DEPRESSION AND MEDICAL CARE:AGING AND CLINICAL SETTING

抑郁症和医疗保健：老龄化和临床环境

• 批准号: 6798655
• 负责人: IRA R KATZ
• 金额: $ 123.97万
• 依托单位: UNIVERSITY OF PENNSYLVANIA
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-09-16 至 2007-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6798655
• 关键词: aging; behavioral /social science research tag; clinical research; depression; human subject; patient care management; primary care physician

DESCRIPTION (provided by applicant): This application for an Advanced Center for lntervention Services Research (ACISR) focuses on enabling research that develops, evaluates, and disseminates interventions for depression and related disorders for older adults in primary and specialty medical and long term care settings. It utilizes both scientific advances and stakeholder input to generate new research and to translate findings into changes in practice. This application consists of four sections describing the Operations, Research Methods, Principal Research, and Network Development Cores. The section on the Operations Core describes the Governance of the Center, its three advisory boards (Scientific, Providers, and Stakeholders), Research Support Units (Biostatistics and Data Management, Assessment, and Intervention Management), the Education and Career Development Unit that includes the Center's T32 postdoctoral training program, and the Data and Safety Monitoring Unit, as well as descriptions of the processes, through which the Center develops new research. The section for the Research Methods Unit describes the product Engineering model for its activities, describes the Core's Intervention Development, Research Design, Qualitative Research Development and Assessment Development Groups. The Principal Research Core outlines the scientific Background and significance for our focus, major recent findings, ongoing and planned grants, and a series of pilot studies proposed to evaluate the feasibility, and estimate effect sizes to enable the design of new research. These pilot studies reflect a number of themes of the Center as a whole: the focus on both enabling research and investigator development; the use of qualitative as well as quantitative methods, and newer as well as standard experimental designs; the investigation of both psychotherapy and pharmacotherapy; the locus of studies with primary-, medical specialty- and long term care; and the design of studies to facilitate the evaluation of findings between--as well as within--comorbidities and clinical contexts. Finally, the Network Development Core proposes to develop an inner network of primary-care practices in greater Philadelphia that will serve as major research sites for the Center, and an outer Network based in the Maryland Academy of Family Physicians that will be the primary focus for our dissemination research.

描述（由申请人提供）：本申请申请申请申请lntervention Services Research（ACISR）侧重于实现研究，评估和传播在初级和专业医疗和长期护理环境中对抑郁症和相关疾病的干预措施的研究。 它利用科学进步和利益相关者的意见来产生新的研究，并将发现转化为实践的变化。 该应用程序包括四个部分，描述了操作，研究方法，主要研究和网络发展核心。 有关操作核心的部分描述了中心的治理，其三个咨询委员会（科学，提供者和利益相关者），研究支持单位（生物统计学和数据管理，评估和干预管理），包括该中心的T32 T32的T32验证后培训计划，以及数据和安全监测单位的教育和职业发展部门，以及新的研究。 研究方法部门的部分描述了其活动的产品工程模型，描述了核心的干预开发，研究设计，定性研究开发和评估开发小组。 主要研究核心概述了我们重点的科学背景和意义，主要发现，持续和计划的赠款以及一系列试点研究提议评估可行性，并估算效果大小以实现新研究的设计。 这些试点研究反映了整个中心的许多主题：重点是使研究和研究人员发展；使用定性和定量方法，以及更新和标准的实验设计；对心理治疗和药物治疗的研究；主要，医学专业和长期护理的研究源；以及研究促进 - 以及刺激性和临床环境之间发现结果的研究。 最后，网络开发核心提议在大费城建立内部的初级护理实践网络，该网络将作为该中心的主要研究地点，以及位于马里兰州家庭医师学院的外部网络，这将是我们传播研究的主要重点。