DISABILITY--RECOVERY AND IMPROVEMENT

Caroline Blaum博士是一位经验丰富的临床老年病学家， 1991年在密歇根大学获得老年医学奖学金， 发展研究技能并开始学术老年医学生涯。 从1991年到1993年，她在研究方面进行了定量培训 方法学，并与Jersey Liang博士合作开发了一种 关于慢性病结果的研究议程。 资金 来自密歇根大学老年医学中心，一个NRSA 个人博士后奖和布鲁克代尔国家奖学金 使她能够将研究议程扩展到纵向研究， 以及临床协变量对残疾的影响 过渡。 指导临床科学家发展奖 （MCSDA）将给Blaum博士时间和资源来建立 作为一名独立的医学科学家。 两位经验丰富的共同赞助人杰弗里·哈尔特博士和泽西博士 梁和密歇根大学的多个资源可用 Blaum博士的职业发展。 哈尔特医生会保证 获得办公空间，秘书帮助，以及75%的保护时间， 研究，并指导她在老年医学领域的职业发展 药 梁博士将担任她的研究导师，并协助 她研究的所有实质性和方法论方面。 其他可用的资源包括教师和研讨会的 老年医学中心和老年学研究所（IoG），咨询 社会研究所的课程和培训 在负责的研究行为从IoG，医学院， 和密歇根大学。 拟议的研究将调查残疾康复和 在卫生访谈调查中注意到改善。 研究目标 是为残疾人开发多波模型 作为临床相关功能的恢复/改善（R/I） 变量 本研究将评估两个具体假设：（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。 的 具体目标将：描述和模拟健康转变， 残疾结果，特别是R/I，以澄清模型 残疾进展和调查的概念， 残疾;将残疾过渡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的影响， 残疾轨迹。 研究战略包括澄清 概念框架和研究术语;使用卫生 访谈调查数据和纵向数据分析。 协商 计划与调查研究和生物统计学研究人员合作。

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.