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Treatment of Complex Patients: Emphasis on Nicotine

Treatment of Complex Patients: Emphasis on Nicotine
复杂患者的治疗:强调尼古丁
批准号:
7242599
负责人:
Sharon M. Hall
金额:
$11.37万
依托单位国家:
美国
项目类别:
财政年份:
2003
资助国家:
美国
项目状态:
已结题
起止时间:
2003-08-20 至 2008-06-30
关键词:
AbstinenceAccident and Emergency departmentAcuteAddressAdherenceAdultAdverse effectsAdvertisementsAdvisory CommitteesAgeAge-YearsAgingAgreementAirAlcohol consumptionAmbulatory Care FacilitiesAmericanAmerican Lung AssociationAnabasineAngerAntidepressive AgentsAnxietyApplications GrantsAreaAttentionAwardBeck depression inventoryBedsBehavior TherapyBehavioralBehavioral ModelBeliefBiological AssayBiostatistics CoreBlood PressureBlood Pressure MonitorsBody Weight ChangesBoxingBudgetsBuild-itBupropionBupropion/NicotineCaliforniaCaloric RestrictionCarbon MonoxideCaringCase ManagementCase ManagerCase StudyCaucasiansCaucasoid RaceCellsCessation ResearchCharacteristicsChronicChronic DiseaseCigaretteCigarette SmokerCitiesClientClinicClinicalClinical TrialsCodeCognitiveCollaborationsCombined Modality TherapyCommitCommunicable DiseasesCommunicationCommunitiesComorbidityComplexConditionConflict (Psychology)ConsultationsControlled Clinical TrialsCost ControlCost Effectiveness AnalysisCotinineCounselingDataData AnalysesData CollectionData SetDatabasesDecision MakingDependenceDepressed moodDepressive disorderDevelopmentDiagnosisDirect CostsDiseaseDoseDouble-Blind MethodDropsDrug Abuse Treatment ServicesDrug AddictionDrug abuseDrug usageEconomicsEducational MaterialsEffectivenessEffectiveness of InterventionsElderlyElectronicsElementsEmergency SituationEmployment StatusEnrollmentEnsureEquationEquilibriumEquipment and supply inventoriesEstrogensEvaluationEventExerciseExpert SystemsFacultyFamilyFeedbackFrail ElderlyFundingFutureGenderGeneral PopulationGeriatric PsychiatryGoalsGrantGray unit of radiation doseGroup TherapyGuidelinesHIVHIV SeropositivityHealthHealth BenefitHealth Care CostsHealth PersonnelHealth ServicesHealth Services AccessibilityHealth Services ResearchHealth StatusHealth systemHealthcareHealthcare SystemsHospitalsHourHumanIncentivesIncidenceIncomeIndividualInjecting drug userInstitutesInstructionIntakeInterventionIntervention StudiesInterviewLeadLeadershipLearningLeftLegalLegal StatusLengthLettersLifeLiteratureLobbyingLogistic RegressionsLongitudinal StudiesMailsMaintenanceManualsManufacturer NameMeasurementMeasuresMedicalMedical StaffMedication ManagementMental DepressionMental HealthMental disordersMentally Ill PersonsMentorsMethadoneMethodologyMethodsMinimal Contact TreatmentModalityModelingModerate ExerciseModificationMonitorMood DisordersMoodsMotivationMovementNational Institute of Drug AbuseNatureNewspapersNicotineNicotine DependenceNortriptylineNot Otherwise SpecifiedNumbersNursing HomesOpiatesOpioidOther TherapyOutcomeOutcome MeasureOutpatientsPamphletsPaperParticipantPathway interactionsPatient Self-ReportPatientsPatternPerceptionPersonal SatisfactionPharmaceutical PreparationsPharmacological TreatmentPharmacotherapyPhasePhysical FunctionPhysical activityPilot ProjectsPlacebo ControlPlacebosPlacementPopulationPractice GuidelinesPreparationPrevalencePrevention interventionPrevention therapyPrincipal InvestigatorProbabilityProceduresProcessProductionProfessional counselorProtocols documentationProviderPsyche structurePsychiatric DiagnosisPsychiatric therapeutic procedurePsychiatristPsychological reinforcementPsychometricsPsychosocial Assessment and CarePsychotherapyPublic HealthPublic SectorPublished CommentPublished Practice GuidelinesPurposeQuestionnairesRandomizedRandomized Clinical TrialsRateReadinessRecommendationRecording of previous eventsRecruitment ActivityRecurrent diseaseRecyclingRegression AnalysisRelapseReportingResearchResearch DesignResearch PersonnelResearch Project GrantsResearch TrainingResourcesRestartRetirementRiskSF-36Sample SizeSamplingSan