Improve Primary Care Management of Adolescent Depression

改善青少年抑郁症的初级保健管理

• 批准号: 7429721
• 负责人: LAURA P RICHARDSON
• 金额: $ 16.24万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-07-19 至 2009-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7429721
• 关键词: Adolescent; Area; Child; Chronic Care; Clinical; Condition; Data; Depressed mood; Development; Education; Ethnography; Evidence based treatment; Funding; Goals; Health Services; Health Services Research; Health system; Healthy People 2010; Intervention; Intervention Trial; Interview; K-Series Research Career Programs; Major Depressive Disorder; Mental Depression; Mental Health; Mentors; Modeling; Outcome; Phase; Population; Primary Health Care; Principal Investigator; Psychopathology; Qualitative Research; Randomized Controlled Trials; Research; Research Methodology; Research Personnel; Target Populations; Testing; Training; base; career; chronic care model; design; effectiveness research; experience; improved; patient oriented; service intervention; skills; therapy design; therapy development

DESCRIPTION (provided by applicant): This K23 Mentored Patient-Oriented Career Development award application is designed to provide the education and skills necessary for the principal investigator to transition from population-based epidemiologic and health services research to health services intervention trials. The principal investigators' short-term research goal is to gather the data necessary to inform the development of a health system intervention to improve the appropriate identification of depression and the initiation of timely evidence-based treatments for depressed adolescents in primary care settings. Her long-term goal is to gain the skills and experience necessary to be a competitive researcher in the area of health services interventions to improve the identification and appropriate treatment of adolescent mental health conditions in primary care settings. To assist her in these goals, she has identified two mentors with complementary expertise in adolescent depression and health services interventions to improve the treatment of depression in primary care. The educational plan outlined in this application includes didactic and experiential training in three topic areas: 1) qualitative research methods; 2) child and adolescent psychopathology and treatment; and 3) health services intervention design, implementation and assessment. The three projects outlined in this application build on the training objectives and specifically aim: 1) to develop an inductive model from ethnographic interviews that promotes an understanding of how adolescents seek and receive treatment for depression in primary care settings, 2) to evaluate clinical and demographic predictors of depression persistence in primary care in order to develop a case definition for adolescent who would most benefit from an intervention, 3) to determine the acceptability and feasibility a health system intervention, based on the Chronic Care Model, to improve primary care treatment for depressed adolescents. At the completion of this K Award, the primary investigator will have obtained the skills and experience necessary to design, obtain funding for, and implement a large-scale health services intervention to improve the management of adolescent depression in primary care settings.

描述（由申请人提供）：这项K23由患者导向的职业发展奖申请旨在提供首席研究人员从基于人群的流行病学和卫生服务研究到卫生服务干预试验所需的教育和技能。首席研究人员的短期研究目标是收集所需的数据，以告知卫生系统干预措施的开发，以改善抑郁症的适当识别，并为初级保健环境中抑郁症的青少年及时基于证据的治疗。她的长期目标是获得必要的技能和经验，成为卫生服务干预领域的竞争性研究人员，以改善初级保健环境中青少年心理健康状况的识别和适当治疗。为了帮助她实现这些目标，她确定了两名具有青少年抑郁症和卫生服务干预措施的互补专业知识的导师，以改善初级保健抑郁症的治疗。本应用程序中概述的教育计划包括三个主题领域的教学和经验培训：1）定性研究方法； 2）儿童和青少年心理病理学和治疗； 3）卫生服务干预设计，实施和评估。本申请中概述的三个项目以培训目标为基础，特别是目的：1）从民族志访谈中开发一个归纳模型，促进对青少年如何在初级保健环境中寻求和接受抑郁症的理解，2）2）评估临床和人口统计学预测因素，以评估抑郁症的抑郁症，以便根据适用于伪造的系统，以确定范围的案例，以确定in Intersibity and for Intersibity and Intersibal and Interventie for Intervention and Interventie and Interventie and Interventie，3）Interventie and Interventie and Interventie，3）慢性护理模型，以改善青少年抑郁症的初级保健治疗。该K颁奖典礼完成后，主要研究人员将获得设计，获得资金并实施大规模卫生服务干预措施所必需的技能和经验，以改善初级保健环境中青少年抑郁症的管理。

项目成果

Quality of care for medicaid-covered youth treated with antidepressant therapy.

接受抗抑郁治疗的医疗补助覆盖青少年的护理质量。

• DOI: 10.1001/archpsyc.61.5.475
• 发表时间: 2004
• 期刊: Archives of general psychiatry
• 作者: Richardson,LauraP;DiGiuseppe,David;Christakis,DimitriA;McCauley,Elizabeth;Katon,Wayne
• 通讯作者: Katon,Wayne

What clinical differences distinguish depressed teens with and without comorbid externalizing problems?

哪些临床差异可以区分患有或不患有共病外化问题的抑郁青少年？

• DOI: 10.1016/j.genhosppsych.2013.04.002
• 发表时间: 2013
• 期刊: General hospital psychiatry
• 影响因子: 7
• 作者: Rockhill,CarolM;Katon,Wayne;Richards,Julie;McCauley,Elizabeth;McCarty,CarolynA;Myaing,MonT;Zhou,Chuan;Richardson,LauraP
• 通讯作者: Richardson,LauraP

Depression persistence and serotonin transporter genotype in adolescents under usual care conditions.

常规护理条件下青少年的抑郁持续性和血清素转运蛋白基因型。

• DOI: 10.1089/cap.2011.0137
• 发表时间: 2013
• 期刊: Journal of child and adolescent psychopharmacology
• 影响因子: 1.9
• 作者: Kohen,Ruth;Myaing,MonT;Richards,Julie;Zhou,Chuan;McCauley,ElizabethA;Katon,Wayne;Richardson,LauraP
• 通讯作者: Richardson,LauraP

Pediatric primary care providers and adolescent depression: a qualitative study of barriers to treatment and the effect of the black box warning.

儿科初级保健提供者和青少年抑郁症：治疗障碍和黑盒警告效果的定性研究。

• DOI: 10.1016/j.jadohealth.2006.12.006
• 发表时间: 2007
• 期刊: The Journal of adolescent health : official publication of the Society for Adolescent Medicine
• 作者: Richardson,LauraP;Lewis,CharlotteW;Casey-Goldstein,Mary;McCauley,Elizabeth;Katon,Wayne
• 通讯作者: Katon,Wayne

The effect of comorbid anxiety and depressive disorders on health care utilization and costs among adolescents with asthma.

• DOI: 10.1016/j.genhosppsych.2008.06.004
• 发表时间: 2008-09
• 期刊: General hospital psychiatry
• 影响因子: 7
• 作者: Richardson LP;Russo JE;Lozano P;McCauley E;Katon W
• 通讯作者: Katon W