Research, Mentoring & Dissemination for PTSD Intervention in Acute Care Settings

研究、指导

• 批准号: 8084071
• 负责人: DOUGLAS F ZATZICK
• 金额: $ 17.65万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-08-01 至 2015-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8084071
• 关键词: Acute; Address; Adolescent; American; Applications Grants; Area; Caring; Child; Chronic; Clinical; Clinical Research; Clinical Trials; Comorbidity; Consultations; Data; Databases; Development; Effectiveness; Emergency medical service; Epidemiologic Studies; Funding; Goals; Grant; Health Services Research; Injury; Intervention; Investigation; Knowledge; Longitudinal Studies; Manuscripts; Maternal and Child Health; Medical; Mental Health; Mentors; Mentorship; Mid-Career Clinical Scientist Award (K24); Modeling; Modification; National Institute of Mental Health; Patient Care; Patients; Post-Traumatic Stress Disorders; Prevention; Principal Investigator; Procedures; Protocols documentation; Provider; Public Health; Quality of Care; Randomized Clinical Trials; Readiness; Research; Research Methodology; Research Personnel; Research Priority; Research Project Grants; Risk; Screening procedure; Services; Severities; Strategic Planning; Supervision; Survivors; Symptoms; Training; Trauma; United States; United States Health Resources and Services Administration; United States National Institutes of Health; Violence; Work; Youth; career development; clinical epidemiology; collaborative care; contextual factors; design; dissemination research; ethnic minority population; experience; high risk behavior; implementation research; improved; indexing; injured; innovation; novel; patient oriented; patient oriented research; pediatric trauma; programs; public health relevance; research study; screening and brief intervention; skills; trauma centers; young adult

DESCRIPTION (provided by applicant): The overarching goal of the K24 award is to improve the quality of care for injured trauma survivors with PTSD who initially present for treatment to acute care medical settings. The specific aims of the K24 application are to develop screening and intervention procedures targeting PTSD and related conditions after injury for diverse youth and adults, to mentor an interdisciplinary group of trainees in the design and implementation of patient-oriented PTSD clinical investigations, and to cultivate new research skills and knowledge in the areas of child and adolescent interventions and health services research. Additionally the K24 aims to combine innovative training and investigation at the interface of clinical epidemiology and dissemination research methods in order to comprehensively consider contextual factors in the development and implementation of acute care PTSD clinical investigations. These activities build upon the candidate's current NIMH R01 funded randomized clinical trial that is evaluating the effectiveness of a stepped collaborative care intervention that targets reductions in PTSD symptoms. Trainees will be supervised in acute care clinical research settings to develop extensions of the R01 intervention for underserved ethnic minority and youth injury survivors. Specific research projects proposed in the K24 include investigations of ethnocultural diversity and PTSD, studies of the associations between adolescent injury and the development of PTSD and related co-morbidities, nationwide assessments of trauma center readiness for implementation of PTSD screening and intervention procedures, and investigations comparing indices of intervention reach and effective size in PTSD prevention trials. The K24 award will allow for orchestrated mentorship, career development activities, and novel research that will bring the acute care PTSD research program to the greater level of integration required to attain high impact, sustainable improvements in the quality of care for diverse acute care patients with PTSD. The short and long term goals outlined in the K24 application are in concert with NIMH research priorities described in NIMH Strategic Plan Objective 4 and PA-04-075, Mental Health Consequences of Violence and Trauma. These priorities include strengthening the public health impact of NIMH-supported research and longitudinal studies examining the effectiveness of early screening and intervention procedures for PTSD. PUBLIC HEALTH RELEVANCE: Traumatic injury and PTSD are endemic among youth and adults in the United States. Millions of Americans present for acute care injury treatment each year, yet high quality screening and intervention procedures for PTSD remain to be developed and implemented. This application proposes mentoring, career development activities, and new research that will inform the dissemination of sustainable PTSD screening and intervention procedures nationwide.

描述（由申请人提供）：K24奖的首要目标是提高创伤后应激障碍（PTSD）受伤幸存者的护理质量，这些创伤幸存者最初到急性护理医疗机构接受治疗。K24应用程序的具体目的是为不同的青年和成人制定针对创伤后应激障碍和相关损伤的筛查和干预程序，指导跨学科的培训人员设计和实施以患者为导向的创伤后应激障碍临床调查，并培养儿童和青少年干预和健康服务研究领域的新研究技能和知识。此外，K24旨在结合临床流行病学和传播研究方法的创新培训和调查，以全面考虑创伤后应激障碍急性护理临床调查的发展和实施中的环境因素。这些活动建立在候选人目前NIMH R01资助的随机临床试验的基础上，该试验正在评估以减少创伤后应激障碍症状为目标的阶梯式协作护理干预的有效性。受训人员将在急性护理临床研究环境中接受监督，为服务不足的少数民族和青少年受伤幸存者开发R01干预措施的扩展。K24提出的具体研究项目包括：民族文化多样性与创伤后应激障碍的调查，青少年损伤与创伤后应激障碍发展及相关合并症的关系研究，全国创伤中心实施创伤后应激障碍筛查和干预程序的准备情况评估，以及创伤后应激障碍预防试验中干预范围和有效规模指标的比较调查。K24奖将允许精心安排的指导、职业发展活动和新颖的研究，这些研究将使急性创伤后应激障碍研究项目达到更高水平的整合，以实现对不同急性创伤后应激障碍患者护理质量的高影响和可持续改善。K24申请中概述的短期和长期目标与NIMH战略计划目标4和PA-04-075中描述的NIMH研究重点一致，暴力和创伤的心理健康后果。这些优先事项包括加强nimh支持的研究对公共卫生的影响，以及检查PTSD早期筛查和干预程序有效性的纵向研究。