, testing and/or evaluating culturally tailored interventions designed to facilitate coordination of legal assistance for older adults and their effect on strengthening patient agency, improving shared decision making, and in preventing financial exploitation.
Effective strategies for coordinating care for older adults from populations that experience health disparities.
- Developing, testing and/or evaluating care coordination strategies. These could address:
- Challenges or breakdowns in the diagnostic and care pathways from one care setting or level to another.
- Multiple care transitions to and from the home, care facilities, palliative care, and end-of-life care settings.
- Care team functioning (e.g., communication), including the role of geriatric case managers and care coordinators.
- Care setting infrastructures (e.g., coordination tools) to optimize care delivery both within and across care teams (including the patient and caregivers/family), care settings, and other agencies involved in meeting the needs of older adults.
- Evaluating the effect of policies that may drive health care disparities in older adults (e.g., affordable care, expanded coverage, drug pricing, health care accessibility and financing) on the effectiveness of optimal care coordination and health outcomes.
- Studies that evaluate the role or effect of neglect, mistreatment and/or exploitation of older adults and established policies to protect them on the effectiveness of care coordination and other healthcare-based strategies.
Project Period
The maximum project period is 5 years.
Eligibility Criteria
Higher Education Institutions
- Public/State Controlled Institutions of Higher Education
- Private Institutions of Higher Education
The following types of Higher Education Institutions are always encouraged to apply for NIH support as Public or Private Institutions of Higher Education:
- Hispanic-serving Institutions
- Historically Black Colleges and Universities (HBCUs)
- Tribally Controlled Colleges and Universities (TCCUs)
- Alaska Native and Native Hawaiian Serving Institutions
- Asian American Native American Pacific Islander Serving Institutions (AANAPISIs)
Nonprofits Other Than Institutions of Higher Education
- Nonprofits with 501(c)(3) IRS Status (Other than Institutions of Higher Education)
- Nonprofits without 501(c)(3) IRS Status (Other than Institutions of Higher Education)
For-Profit Organizations
- Small Businesses
- For-Profit Organizations (Other than Small Businesses)
Local Governments
- State Governments
- County Governments
- City or Township Governments
- Special District Governments
- Indian/Native American Tribal Governments (Federally Recognized)
- Indian/Native American Tribal Governments (Other than Federally Recognized).
Federal Governments
- U.S. Territory or Possession
Other
- Independent School Districts
- Public Housing Authorities/Indian Housing Authorities
- Native American Tribal Organizations (other than Federally recognized tribal governments)
- Faith-based or Community-based Organizations
- Regional Organizations
Foreign Organizations
- Non-domestic (non-U.S.) Entities (Foreign Organizations) are not eligible to apply.
- Non-domestic (non-U.S.) components of U.S. Organizations are not eligible to apply.
- Foreign components, as defined in the NIH Grants Policy Statement, are not allowed.
For more information, visit Grants.gov.
