This study aims to identify understudied, healthcare-related, potentially modifiable causal pathways linking age-related cognitive decline over 10 years with poorer health among older adults with chronic conditions. A relevant, formidable healthcare concern is the confluence of increased medical morbidity with age that results in more complex patient self-management roles, and age-related cognitive decline, which may adversely affect an older patient’s ability to self-manage chronic conditions. The relationship between cognitive function & decline with chronic disease-related outcomes is not clear. Thus, interventions targeting self-management among older adults have had variable success. Our cohort study, ‘LitCog’ (R01AG030611), can directly respond to recognized knowledge gaps. 900 patients ages 55-74 receive cognitive, psychological, social, behavioral, and health assessments every 3 years. To better understand the problem and inform solutions, our primary aim is to: (1a) evaluate longitudinal associations between cognitive function and health among older adults; (1b) identify psychosocial factors that influence these associations. To frame the problem for health systems, our secondary aim is to: (2) assess whether poorer cognitive function and decline leads to excess healthcare resource use and costs. Finally, to explore possible health system responses, our exploratory aim is to: (3) describe the explicit challenges LitCog subjects face when self-managing complex chronic conditions, and explore the acceptability of potential solutions.
|Effective start/end date||5/15/16 → 2/29/20|
- National Institute on Aging (5R01AG030611-12)