Interventions and Services for Older Adults with SMI

描述(申请人提供)：本次竞争性续展申请“以患者为中心的研究生涯中期研究人员奖”的目的是支持为患有严重精神疾病的老年人(SMI)制定和测试干预措施和服务的下一阶段，并进一步推动老年精神卫生服务研究领域的早期职业研究人员的发展。该奖项的目标是：(1)通过开发和测试心理社会康复和健康促进的综合模式，改善患有SMI的老年人的心理和身体健康结果；(2)通过开发和测试增强消费者激活、共享决策和自我管理的干预措施，改善SMI患者的心理和身体健康结果；以及(3)通过提供有指导的研究机会和开发多站点、网络辅助的指导计划的创新模式，促进老年心理健康服务研究领域早期职业研究者的发展。这些目标将通过一个综合的职业发展计划、研究计划和指导计划来实现。职业发展计划将通过与医疗保健决策支持和共享决策方面的专家合作来提高研究技能。除了完成正在进行的几项研究的数据收集和分析外，研究计划中新资助的两项研究包括一项R34研究，以开发和评估综合心理和身体健康自我管理干预的有效性，以及一项R01研究，旨在促进健康和健身干预。这项由该奖项支持的拟议试点研究将评估为期12周的消费者激活和自我管理培训(CAST)干预的可行性和潜在有效性，以改善60名患有SMI的老年人(50岁以上)的消费者激活、自我管理和身心健康结果，随机分为CAST或平时护理组。指导计划包括指导研究机会，以及描述一个创新的、协作的、多站点的、基于网络的指导计划，旨在解决全国老年精神卫生服务研究人员的短缺问题。这一综合计划直接建立在本奖项所取得进展的基础上。这项申请解决了对快速增长的患有严重精神疾病的老年人口提供有效服务的研究严重不足的问题。

DESCRIPTION (provided by applicant): The purpose of this competitive renewal application for a "Midcareer Investigator Award in Patient- Oriented Research" is to support the next phase in the development and testing of interventions and services for older persons with serious mental illness (SMI), and to further advance the development of early career investigators in geriatric mental health services research. The goals of this award are: (1) to improve mental and physical health outcomes for older adults with SMI by developing and testing integrated models of psychosocial rehabilitation and health promotion; (2) to improve mental and physical health outcomes for older adults with SMI by developing and testing interventions that enhance consumer activation, shared decision-making, and self-management; and (3) to contribute to the development of early career investigators in geriatric mental health services research by providing mentored research opportunities and by developing innovative models of multi-site, web-assisted mentoring programs. These objectives will be achieved through an integrated career development plan, research plan, and mentoring plan. The career development plan will enhance research skills through collaborations with experts in health care decision support and shared decision-making. In addition to completing data collection and analyses for several ongoing studies, two newly funded studies in the research plan include an R34 to develop and evaluate the effectiveness of an integrated mental and physical health self-management intervention, and an R01 study of a health promotion and fitness intervention. The proposed pilot study supported by this award will evaluate the feasibility and potential effectiveness of a 12-week Consumer Activation and Self-Management Training (CAST) intervention in improving consumer activation, self- management, and physical and mental health outcomes for 60 older adults (age 50+) with SMI, randomized to CAST or Usual Care. The mentoring plan includes mentored research opportunities, as well as a description of an innovative, collaborative, multi-site, web-based mentoring program designed to address the national shortfall in geriatric mental health services researchers. This integrated plan directly builds on progress achieved in the current award. This application addresses a profound lack of research on effective services for the rapidly growing population of aging persons with serious mental illness.