Dissemination and Implementation Core Charter

This charter document delineates the GEAR 2.0 ADC The Dissemination and Implementation Core Group project purpose, goals, and participant expectations.
Contact information:
Chris Carpenter, MD, MSc carpenterc@wustl.edu
Jesseca Leggett, MBA jleggett@wustl.edu

I) Purpose and Goals

GEAR 2.0 ADC Description

A fully integrated research and resource network comprised of experts in emergency medicine, geriatrics and Alzheimer’s Disease and related dementias (ADRD) that identifies research and practice gaps in the emergency care of people living with dementia (PLWD) and establishes strategies to resolve these gaps.

GEAR 2.0 ADC Goals

To develop collaborations, resources, and research infrastructure to foster transdisciplinary researchers in the emergency care of older adults with ADRD and their caregivers.

Phase 1 Aims (R61): Identify and propose strategies to address research gaps. Establish the GEAR 2.0 ADC infrastructure. (Yr 1-2)

Determine research priorities for ED care of PLWD and their caregivers using a consensus process in four domains: 1. ED practices, 2. ED care transitions, 3. Detection, and 4. Communication and decision making.
Determine the strength of available evidence by systematically conducting scoping reviews.
Prioritize research and practice gaps in emergency care for PLWD by convening a transdisciplinary stakeholder taskforce meeting.
Establish GEAR 2.0 – ADC governance and operations to support R33 pilot studies by
partnering and leveraging transdisciplinary networks and organizations: including
GEDC, ADRCs, and GEAR 2.0 Cores: 1. Administrative, 2. Research, 3. Data/Informatics,
and 4. Dissemination & Implementation.

Phase 2 Aims (R33): Support research strategies. (Yr 3-5)

Solicit, review, select, and fund research that will lead to future full-scale proposals addressing research gaps in emergency care for PLWD and their care partners.
Deploy resources to support collaborative emergency care dementia research.

Project Successfully Complete When:

GEAR 2.0 ADC is considered impactful if it expands research optimizing the emergency care and health of PLWD and their care partners. Success is determined by pilot studies transitioning to full-scale funded projects or by expanding the collaborative network.

II) Dissemination & Implementation Core Purpose and Goals

Dissemination & Implementation Core Description

The Dissemination & Implementation Core will support pilot grantees to navigate challenges in
the dissemination and implementation of emergency care research with PLWD and their care partners. It will provide guidance and training on (1) strategizing implementation efforts, (2) reporting of aspects related to implementation success, and (3) navigating dissemination.

Dissemination & Implementation Core Specific Aims

The Dissemination & Implementation Core will support GEAR 2.0 pilot studies in 4 specific ways during the pilot grant period:

Conduct training and offer guidance on how to approach study implementation with target sites for participants living with dementia and/or are care partners
Conduct training on effective strategies for selecting study sites and developing rationales of study.
Develop and disseminate reporting approaches to navigating implementation and dissemination efforts, to ensure a protocol is being conducted successfully.
Work collectively with our research partners to provide referred consultations as needed.

Core Staff

Chris Carpenter, MD, MSc
Dissemination & Implementation Core Lead Washington University School of Medicine in St. Louis
carpenterc@wustl.edu

Jesseca Leggett, MBA Candidate
Washington University School of Medicine in St. Louis
jleggett@wustl.edu

Kevin Biese, MD MAT
UNC School of Medicine
kevin_biese@med.unc.edu

Ula Hwang, MD, MPH
D/I Core Lead/PI Representative
Yale University
ula.hwang@yale.edu

David Carr, MD
Washington University School of Medicine in St. Louis
dcarr@wustl.edu

Responsibilities & Expectations

Links to Other Information

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