DISABILITY--RECOVERY AND IMPROVEMENT

Caroline Blaum博士是一位经验丰富的临床老年病学家，她从 1991年在密歇根大学获得老年医学奖学金 培养研究技能，开始学术老年病学的职业生涯。 从1991年到11993，她在研究方面进行了量化培训。 方法，并与Jersey Leung博士合作开发了一种 关于慢性病后果的研究议程。资金来源 来自密歇根大学老年医学中心的NRSA 个人博士后奖和布鲁克代尔国家奖学金 允许她将她的研究议程扩展到纵向研究 残疾和临床协变量对残疾的影响 过渡。导师临床科学家发展奖 (MCSDA)将给Blaum博士时间和资源来建立 她是一名独立的内科科学家。 两位经验丰富的联合发起人，杰弗里·哈尔特博士和泽西博士 梁和密歇根大学的多个资源可用 为布莱姆博士~S的事业发展。哈尔特医生会向她保证 获得办公空间、秘书帮助和75%的保护时间 研究，并指导她在老年医学领域的职业发展 医学。梁博士将担任她的研究导师，并协助 她的研究的所有实质性和方法论方面。 其他可用的资源包括 老年医学中心和老年学研究所(IoG)，会诊 以及社会研究和培训研究所的课程作业 在IoG医学院负责任的研究中， 和密歇根大学。 拟议的研究将调查残疾恢复和 在健康访谈调查中注意到改善。研究目标 是开发针对残疾的多波模型 作为临床相关功能的恢复/改善(R/I) 变量。这项研究将评估两个具体的假设：(1) 残疾(R/I)主要发生在早期或轻度残疾；(2) 残疾R/I受可测量的临床协变量的影响。这个 具体目标将：描述并模拟由此产生的健康过渡 在残疾后果方面，特别是残疾/残疾方面，以澄清模式 并研究早期残疾发展的概念 残疾；将残疾转变模型扩展到多波数据 检查时间对残疾轨迹的影响；检查 临床重要协变量对残疾R/I和 残疾轨迹。研究策略包括澄清以下内容 概念框架和研究术语；健康的用法 访谈调查数据；纵向数据分析。咨询 正在计划与研究人员进行调查研究和生物统计。

Dr. Caroline Blaum is an experienced clinical geriatrician who began a geriatrics fellowship at the University of Michigan in 1991 to develop research skills and begin a career in academic geriatrics. From 1991 to 11993, she pursued quantitive training in research methodology and worked with Dr. Jersey Liang to develop a research agenda concerning outcomes of chronic diseases. Funding from the University of Michigan Geriatrics Center, a NRSA Individual Postdoctoral Award, and a Brookdale National Fellowship allowed her to extend her research agenda to the longitudinal study of disability and the impact of clinical covariates on disability transitions. The Mentored Clinical Scientist Development Award (MCSDA) will give Dr. Blaum time and resources to establish herself as an independent physician scientist. Two experienced co-sponsors, Dr. Jeffrey Halter and Dr. Jersey Liang, and multiple University of Michigan resources are available for Dr. Blaum~s career development. Dr. Halter will assure her access to office space, secretarial help, and 75% protected time for research, and direct her career development within Geriatric Medicine. Dr. Liang will serve as her research mentor, and assist with all substantive and methodological aspects of her research. Other available resources include the faculty and seminars of the Geriatrics Center and Institute of Gerontology (IoG), consultation and coursework from the Institute for Social Research, and training in the responsible conduct of research from the IoG, Medical School, and University of Michigan. The proposed research will investigate disability recovery and improvement noted in health interview surveys. The research goals are to develop multi-wave models for disability recovery/improvement (R/I) as functions of clinically-related variables. The research will evaluate two specific hypotheses: (1) Disability (R/I) occurs mainly in early or mild disability; (2) Disability R/I is affected by measurable clinical covariates. The specific aims will: describe and model health transitions that result in disability outcomes, particularly R/I, in order to clarify the model of disability progression and investigate the concept of early disability; extend models of disability transitions to multi-wave data to examine the effects of time on the disability trajectory; examine the impact of clinically important covariates on disability R/I and the disability trajectory. The research strategy involves clarification of the conceptual framework and research terms; use of health interview survey data; and longitudinal data analysis. Consultation with researchers in survey research and biostatistics is planned.