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

研究、指导

基本信息

批准号：
8307393
负责人：
DOUGLAS F ZATZICK
金额：
$ 17.45万
依托单位：
UNIVERSITY OF WASHINGTON
依托单位国家：
美国
项目类别：
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/8307393
关键词：
Acute Address Adolescent Adult 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

项目摘要

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奖项的首要目标是提高创伤后应激障碍患者的护理质量，这些幸存者最初在急诊医疗机构接受治疗。K24应用程序的具体目的是为不同的青少年和成年人开发针对创伤后应激障碍和相关情况的筛查和干预程序，在设计和实施以患者为导向的创伤后应激障碍临床调查方面指导跨学科的受训人员小组，并在儿童和青少年干预和卫生服务研究领域培养新的研究技能和知识。此外，K24旨在结合临床流行病学和传播研究方法的界面上的创新培训和调查，以便全面考虑制定和实施急性护理创伤后应激障碍临床调查的背景因素。这些活动建立在候选人目前由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，以便为服务不足的少数民族和青年受伤幸存者制定R01干预措施的扩展。K24中建议的具体研究项目包括调查民族文化多样性和创伤后应激障碍，研究青少年伤害与创伤后应激障碍及其相关并发症的发展之间的关系，全国范围内创伤中心为实施创伤后应激障碍筛查和干预程序做好准备的评估，以及在创伤后应激障碍预防试验中比较干预范围和有效规模的指数的调查。K24奖项将允许进行精心策划的指导、职业发展活动和新颖的研究，使急性护理创伤后应激障碍研究计划达到更高水平的整合，以实现对患有创伤后应激障碍的各种急性护理患者的护理质量的高度影响和可持续改善。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，暴力和创伤的精神健康后果中描述的NIMH研究优先事项一致。这些优先事项包括加强NIMH支持的研究和纵向研究对公共健康的影响，这些研究检查创伤后应激障碍早期筛查和干预程序的有效性。公共卫生相关性：创伤和创伤后应激障碍在美国年轻人和成年人中普遍存在。每年有数百万美国人参加急性护理伤害治疗，但高质量的创伤后应激障碍筛查和干预程序仍有待开发和实施。这项申请提出了指导、职业发展活动和新的研究，将为在全国范围内传播可持续的创伤后应激障碍筛查和干预程序提供信息。