Patient Preference in Primary Care Depression Treatment

描述(由申请者提供)：这是K23指导性以患者为导向的研究科学家奖的提交。申请者是一名临床心理学家，也是康奈尔高级干预和服务研究中心(ACISR)的一名发展中的研究员。这项申请的目标是提供进一步的跨学科培训和研究机会，使申请者成为干预研究的独立调查员。申请者的职业目标是开发干预措施，以改善在各种医疗环境中接受治疗的老年患者的精神卫生服务的使用和有效性。该应用程序的职业发展目标是了解：1.评估老年初级保健患者的治疗偏好和期望；2.治疗指南，以及评估患者持续参与和坚持不同形式的治疗；3.健康决策和患者选择的理论，以及如何在初级保健服务提供系统中优化治疗选择过程；以及4.研究方法，包括在临床试验中使用部分随机研究设计和统计学。这项培训将提供必要的知识和技能，以进行研究，检查治疗偏好对老年抑郁症初级保健患者的治疗开始、参与和坚持治疗以及临床结果的影响。

DESCRIPTION (provided by applicant): This is a submission for a K23 Mentored Patient-Oriented Research Scientist Award. The applicant is a clinical psychologist and a developing investigator in the Cornell Advanced Center for Interventions and Services Research (ACISR). The goal of this application is to provide further interdisciplinary training and research opportunities to transition the applicant to become an independent investigator in interventions research. The career goal of the applicant is to develop interventions to improve the use and effectiveness of mental health services for older patients treated in a variety of medical settings. The career development objectives of this application are to learn about: 1. The assessment of treatment preferences and expectations in elderly primary care patients; 2. Treatment guidelines, and the assessment of ongoing patient engagement in and adherence to different forms of treatment; 3. Theories of health decision making and choice by patients, and how to optimize the treatment selection process within the primary care service delivery system; and 4. Research methodology, including the utilization of partial randomization research designs in clinical trials, and statistics. This training will provide the knowledge and skills necessary to conduct research that examines the impact of treatment preferences on treatment initiation, engagement in and adherence to treatment, and clinical outcomes of elderly depressed primary care patients.