# Mentoring Researchers in Advance Care Planning and Communication for Vulnerable Older Populations

> **NIH NIH K24** · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · 2020 · $187,880

## Abstract

ABSTRACT
The aims of this proposal are to (1) enable the candidate to further develop her research program focused on
improving advance care planning (ACP) and informed medical decision making for vulnerable older adults and
(2) use her research program as a platform for mentoring junior investigators interested in patient-oriented
aging research, both within Geriatrics and other medical subspecialties. The candidate is a Geriatrician and
Palliative Medicine physician who has established a high-impact independent clinical research program that is
well funded with an outstanding publication record. In the 10 years since completing her Geriatrics fellowship,
she has established herself as a successful mentor of students, fellows, and junior faculty who have published
high-impact aging research, become successfully funded, and continue to participate in patient-oriented
research in aging. The candidate has developed an extensive research portfolio focused on creating and
testing literacy- and culturally appropriate health education materials to improve ACP and medical decision
making for older adults. She developed a broader paradigm of ACP that focuses not only on one-time
treatment decisions, such as for cardiopulmonary resuscitation (CPR), but also on the process of preparing
patients to communicate their wishes and to participate with clinicians in making real-time, complex medical
decisions over the course of illness. She operationalized this paradigm into an easy-to-understand, patient-
centered website called PREPARE that teaches patients, through videos, how to identify their wishes and
communicate with surrogates and clinicians. The candidate received R01 funding from the NIA to test the
efficacy of the PREPARE website to engage diverse, vulnerable older adults from an urban, county hospital in
ACP using validated patient questionnaires. This K24 proposal will provide the candidate with protected time to
expand her research in a new direction focused on direct observation (i.e., audio recording) of patient-clinician
communication within primary care encounters in response to the PREPARE intervention. This new research
will determine whether a patient-centered ACP website can empower and activate patients to discuss ACP and
to facilitate communication with their primary care providers. The candidate will also develop her formal
mentoring program with plans for the recruitment, selection, development, and evaluation of mentees who will
become leaders in aging research. She will work with each mentee to establish a focused career development
plan in which they complete research projects and develop the skills needed to become independent
investigators. These plans will make full use of the outstanding clinical research training environment at UCSF.
She will leverage her leadership positions at UCSF to recruit more mentees interested in research on ACP and
aging in vulnerable populations.

## Key facts

- **NIH application ID:** 9851774
- **Project number:** 5K24AG054415-04
- **Recipient organization:** UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
- **Principal Investigator:** REBECCA L SUDORE
- **Activity code:** K24 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $187,880
- **Award type:** 5
- **Project period:** 2017-02-15 → 2022-01-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9851774

## Citation

> US National Institutes of Health, RePORTER application 9851774, Mentoring Researchers in Advance Care Planning and Communication for Vulnerable Older Populations (5K24AG054415-04). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/9851774. Licensed CC0.

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