Antoinette Coe
University of Michigan, MI·Public Health & Epidemiology
Going home from the hospital is one of the riskiest moments for an older adult living with Alzheimer's disease or a related dementia. More than half have medication problems afterward, such as errors, conflicting instructions between hospital and home lists, or drugs that are inappropriate for them.
- Fields
Public Health & Epidemiology
Pharmacology
Medicine & Clinical Research
- Topics
Alzheimer's disease and related dementias
care transitions
hospital discharge
- Grants
- 1 known grant, through Sep 2027
What they work on
- Determine the individual and organizational factors needed to adapt the Community Care Transition Initiative for rural older adults with dementia, through semi-structured interviews and direct observations with people with dementia, care partners, community health workers, agency staff and providers.
- Prioritize critical adaptations and implementation barriers and facilitators using rapid qualitative analysis within the Tailored Implementation in Chronic Disease framework, and reach consensus on an implementation toolkit with a community advisory board.
- Test the feasibility and acceptability of implementing the adapted program in three rural Area Agencies on Aging, using a mixed-methods pilot with surveys, chart reviews, direct observations and interviews.
- Measure secondary outcomes of implementation fidelity, medication problems addressed, care partner burden, dementia behavioral symptoms and community services provided, and build a causal pathway diagram explaining why the implementation strategies worked.
More about the research
Family care partners take on more work, behavioral symptoms such as agitation flare, and basic health and social needs often go unmet. In rural areas, where services are spread thin, these problems are harder to address. This project asks how an existing care transition program can be reshaped to serve rural older adults with dementia and the people who care for them.
Why it matters
Rural older adults with dementia often return home from the hospital with confusing medication lists, worsening symptoms, exhausted care partners, and unmet social needs. Adapting a pharmacist and community health worker care transition program for this group could reduce medication-related harm, ease care partner burden, and connect families to local services, and the resulting implementation toolkit could help other rural Area Agencies on Aging deliver the same support.
Known grants
From NIH and NSF research grants. Labs often have other funding we can't see.
Closest labs
Daniel Liebzeit
University of Iowa, IA·Medicine & Clinical Research
Identify barriers and facilitators to adding the 4Ms of age-friendly care to hospital-to-home transitions through interviews with older adults, caregivers, clinicians, administrators and community service professionals.
Jessica Stern
University of Rochester, NY·Public Health & Epidemiology·Early-career
Identify the key parts of successful, lasting community health worker asthma care models through a rapid scoping review and intervention mapping with Rochester community partners.
Karen Barrett
University of California-San Francisco, CA·Medicine & Clinical Research·Early-career
Standardize a prototype improvisation music therapy intervention designed for the pair of a person living with dementia and their care partner, using the NIH Stage Model and Science of Behavioral Change frameworks.
The school
University of Michigan: 124 labs on PI Pages, $2.1B a year on research, 963 research doctorates a year.
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