Treatment Initiation of Late-life Depression in Home

描述（由申请人提供）：本提案是K 01指导研究科学家发展奖。 申请人是一名护士，也是康奈尔大学老年情绪障碍干预研究中心的研究人员。 该应用程序的目标是提供进一步的概念和方法的专业知识进行研究，旨在改善抑郁症治疗的医学疾病，老年人的家庭护理收件人的培训。 该申请人的职业目标是成为一名独立的调查员，其研究提高了旨在增强老年家庭护理患者心理健康的服务的可用性和可及性。 培训将提供技能和机会，了解：a）家庭护理机构组织和精神卫生服务提供; B）医生和机构的精神卫生家庭护理报销激励措施和法规; 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心理健康治疗干预研究的研究方法。 护理干预研究的重点是临床医生和系统的障碍，影响晚年抑郁症的治疗。 将评估旨在改善晚年抑郁症治疗的研究干预的影响，可行性和接受程度。

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.