TRAINING IN SERVICES-INFORMED INTERVENTIONS RESEARCH

描述(由申请人提供)：这是为宾夕法尼亚大学博士玛丽·贝丝·康诺利申请的导师研究科学家发展奖。具体目标是获得a)不断发展的卫生保健市场的知识，b)评估心理治疗有效性模型所需的方法的知识，以及c)赠款准备方面的技能，以便发展成为一名成熟和独立的心理治疗有效性研究人员。这一奖项的目标将通过一个结构化的计划实现，该计划包括：a)医疗保健质量、流行病学、结果研究和成本效益方面的正式课程工作；b)出席一系列以公共卫生为导向的干预研究相关问题的大型讲座；c)与成本效益、精神健康政策、精神健康服务中的健康结果以及多地点有效性试验的实施有关的专家的教程；以及d)在Paul Crits-Christoph、Aileen Rothbard和Joseph Gallo博士的指导下进行3项调查。 选择了三项试点研究作为这一计划的一部分，以整合服务和有效性研究方法，在公共卫生模式下调查心理治疗。首先，将评估一个纵向数据库，以检查影响社区精神卫生治疗提供的患者易感因素、需求因素、促成因素和环境因素。第二个项目将包括一项病人调查，旨在进一步评估影响社区精神卫生机构提供治疗的因素。最后，将结合前两项以服务为导向的调查结果，进行一项小型试点干预试验。

DESCRIPTION (provided by applicant): This is an application for a mentored research scientist development award for Mary Beth Connolly, Ph.D. at the University of Pennsylvania. The specific aims are to gain a) knowledge of an evolving health care market, b) knowledge of methodologies needed to evaluate the effectiveness model of psychotherapy, and c) skills in grant preparation, in order to develop into an sophisticated and independent psychotherapy effectiveness researcher. The aims of this award will be accomplished through a structured program consisting of: a) formal course work in health care quality, epidemiology, outcomes research, and cost effectiveness; b) attendance at a series of grand rounds presentations focused on issues related to public health-oriented intervention research; c) tutorials with experts in cost effectiveness, mental health policy, health outcomes in mental health services, and the implementation of multi-site effectiveness trials; and d) conducting 3 investigations under the mentorship of Drs. Paul Crits-Christoph, Aileen Rothbard, and Joseph Gallo. Three pilot studies have been chosen as part of this program in order to integrate services and effectiveness research methods to investigate psychotherapy within a public health model. First, a longitudinal database will be evaluated to examine the patient predisposing factors, need factors, enabling factors, and environmental factors that influence the delivery of mental health treatment in the community. The second project will consist of a patient survey designed to evaluate further the factors that influence treatment delivery in community mental health agencies. Finally, a small pilot intervention trial will be conducted integrating the results of the first two services-oriented investigations.