TY - JOUR
T1 - The Geriatric Emergency Care Applied Research (GEAR) network approach
T2 - A protocol to advance stakeholder consensus and research priorities in geriatrics and dementia care in the emergency department
AU - Hwang, Ula
AU - Carpenter, Christopher
AU - Dresden, Scott
AU - Dussetschleger, Jeffrey
AU - Gifford, Angela
AU - Hoang, Ly
AU - Leggett, Jesseca
AU - Nowroozpoor, Armin
AU - Taylor, Zachary
AU - Shah, Manish
N1 - Funding Information:
The Geriatric Emergency Care Applied Research (GEAR) Network was created in response to these scientific needs—to build a transdisciplinary infrastructure to support the research that will optimise emergency care for older adults and PLWD.12 The GEAR Network (https:// gearnetwork.org) is supported by the National Institute on Aging (NIA) and partner organisations, The Gary and Mary West Health Institute and The John A. Hartford Foundation (jointly on The Geriatric Emergency Department Collaborative grant (award number N/A) with two phased awards: GEAR (R33 AG058926 add dates) and GEAR 2.0—Advancing Dementia Care (GEAR 2.0 ADC) (R61 AG069822 September 2020–June 2022)). In the first phase of both awards, key stakeholders from emergency medicine, geriatrics, nursing, psychiatry, pharmacy, social work, individuals representing healthcare systems, clinicians, researchers, medical specialty organisations, advocacy organisations, caregivers, older adults and PLWD to identify consensus-driven research priorities that will improve the care of older adults (GEAR). GEAR 2.0 ADC added PLWD and care partners to the team. The second phase consists of pilot grant funding to support investigators that advance research priorities identified by stakeholder consensus.
Publisher Copyright:
© 2022 BMJ Publishing Group. All rights reserved.
PY - 2022/4/22
Y1 - 2022/4/22
N2 - Introduction Increasingly, older adults are turning to emergency departments (EDs) to address healthcare needs. To achieve these research demands, infrastructure is needed to both generate evidence of intervention impact and advance the development of implementation science, pragmatic trials evaluation and dissemination of findings from studies addressing the emergency care needs of older adults. The Geriatric Emergency Care Applied Research Network (https://gearnetwork.org) has been created in response to these scientific needs - to build a transdisciplinary infrastructure to support the research that will optimise emergency care for older adults and persons living with dementia. Methods and analysis In this paper, we describe our approach to developing the GEAR Network infrastructure, the scoping reviews to identify research and clinical gaps and its use of consensus-driven research priorities with a transdisciplinary taskforce of stakeholders that includes patients and care partners. We describe how priority topic areas are ascertained, the process of conducting scoping reviews with integrated academic librarians performing standardised searches and providing quality control on reviews, input and support from the taskforce and conducting a large-scale consensus workshop to prioritise future research topics. The GEAR Network approach provides a framework and systematic approach to develop a research agenda and support research in geriatric emergency care. Ethics and dissemination This is a systematic review of previously conducted research; accordingly, it does not constitute human subjects research needing ethics review. These reviews will be prepared as manuscripts and submitted for publication to peer-reviewed journals, and the results will be presented at conferences. Open Science Framework registered DOI: 10.17605/OSF.IO/6QRYX, 10.17605/OSF.IO/AKVZ8, 10.17605/OSF.IO/EPVR5, 10.17605/OSF.IO/VXPRS.
AB - Introduction Increasingly, older adults are turning to emergency departments (EDs) to address healthcare needs. To achieve these research demands, infrastructure is needed to both generate evidence of intervention impact and advance the development of implementation science, pragmatic trials evaluation and dissemination of findings from studies addressing the emergency care needs of older adults. The Geriatric Emergency Care Applied Research Network (https://gearnetwork.org) has been created in response to these scientific needs - to build a transdisciplinary infrastructure to support the research that will optimise emergency care for older adults and persons living with dementia. Methods and analysis In this paper, we describe our approach to developing the GEAR Network infrastructure, the scoping reviews to identify research and clinical gaps and its use of consensus-driven research priorities with a transdisciplinary taskforce of stakeholders that includes patients and care partners. We describe how priority topic areas are ascertained, the process of conducting scoping reviews with integrated academic librarians performing standardised searches and providing quality control on reviews, input and support from the taskforce and conducting a large-scale consensus workshop to prioritise future research topics. The GEAR Network approach provides a framework and systematic approach to develop a research agenda and support research in geriatric emergency care. Ethics and dissemination This is a systematic review of previously conducted research; accordingly, it does not constitute human subjects research needing ethics review. These reviews will be prepared as manuscripts and submitted for publication to peer-reviewed journals, and the results will be presented at conferences. Open Science Framework registered DOI: 10.17605/OSF.IO/6QRYX, 10.17605/OSF.IO/AKVZ8, 10.17605/OSF.IO/EPVR5, 10.17605/OSF.IO/VXPRS.
KW - Dementia
KW - accident & emergency medicine
KW - geriatric medicine
UR - http://www.scopus.com/inward/record.url?scp=85128800678&partnerID=8YFLogxK
U2 - 10.1136/bmjopen-2022-060974
DO - 10.1136/bmjopen-2022-060974
M3 - Article
C2 - 35459682
AN - SCOPUS:85128800678
SN - 2044-6055
VL - 12
JO - BMJ Open
JF - BMJ Open
IS - 4
M1 - e060974
ER -