# GamePlan4Care: Web-based Delivery System for REACH II

> **NIH NIH R01** · BAYLOR RESEARCH INSTITUTE · 2021 · $308,627

## Abstract

This is a Mentored Physician-Scientist Award in Alzheimer's Disease and Related Dementias (ADRD)
application for Dr. Molly Horstman, a hospitalist and health services researcher at the Michael E. DeBakey VA
Medical Center, who is establishing herself as a young investigator at the intersection of hospital medicine,
dementia, and caregiving. This award will provide Dr. Horstman with the necessary support (1) to develop
expertise in ADRD and dementia caregiving, (2) to receive formal training in implementation science research
methods, and (3) to gain the experience needed to establish herself as an independent physician-scientist. To
achieve these goals, Dr. Horstman has assembled a multidisciplinary mentoring team of nationally recognized
investigators in ADRD, Dementia Caregiving, Geriatrics, and Implementation Science research methods.
 Hospital admissions are sentinel events for Veterans with ADRD and their family caregivers. Adults with
ADRD are often discharged from the hospital with new functional and cognitive limitations, which increases
demands on family caregivers following discharge. These changing caregiver demands increase caregiver
stress, which can lead to worse outcomes for caregivers and care recipients. Over 20 years of research has
demonstrated that care transitions interventions started in the hospital can improve outcomes for patients.
Furthermore, care transitions interventions started in the hospital and designed specifically to meet the needs
of stroke caregivers have been shown to reduce caregiver burden and anxiety and reduce acute care resource
use following discharge. To date, this evidence base supporting tailored interventions to meet specific
caregiver needs has not been translated to the support for dementia caregivers during care transitions.
 Resources for Enhancing Alzheimer's Caregiver Health (REACH II) is a multicomponent, evidence-based
ADRD caregiver support program that has been adapted and implemented in the Veterans Health
Administration as REACH VA. When delivered in the community, REACH II and REACH VA were associated
with improvements in caregiver depression, caregiver social support, and caregiver self-care and a decrease in
caregiver burden and problem behaviors in the care recipient. Evidence-based interventions, like REACH II,
are challenging to scale and spread due to the need for one-on-one interactions between caregivers and
dementia care specialists for skills training. GamePlan4Care (GP4C) is a novel, web-based training platform
designed to fully replicate the core components of REACH II in an acceptable and scalable online platform
informed by user-centered testing. With adaptation to the hospital setting to include care transitions training,
GP4C has great potential to transform the support of ADRD caregivers during care transitions.
 This proposal will combine evidence-informed care transitions training with an existing dementia caregiver
support intervention to create a new and unique inte...

## Key facts

- **NIH application ID:** 10299708
- **Project number:** 3R01AG061973-04S1
- **Recipient organization:** BAYLOR RESEARCH INSTITUTE
- **Principal Investigator:** ALAN B STEVENS
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $308,627
- **Award type:** 3
- **Project period:** 2018-09-30 → 2023-05-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10299708

## Citation

> US National Institutes of Health, RePORTER application 10299708, GamePlan4Care: Web-based Delivery System for REACH II (3R01AG061973-04S1). Retrieved via AI Analytics 2026-05-22 from https://api.ai-analytics.org/grant/nih/10299708. Licensed CC0.

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