Ongoing Projects

The following ongoing projects are organized by TRIPLL’s four aims. To learn more or find out how to get involved email Lauren Meador at lam2030@med.cornell.edu.

Aim 1. Translate findings of basic behavioral and social science research into treatments, intervention programs, and policies that improve the health and well-being of older adults who suffer from or are at increased risk of pain.

TRIPLL Investigator(s)

Project

Status

Catherine Riffin, Karl Pillemer, Cary Reid Conducted literature review on pain and the family, proposed research agenda on topic of later-life and its impact on the family unit. Riffin C, Suitor JJ, Reid MC, Pillemer K.  Chronic pain and parent-child relations in later life: Does it make a difference? Family Science 2012 (in press)
Elaine Wethington Conducted an extensive research review on loneliness and social isolation and their relationship to pain among older persons. Manuscript in preparation
TRIPLL Investigators Conducted literature review; convened NYC conference on topic of pain disparities as a function of race/ethnicity; and convened consensus conference with diverse stakeholder on this topic. Findings synthesized, manuscript in preparation, symposium presentation scheduled for American Public Health Association meeting in 11/12
Anthony Ong Analyzed data on subset of respondents with chronic pain from the National Survey of Midlife in the United States (MIDUS). Results indicated trait and state feelings of positive affect were associated with changes in levels of salivary cortisol.Analyzed GIS and daily diary data from a pilot study of chronic pain. Results indicated that exposure to nearby nature buffered the effects of pain catastrophizing on pain intensity.Examined the relationship of perceived control over daily uplifts and hassles in a sample of individuals with chronic pain. Results indicated that greater control over uplifts was associated with more adaptive pain outcomes and lower control over hassles with poorer functioning. Manuscript in preparationManuscript in preparation

 

 

Manuscript in preparation

Corinna Loeckenhoff Examined temporal horizons of providers and older patients as a possible reason for disparities in pain management. Manuscript under review
Emily Chen Examined quality of life measures used in studies of persons with arthritis. Manuscript in preparation
Janey Peterson Seeks to test an intervention that induces positive affect among participants with goal of improving physical activity among older adults with multimorbidity. K 23 Beeson application submitted and received good score, await council decision about funding on this round

Aim 2.  Promote translation of evidence-based practices, treatments, and interventions across diverse venues to improve management of pain.

TRIPLL Investigator(s)

Project

Status

Cary Reid, Chris Murtaugh, Kathy Beissner Conducting a large implementation study designed to train physical therapists working in the home care setting to deliver a cognitive behavioral self management program (CBSMP) as part of routine care for use by older adults with activity limiting pain receiving home care services. R01 funded project by AHRQ
Kathy Beissner Conducting a pilot study to determine whether physical therapist and occupational therapists providing care to individuals in an assisted living facility can deliver the CBSMP to residents with activity-limiting pain due to osteoarthritis. TRIPLL funded project
Cary Reid, Elaine Wethington Seek to use CBPR as a tool to promote delivery of a culturally tailored evidence-based program for use by seniors with pain in New York City senior centers. R01 submitted to NIA-AOA
Cary Reid, Elaine Wethington Seek to use CBPR as tool to develop, pilot and refine an multicomponent intervention that will target older adults residing in the south Bronx or central Harlem with comorbid obesity and arthritis. R24 planning grant submitted to NIMHD
Karl Pillemer, Cary Reid, Laura Robbins Completing CTSC funded pilot study that has evaluated support group therapy (Beyond the Pain) as possible mechanism for extending and maintaining treatment gains following participation in the Arthritis Self-Help Program. Pilot testing of the Beyond the Pain program scheduled for 9/12 in central Harlem.
Cary Reid, Brookdale Senior Living Using quality improvement initiative to improve pain care in long-term care facility. Project underway
Laura Robbins Conducted consensus workshop on State of the Science: Prevention and Management of Osteoarthritis with an emphasis on pain. Conference proceedings published as an American Journal of Nursing supplement in 2012 that was distributed to over 100,000 nurses nationwide.
Tien Dam Conducted pilot study of 58 homebound Meals on Wheels recipients in New York City to examine the feasibility of recruiting multi-ethnic seniors for weekly vitamin D supplementation study over 6 months. Manuscript in progress showing feasibility of recruitment and retention. Approximately 80% reported pain in last 3 months with half reporting pain most to all of the time. This project provides preliminary data for an R21 to look at multicomponent intervention to promote physical activity in homebound seniors, submission planned for 10/12.

