Treating Anxiety in Public Sector Medical Settings

描述(由候选人提供)：这是一个职业生涯中期的以患者为导向的研究人员奖，旨在加强我的研究，促进年轻研究人员在公共部门医疗环境中应用循证治疗，特别是焦虑症的应用方面的发展和成长。在研究研究中，特别是在治疗研究中，贫困和医疗弱势群体的比例明显偏低。我们显然需要更多的临床研究人员在这些环境中和这些人群中工作。还需要公共部门的研究基础设施来支持最先进的研究。最后，鉴于大多数医疗机构，尤其是公共部门对焦虑症的护理质量不足，我们需要知道如何最好地定制和提供循证治疗。因此，我在以患者为中心的研究(K24)职业生涯中期奖上的三个目标是(1)明确转化性研究中新的职业研究重点，以增加相关性，加快发展，并促进公共部门医疗环境中焦虑症以研究为重点的治疗和服务干预的利用；(2)创建实践基础设施，支持关于循证治疗在公共部门医疗环境中的应用的最先进研究；(3)指导对公共部门以证据为基础的治疗应用研究感兴趣的初级调查人员。我在临床研究方面的广泛背景将使我能够与发展中的临床医生-科学家建立联系，涉及多个层次的研究兴趣，并引导他们走向服务研究领域。随着我在后一个领域的技能在这个奖项的过程中不断发展，我希望能够在这个特定的领域里更有效地指导他们。

DESCRIPTION (provided by candidate): This is a mid-career investigator award in patient-oriented research that is designed to strengthen my research and further the development and growth of young investigators in the application of evidence based treatments, especially for anxiety disorders, in public sector medical settings. Poor and medically disadvantaged populations are clearly underrepresented in research studies, especially in treatment studies. We clearly need more clinical investigators to work in these settings and with these populations. There also is a need for public sector research infrastructures that will support state-of-the-art research. Finally, given the deficiencies in quality of care for anxiety disorders in most medical settings, but especially the public sector, we need to know how to best tailor and deliver evidence-based treatments. My three goals for this Mid-Career Investigator Award in Patient-Oriented Research (K24) are therefore (1) to crystallize a new career research focus in translational research that would increase the relevance, speed the development, and facilitate the utilization of research-focused treatments and services interventions for anxiety disorders in the public sector medical setting; (2) to create a practice infrastructure that supports state-of-the-art research on the application of evidence based treatments in public sector medical settings; (3) to mentor junior investigators interested in research on the application of evidence-based treatments in the public sector. My broad background in clinical research will allow me to relate to the developing clinician-scientist across multiple levels of research interest and to steer them toward the field of services research. As my skills in this latter area evolve over the course of this award, I hope to be able to mentor them even more effectively in this specific area as well.