# Geriatric Emergency care Applied Research network 2.0 - Advancing Dementia Care (GEAR 2.0 ADC)

> **NIH NIH R33** · YALE UNIVERSITY · 2023 · $1,505,231

## Abstract

PROJECT ABSTRACT:
 Emergency care of older adults with Alzheimer's Disease and related dementias (ADRD) is suboptimal
despite greater rates of emergency department (ED) use than for matched controls. Persons with dementia
(PwD) are poorly identified in the ED, are more likely to have an avoidable ED visit, be admitted to the hospital,
struggle in the ED environment, and experience numerous other challenges. Despite calls in the National
Plans to Address Alzheimer's Disease and their updates, limited research has been performed to optimize
the emergency care of PwD.
 To advance the emergency care of PwD first requires delineation of the research gaps related to
identifying PwD receiving emergency care and providing them optimal care, followed by establishing and
testing strategies to resolve the gaps. To effectively and efficiently identify and address these gaps, the goal
of this proposal is to launch the Geriatric Emergency Care Applied Research Network 2.0 - Advancing
Dementia Care (GEAR 2.0 ADC). Specifically, this network would partner and leverage existing ADRD and
emergency care focused networks, foundations, stakeholders, and organizations through a transdisciplinary
team of leading investigators and consultants who have already transformed the emergency care of older
adults and the care of PwD through rigorous NIH-funded research.
 During the first phase of this proposal, a stakeholder engagement approach will be used that has been
previously and successfully implemented by investigators. They will determine research priorities for ED
patients and caregivers using a consensus process in four domains: 1. ED practices 2. ED care transitions 3.
Detection, and 4. Communication and decision making. The GEAR 2.0 - ADC infrastructure and its network
will be established that includes the GEDC, ADRCs, and GEAR 2.0 Cores: 1. Administrative; 2. Research; 3.
Data/Informatics; and 4. Dissemination & Implementation. The second phase of the proposal will solicit, review,
select and fund research that will lead to future full-scale proposals addressing research gaps in emergency
care for PwD and their caregivers identified during the first phase. There will be over $1.1M in pilot study
awards. This proposal will create a platform from which GEAR 2.0 ADC and future investigators will generate
preliminary data for large-scale funding opportunities, including multicenter project proposals. This “priming” of
the research pipeline will promote further transdisciplinary studies and science and lay the groundwork for a
sustainable research network infrastructure to support development of an evidence base to optimize the
emergency care of PwD.

## Key facts

- **NIH application ID:** 10755149
- **Project number:** 4R33AG069822-03
- **Recipient organization:** YALE UNIVERSITY
- **Principal Investigator:** Ula Y Hwang
- **Activity code:** R33 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2023
- **Award amount:** $1,505,231
- **Award type:** 4N
- **Project period:** 2020-09-30 → 2023-09-22

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10755149

## Citation

> US National Institutes of Health, RePORTER application 10755149, Geriatric Emergency care Applied Research network 2.0 - Advancing Dementia Care (GEAR 2.0 ADC) (4R33AG069822-03). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10755149. Licensed CC0.

---

*[NIH grants dataset](/datasets/nih-grants) · CC0 1.0*