 Aim 3. Develop and test innovative methods, tools, and strategies that facilitate successful translation of evidence into practice.

TRIPLL Investigator(s)

Project

Status

Elaine Wethington, Karl Pillemer and TRIPLL investigators The research-to-practice consensus conference method facilitates equal exchange on research priorities and applications between academic researchers and community stakeholders. We have published findings from these conferences. TRIPLL investigators and affiliates routinely employ consensus conference method as a means of gaining consensus and building partnerships.
Cary Reid, Karl Pillemer, Emily Chen Developed and piloted method for adapting evidence-based programs for use in new settings. The tool, which is called the Method for Program Adaptation through Community Engagement (M-PACE), uses systematic and detailed feedback from program participants to guide the adaptation process. Manuscript describing method has been published: Chen EK, Reid MC, Parker SJ, Pillemer K.Tailoring Evidence-Based Interventions for New Populations: A Method for Program Adaptation Through Community Engagement.Eval Health Prof. 2012 Apr 19. [Epub ahead of print]
Thelma Mielenz Conducted study that examined two scales for self-efficacy for exercise behavior to identify their strengths and weaknesses using item response theory from community-based randomized controlled trials of physical activity programs in adults with arthritis. Manuscript published: Mielenz TJ, Edwards MC, Callahan LF.  Item Response Theory Analysis of Two Self-efficacy for Exercise Behavior Scales in People with Arthritis.  J Aging Phys Act.  2011;19:239-248
Thelma Mielenz To determine whether levels of pain have a direct causal effect on physical inactivity in WHAS II participants.  Over a 10.5-year period, we used marginal structure models (MSM) to estimate the causal effect of the time-varying pain status on physical activity controlling for time-dependent confounding.  Inverse probability of treatment weight (IPTW) used for causal modeling. Platform presentation:  The Gerontological Society of America, 64th Annual Scientific Meeting, Boston, MA, November 2011.  Mielenz T, Tian J, Alvarez K, Ornstein K, Guralnik J, Fried L, Bandeen-Roche K, Xue Q.  Do Pain Levels Have a Direct Causal Effect on Physical Inactivity Without Mediation by Function?
Janey Peterson and Cary Reid Reviewed methodologic issues in the measurement of comorbidity and risk, focusing on promotion of evidence-based medicine in rheumatology and gaps in both research and dissemination of best practices. Peterson, JC, Paget, SA, Lachs, MS, Reid, MC, Charlson ME. The Risk of Comorbidity. Ann Rheum Dis 2012 May;71(5):635-7

 Aim 4. Develop and maintain an effective infrastructure for conducting translational research on aging and pain

TRIPLL Investigator(s)

Project

Status

TRIPLL, Weill’s CTSC and Weill’s Comprehensive Center of Excellence in Disparities Research and Community Engagement Hosted city wide conference on topic of pain disparities among minority populations. TRIPLL developed multiple new collaborators
Cary Reid, Karl Pillemer, Emily Chen Palliative care project will employ consensus conference methodology to identify key stakeholders (e.g., research, policymakers and consumers of palliative care) to identify research gaps and forge partnerships to address them. Work is ongoing
TRIPLL Investigators Monthly work in progress seminar series helps to build infrastructure by providing a venue for junior researchers to enhance their planned, in process or completed research. Work is ongoing
TRIPLL Investigators Convened Community Advisory Board for half day Conference to build infrastructure and receive feedback on how best to conduct research in community settings. Work is ongoing
Cary Reid Working closely with community partners and other academic policy organizations to offer palliative care services in community settings. The project seeks to build an infrastructure around research in service agencies to address palliative care and pain. Work is ongoing
TRIPLL Investigators Conducted and continuing to organize webinar series in order to build skills at each TRIPLL affiliated institution around issues of pain measurement, research and interventions. Webinars will continue in year 4