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Care & Caregiving: Comparative effectiveness research (Milestone 13.F)

In Progress

Timeline Start - End

2017 - 2024

Research Implementation Area

Research on Care and Caregiver Support

Partner with insurers (including CMS) to conduct comparative effectiveness research to determine which existing evidence-based interventions to reduce burden in caregivers are effective if implemented as an adjunct to primary care in non-research settings across the full care continuum, including patients in a variety of settings (home, nursing home, assisted living, hospice).

Success Criteria

  • Conduct cluster randomized trials comparing interventions stemming from contact with caregiver dyads in primary care, with insurers supporting intervention costs and enrolled participants agreeing to allow researchers to link the data obtained in the study with billing data, to allow researchers to follow longer range health effects of caregiving and effective interventions. 

  • Identification of programs that work best for different stages of the care continuum.

  • Launch a research program to identify interventions with demonstrated reduction in harm to PWD due to elder mistreatment.

  • Identification of which programs work best with different population subgroups (racial, ethnic, geographic, socioeconomic)

  • Development of new models of care that can be adopted by insurers.

  • Collaborate with other federal agencies to disseminate caregiver training materials and interventions based on research.

Summary of Key Accomplishments

NIA issued a funding opportunity (RFA-AG-22-024) to call for research that can lead to the development of evidence-based primary care screening tools and behavioral interventions to prevent abuse in at-risk older and vulnerable adults with mild cognitive impairment (MCI) and AD/ADRD and their families. Studies directly address the priority research needs highlighted in the U.S. Preventive Services Task Force’s 2018 final statement on Intimate Partner Violence, Elder Abuse, and Abuse of Vulnerable Adults: Screening for the development and validation of screening instruments or assessments and point-of-care interventions.

The key accomplishments summary is current as of July 2022. 

Accomplishments/Implementation Activities

Funding Initiatives

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Research Highlights

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