Collaborative Care of Depression in Nursing Homes

疗养院抑郁症的协作护理

• 批准号: 6623150
• 负责人: Mark Snowden
• 金额: $ 17.16万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-07-01 至 2007-03-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6623150
• 关键词: adult human (21+); antidepressants; clinical research; functional ability; geriatric nursing; geriatrics; health care model; health care personnel education; health care quality; health care service utilization; human old age (65+); human therapy evaluation; interdisciplinary collaboration; major depression; medical outreach /case finding; mental disorder chemotherapy; model design /development; nursing homes; pain; patient oriented research; postdoctoral investigator; psychological aspect of aging; quality of life; satisfaction

DESCRIPTION (provided by applicant): The Mentored Scientist Award for New Minority Faculty will allow me to develop the research skills and experience necessary to become an independent investigator in special populations of geriatric mentally ill patients. Having obtained a Master of Public Health degree during previous training, I have a solid foundation in the basics of health services, epidemiology, and biostatistics but have limited experience in designing and implementing treatment interventions. My specific career goals are to move from an investigator who has performed descriptive studies utilizing existing data sets to being able to design, implement and evaluate interventions for mentally ill nursing home residents. The centerpiece of my development and training activities will be individual mentorship and consultation from an interdisciplinary, nationally recognized group of investigators with expertise in treatment of geriatric depression, translating efficacy based research into effective collaborative care interventions in other primary care settings, development and implementation of psychosocial interventions useful even in cognitively impaired elders. This will be augmented by some group mentorship from geriatric psychiatry experts via the Summer Research Institute in Geriatric Psychiatry, and a few selected courses in Health Services and Biostatistics. The aims of the proposed research project are to: 1) develop and implement a multifaceted interdisciplinary collaborative care model for identification and treatment of major depression in nursing home residents; 2) test the hypotheses that collaborative care versus usual care leads to greater improvement in a) the quality of antidepressant care, b) in clinical symptoms including severity of depression and weight loss, c) patient satisfaction with care: 3) explore means of comparing pain severity, functional Activities of Daily Living, quality of life, and nursing home resource utilization for patients under usual care vs. collaborative care. This will be done in a prospective, controlled trial of this model vs. usual care in several community nursing homes. I anticipate that the knowledge and experience gained developing and evaluating an effective intervention for depression in this setting will be useful in longer-term career goals to effectively treat other prevalent mental disorders in geriatric patients in and outside the nursing home setting.

描述（由申请人提供）：新的科学家奖 少数派教师将使我能够发展研究技能和经验 成为成为特殊人群的独立调查员 老年患者患者。获得了公共卫生大师 在以前的培训期间的学位，我的基础知识是坚实的基础 卫生服务，流行病学和生物统计学，但在 设计和实施治疗干预措施。我的特定职业目标 要从进行描述性研究的调查员转移 利用现有数据集来设计，实施和评估 精神病疗养院居民的干预措施。 我的发展和培训活动的核心将是个人 来自跨学科的，全国认可的指导和咨询 具有老年抑郁症治疗专业知识的研究人员， 将基于功效的研究转化为有效的协作护理 干预其他初级保健环境，开发和实施 社会心理干预措施即使在认知受损的长者中也有用。这 老年精神病学专家的一些小组指导将增加 通过老年精神病学的夏季研究所和一些选择 卫生服务和生物统计学课程。 拟议的研究项目的目的是：1）开发和实施 多方面的跨学科协作护理模型，用于识别和 治疗疗养院居民的严重抑郁症； 2）检验假设 该协作护理与通常的护理会导致A的更大改善 抗抑郁药的质量，b）在包括严重程度在内的临床症状 抑郁和体重减轻，c）患者对护理的满意：3）探索 比较疼痛严重程度，日常生活的功能活动的手段， 在通常的患者中，生活质量和疗养院资源利用 护理与协作护理。这将在一个准，受控的 该模型与几个社区疗养院中的常规护理试验。我 预期发展和评估的知识和经验 在这种情况下对抑郁的有效干预将在 长期职业目标有效地治疗其他普遍的精神障碍 在疗养院环境中和外部的老年患者中。