# Development and validation of the Patient-Reported Outcome Measure - Older adult care Transitions from the Emergency Department (PROM-OTED) tool

> **NIH NIH R03** · YALE UNIVERSITY · 2022 · $167,500

## Abstract

PROJECT SUMMARY / ABSTRACT
 Persons aged 65 years and older account for over 22 million emergency department (ED) visits
annually. Recent efforts to reduce unnecessary hospitalizations following ED evaluation have resulted in
approximately 65% of older adult ED patients being discharged home. This vulnerable time period post-ED
discharge has significant clinical and public health importance as it has been associated with an increased
likelihood of morbidity and mortality as well as unscheduled ED recidivism and hospital admission. Despite
high rates of adverse outcomes in this period of transition, little is known regarding the experiences and
specific challenges faced by older adults during transitions home from the ED. Having a clear understanding of
patients' priorities regarding health-related quality of life, functional disability, communication barriers, and
condition-specific symptoms after ED discharge is essential to inform clinical conversations and the
development of interventions targeting care transitions for older adults.
 The overall objective of this proposal is to use a sequential exploratory mixed-methods approach to
develop and validate the Patient Reported Outcome Measure - Older adult care Transitions from the ED
(PROM-OTED) tool, a novel care transitions PROM for older persons experiencing ED discharge care
transitions. We will achieve this objective with the following two aims: 1) To develop the PROM-OTED tool,
characterizing outcomes of ED discharge care transitions prioritized by older persons. We will use an iterative
qualitative approach including concept identification, member checking for concept ranking, cognitive
interviewing for question development, and expert panel item-reduction by a modified Delphi process; and 2)
To conduct internal validity testing of the PROM-OTED tool. We will perform quantitative survey evaluation of
the tool's initial psychometric properties and feasibility among older persons who recently experienced an ED
discharge care transition.
 In alignment with the “National Institute on Aging: Strategic Directions for Research, 2020-2025”,
findings of this proposal will improve our understanding of the needs of an aging society to inform intervention
development and policy decisions. Specifically, this work will have significant impact by developing a measure
to assess whether outcomes prioritized by older adults in the ED are currently met and identify opportunities for
improvement in the clinical and research arenas. During the award period, the candidate will acquire relevant
skills and benefit from mentorship by accomplished clinician-researchers with complementary skill sets. This
investigation will serve as preliminary work towards a future NIA K award application, in line with the
candidate's long-term objectives of assessing the PROM-OTED tool in a larger national ED sample, including
those with Alzheimer's disease and related dementias (ADRD), and subsequently developing care transition
...

## Key facts

- **NIH application ID:** 10457462
- **Project number:** 5R03AG073988-02
- **Recipient organization:** YALE UNIVERSITY
- **Principal Investigator:** Cameron Gettel
- **Activity code:** R03 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2022
- **Award amount:** $167,500
- **Award type:** 5
- **Project period:** 2021-08-01 → 2025-04-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10457462

## Citation

> US National Institutes of Health, RePORTER application 10457462, Development and validation of the Patient-Reported Outcome Measure - Older adult care Transitions from the Emergency Department (PROM-OTED) tool (5R03AG073988-02). Retrieved via AI Analytics 2026-05-25 from https://api.ai-analytics.org/grant/nih/10457462. Licensed CC0.

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