FranciscoScheduleScientistScoreSelf-AdministeredSeriesSerumServicesSeveritiesSex FunctioningShapesSiteSmokeSmokerSmokingSmoking BehaviorSmoking Cessation InterventionSmoking StatusSocial FunctioningSocial NetworkSocial WorkSocial statusSocial supportSourceStagingStandards of Weights and MeasuresStatistical MethodsStratificationStressStudy modelsSubstance Use DisorderSubstance abuse problemSuggestionSupervisionSupported EmploymentSurgeonSystemTNFRSF5 geneTelephoneTestingTherapeuticThinkingTimeTitrationsTobacco smokingTodayTrainingTraining ProgramsTraining SupportTransportationTravelTreatment EfficacyTreatment outcomeTreatment/Psychosocial EffectsUniversitiesVisionVisitWeekWeight GainWeight maintenance regimenWithdrawalWithdrawal SymptomWithholding TreatmentWomanWorkWritingZybanaddictionage groupanatabinebasebehavior changeblindcare systemscigarette smokingclinical efficacycomputerizedconceptcontingency managementcopingcostcost effectivenessdata managementdaydeep breathing exercisesdemographicsdepressive symptomsdesigndisorder later incidence preventiondissemination researchdisturbance in affectdrug abstinencedrug abuserdrug of abusedysphoriaearly /brief intervention /therapyexpectationexperiencefollow-upfunctional disabilitygeriatric depressiongroup counselinghealth care service utilizationhuman PTCH2 proteinimprovedindexinginnovationinstrumentinterestloss of functionmalemedication compliancemembermenmonitoring devicemortalitymotivational enhancement therapyneglectnicotine gumnicotine patchnicotine replacementnon-smokernon-smokingolder womenoutreachpillpost-doctoral trainingpreventprogramspsychologicpsychosocialreinforced behaviorresearch studyresponserestraintself helpsexskillssmoking cessationsmoking interventionsocialsocial groupstressorsubstance abusertherapy designtherapy developmenttreatment programvoucherwound

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DESCRIPTION (provided by applicant): The overall goal of this K05 proposal is to support and extend my research in the treatment of drug abuse, especially nicotine dependence, to further my capacity to mentor junior scientists, to allow me to continue in scientific leadership and dissemination of research findings to the clinical community. My interests focus on the treatment of drug dependence, especially nicotine dependence as a chronic, relapsing disorder. I am also interested in comorbidities across drugs of abuse. I will complete two R01 grants that focus on extended treatment of cigarette smoking: (1) a study of extended behavioral relapse prevention and bupropion treatment for chronic smokers; (2) a study of extended, age-specific relapse prevention and nicotine replacement treatment for older smokers. I will continue to direct a P50 center grant that focuses on Blended Treatments for Complex Patients. My center component, Treatment of Comorbid Smokers, studies an innovative intervention for depressed smokers in a psychiatric outpatient clinic, and determines the efficacy and cost-effectiveness of the intervention. I will also complete a pilot study funded by the state of California on interventions for frail elderly smokers. In later years of this award, I will develop and propose studies that are logical extensions of ongoing work. I will continue to direct a postdoctoral training program in drug abuse treatment and services research, and participate in other research training programs, and will disseminate results to the clinical community. The award will allow me time and give me support to pursue research projects that further current work in smoking, depression, antidepressants, and psychotherapy, to spend appropriate time mentoring junior faculty, to continue my involvement in center grants and other collaborative mechanisms, and to refine my methodological skills and disseminate research findings to the professional community.
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Scientific & Administrative Core
SCIENTIFIC & ADMINISTRATIVE CORE