Exploring strategies to restore function in older Veterans with PTSD.

探索恢复患有创伤后应激障碍 (PTSD) 的老年退伍军人功能的策略。

• 批准号: 8424821
• 负责人: Katherine Shepherd Hall
• 金额: --
• 依托单位: DURHAM VA MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-02-01 至 2014-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8424821
• 关键词: Activities of Daily Living; Address; Adherence; Aging; Area; Award; Behavior; Behavior Therapy; Behavioral; Chronic; Clinical; Clinical Trials; Cognitive; Cognitive Therapy; Comorbidity; Counseling; Data; Data Set; Development; Doctor of Philosophy; Education; Elderly; Etiology; Exercise; Focus Groups; Future; Goals; Health; Health Services; Health behavior; Individual; Intervention; Knowledge; Life Style; Measures; Medical center; Mentors; Methods; Modeling; Morbidity - disease rate; Neighborhoods; Older Population; Outcome; Overweight; Paper; Participant; Pathway interactions; Physical Function; Physical activity; Pilot Projects; Population; Post-Traumatic Stress Disorders; Postdoctoral Fellow; Productivity; Psychosocial Factor; Quality of life; Randomized; Research; Research Project Grants; Review Literature; Role; Sampling; Symptoms; Techniques; Time; Training; Veterans; Work; arm; base; behavior change; behavior influence; cohort; compare effectiveness; experience; fitness; functional outcomes; functional restoration; health related quality of life; impaired glucose tolerance; interest; knowledge base; lifestyle intervention; meetings; novel; programs; rehabilitation strategy; response; therapy design

DESCRIPTION (provided by applicant) Exploring strategies to restore function in older Veterans with PTSD. This is a submission for a CDA-1. The candidate for this award is Katherine S. Hall, Ph.D., a postdoctoral fellow at the Geriatric Research, Education, and Clinical Center of the Durham Veterans Affairs Medical Center. Dr. Miriam C. Morey will serve as a primary mentor and Drs. Jean C. Beckham and Hayden B. Bosworth will serve as co-mentors during this award. The overarching goal of this proposal is for the candidate to build a research program in the role of multiple morbidities on behavioral and functional outcomes in older adults; specifically focusing on the added burden of posttraumatic stress disorder (PTSD) in addition to chronic conditions common to older adults. Dr. Hall will explore the added burden of PTSD on adherence and longitudinal trajectories of change in physical activity behavior and functional outcomes. Dr. Hall has identified the variables of interest in an ongoing clinical trial (the Enhancing Fitness Study, Morey PI) and has performed preliminary analysis to explore the impact of PTSD on physical activity and function in a convenience sample of overweight, older Veterans, with impaired glucose tolerance. Dr. Hall's proposed mentored research seeks to extensively characterize these associations in this dataset by examining baseline associations and the effects of PTSD on changes in clinical outcomes over time. Activities under this award include identifying the barriers to physical activity unique to this population and develop cognitive-behavioral strategies to address specific barriers for older adults with multiple morbidities and PTSD. Results from these aims will inform the future development of a pilot study of a randomized, controlled exercise intervention designed to compare the effectiveness of a group-based cognitive-behavioral intervention for increasing adherence to physical activity compared to traditional behavioral interventions in this understudied, but growing, sub-population of older Veterans. Dr. Hall's training plan includes broadening and strengthening her understanding of the etiology and manifestations of PTSD, exploring the potential mechanisms by which PTSD influences physical activity participation, strengthening her background in cognitive-behavioral techniques and applying these principles to physical activity behavior, and statistical handling of longitudinal and between-group analyses. Given the candidate's strong background in physical activity and her experience with research projects in behavioral interventions and functional assessment, a strong knowledge of PTSD as a psychiatric comorbidity and further development of her cognitive-behavioral and statistical knowledge base will enhance her future productivity and potential in this competitive field. The goal is that Dr. Hall will develop a novel and unique area of research that has tremendous potential for developing rehabilitation strategies for maintaining and restoring function in a cohort with multiple morbidities that is aging and likely to impose a high functional burden on VAMC health services.

描述（由申请人提供）