Division of Geriatrics and Gerontology, Department of Medicine, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin.
Wisconsin Institute for Health Aging, Madison, Wisconsin.
J Am Geriatr Soc. 2020 Jun;68(6):1325-1333. doi: 10.1111/jgs.16363. Epub 2020 Feb 10.
BACKGROUND/OBJECTIVES: The Community-Academic Aging Research Network (CAARN) was created to increase the capacity and effectiveness of Wisconsin's Aging Network and the University of Wisconsin to conduct community-based research related to aging. The purpose of this article is to describe CAARN's infrastructure, outcomes, and lessons learned.
Using principles of community-based participatory research, CAARN engages stakeholders to participate in the design, development, and testing of older adult health interventions that address community needs, are sustainable, and improve health equity.
Academic healthcare and community organizations.
Researchers, community members, and community organizations.
CAARN matches academic and community partners to develop and test evidence-based programs to be distributed by a dissemination partner.
Number of partnerships and funding received.
CAARN has facilitated 33 projects since its inception in 2010 (30 including rural populations), involving 46 academic investigators, 52 Wisconsin counties, and 1 tribe. These projects have garnered 52 grants totaling $20 million in extramural and $3 million in intramural funding. Four proven interventions are being prepared for national dissemination by the Wisconsin Institute for Healthy Aging: one to improve physical activity; one to reduce bowel and bladder incontinence; one to reduce sedentary behavior; and one to reduce falls risk among Latinx older adults. Additionally, one intervention to improve balance using a modified tai chi program is being disseminated by another organization.
CAARN's innovative structure creates a pipeline to dissemination by designing for real-world settings through inclusion of stakeholders in the early stages of design and by packaging community-based health interventions for older adults so they can be disseminated after the research has been completed. These interventions provide opportunities for clinicians to engage with community organizations to improve the health of their patients through self-management. J Am Geriatr Soc 68:1325-1333, 2020.
背景/目的：社区-学术老龄化研究网络（CAARN）的成立旨在增强威斯康星州老龄化网络和威斯康星大学的能力和有效性，以开展与老龄化相关的基于社区的研究。本文的目的是描述 CAARN 的基础设施、成果和经验教训。
CAARN 采用社区参与式研究的原则，让利益相关者参与到老年人大健康干预措施的设计、开发和测试中，这些干预措施针对社区需求，具有可持续性，并能改善健康公平性。
学术医疗保健和社区组织。
研究人员、社区成员和社区组织。
CAARN 将学术和社区合作伙伴进行匹配，以开发和测试基于证据的项目，然后由传播合作伙伴进行传播。
合作伙伴的数量和获得的资金。
自 2010 年成立以来，CAARN 已经促成了 33 个项目（包括农村地区的 30 个项目），涉及 46 名学术研究人员、威斯康星州的 52 个县和 1 个部落。这些项目共获得了 52 项赠款，总额为 2000 万美元的外部资金和 300 万美元的内部资金。威斯康星州健康老龄化研究所正在准备将四项经过验证的干预措施推向全国传播：一项旨在提高身体活动水平；一项旨在减少肠道和膀胱失禁；一项旨在减少久坐行为；一项旨在降低拉丁裔老年人的跌倒风险。此外，另一个组织正在传播一项使用改良太极方案来改善平衡的干预措施。
CAARN 的创新结构通过在设计的早期阶段纳入利益相关者，为现实世界的环境进行设计，并将针对老年人的基于社区的健康干预措施打包，以便在研究完成后进行传播，从而为传播创造了渠道。这些干预措施为临床医生提供了与社区组织合作的机会，通过自我管理来改善患者的健康。美国老年医学会 68:1325-1333, 2020.
