Improving Anxiety Management and Rehabilitation Outcomes in Critical Care

描述（由申请人提供）：候选人的研究兴趣包括开发和评估以患者为中心的治疗方法，旨在促进康复治疗的参与，以积极影响危重疾病存活成人的心理和生活质量。她的短期职业目标是在物理医学和康复领域的领导者为危重病人和受伤病人提供指导和专业知识的指导下进行指导研究。李约瑟和韦格纳)。她的长期职业目标是成为一名独立的临床研究人员，开展以患者为导向的研究，专注于开发、评估和实施心理干预，以改善危重疾病后的短期和长期结果。为了达到这个职业

DESCRIPTION (provided by applicant): The candidate's research interests encompass developing and evaluating patient-centered treatment approaches designed to facilitate engagement in rehabilitation therapies, in order to positively affect psychological and quality of life outcomes in adults surviving critical illness. Her short-term career goal is to conduct mentored research with guidance and expertise provided by leaders in the field of physical medicine and rehabilitation for critically ill and injured patients (Drs. Needham and Wegener). Her long-term career goal is to become an independent clinical researcher conducting patient-oriented research that is focused on developing, evaluating, and implementing psychological interventions to improve short- and long-term outcomes after critical illness. To reach this career goal, the candidate needs additional specialized training in several key areas to address important gaps in her training. Through mentorship, focused coursework in clinical research methods, grantsmanship workshops, and training in the ethical conduct of research, she will develop a solid foundation to build her career as an independent, patient-oriented clinical researcher. Formal training in advanced epidemiological methods, study design, and associated biostatistics will occur through didactic course work at the Johns Hopkins Bloomberg School of Public Health (JHSPH); an NIH-sponsored summer institute on Randomized Behavioral Clinical Trials; a 5-day intensive workshop on grant writing for rehabilitation research; attendance and presentations at annual scientific conferences; and attendance at the monthly Johns Hopkins Physical Medicine and Rehabilitation grand rounds. In addition, this learning will be reinforced and applied as part of regular mentoring meetings with Drs. Needham and Wegener who have relevant expertise and experience in clinical research methods in the candidate's field of study. The candidate will also have access to additional epidemiology and biostatistics faculty members who are part of Dr. Needham's Outcomes after Critical Illness and Surgery (OACIS) Research group. To improve anxiety management in critically ill patients participating in early rehabilitation therapies in the intensive care unit, the candidate plans to conduct a randomized controlled double-blinded pilot trial of a novel psychologist-administered intervention. The overall goal of this research is to improve the management of anxiety in critically ill patients participating in early rehabilitation therapies. Symptoms of anxiety, and current ICU anxiety management strategies, may be associated with worse psychological outcomes after hospital discharge. Evaluating the adverse effects of anxiety symptoms in the ICU, and the potential benefits of a novel anxiety management intervention is innovative and important for improving patient outcomes. The scientific disciplines and research areas encompassed by the proposed study will be multidisciplinary to include physical medicine and rehabilitation, rehabilitation psycholog, critical care and pulmonary medicine, physical therapy, occupational therapy, and nursing care specialties.