Treatment Initiation of Late-life Depression in Home Car

描述(由申请者提供)：本提案是关于K01指导研究科学家发展奖的。申请者是一名护士和康奈尔老年情绪障碍干预研究中心的一名发展中的调查员。这一应用程序的目标是提供所需的概念和方法专业知识的进一步培训，以进行旨在改善向患有内科疾病的老年家庭护理接受者提供抑郁症治疗的研究。这位申请者的职业目标是成为一名独立调查员，他的研究改善了旨在提高老年家庭护理患者心理健康的服务的可得性和可及性。培训将提供学习以下知识的技能和机会：a)家庭护理机构的组织和精神健康服务的提供；b)医生和机构的精神健康家庭护理补偿奖励和规定；c)行为改变理论以及如何将这些理论纳入研究设计；d)设计、实施和分析科学严谨的社区精神健康治疗干预研究的研究方法。提出的护理干预研究重点关注影响老年抑郁症治疗的临床医生和制度障碍。将评估旨在改善老年抑郁症治疗的研究干预的影响、可行性和接受性。

DESCRIPTION (provided by applicant): This proposal is for a K01 Mentored Research Scientist Development Award. The applicant is a nurse and a developing investigator in the Cornell Intervention Research Center for Geriatric Mood Disorders. The goal of this application is to provide further training in the conceptual and methodological expertise needed to conduct research aimed at improving the delivery of depression treatment to medically ill, elderly home care recipients. The career goal of this applicant is to become an independent investigator whose research improves the availability and accessibility of services aimed at enhancing the mental health of older home care patients. The training will provide the skills and the opportunity to learn about; a) home care agency organization and mental health service delivery; b) mental health home care reimbursement incentives and regulations for physicians and agencies; c) theories of behavior change and how to incorporate these theories into research design; d) research methodology for designing, implementing, and analyzing scientifically rigorous community based mental health treatment intervention studies. The nursing intervention research proposed focuses on clinician and system barriers that affect the treatment of late-life depression. The impact, feasibility, and acceptance of the research intervention aimed at improving the delivery of late-life depression treatment will be evaluated.