Building Community Capacity for Disability Prevention for Minority Elders Diversity Supplement

项目摘要 该多样性补充奖的长期目标是为Mayra Sánchez González博士做好准备， 独立的研究事业，旨在促进老年人在疾病或受伤后的适应性恢复， 最终目标是优化生活质量。尽管少数老年人是增长最快的群体， 作为美国老龄化人口的一部分，他们获得精神卫生保健和预防残疾的机会较少。 心理健康疾病，如焦虑和抑郁，往往遵循一个慢性发作过程，导致 严重功能性残疾并对生活质量产生负面影响。据估计，多达三分之一的 个体在治疗后将经历情绪障碍发作的复发和/或再发。作为 少数老年人在精神疾病的严重性，持续性和复发方面的风险更大，研究 维持心理收益的维持干预措施的有效性有助于减少残疾 提高生活质量。了解临床预后风险因素和社会文化因素， 因此，种族和民族人口可以帮助有效地针对基于维护的干预措施， 最大限度地提高成本效益，优化社区干预措施的实施。具体 研究目的包括（目的1）确定与接受E-相关的社会人口统计学和临床因素， 干预参与者之间基于PMSB组的维持会议;（目标2）检查是否 接受维持治疗的干预参与者不太可能复发和/或 精神健康症状复发;以及（目标3）以接受和接受维持费为条件 会议，使用定性方法确定谁从维护干预中受益。 拟议的研究和职业发展活动将使Sánchez González博士能够维持她的工作。 目前在约翰霍普金斯大学（JHU）担任教职，同时在 马萨诸塞州总医院。Sánchez González博士组建了一支强大的内容专家团队 健康差异、残疾、心理和行为干预。沉浸在JHU和MGH的 丰富的培训环境，桑切斯·冈萨雷斯博士将通过致力于实现以下职业目标 指导，教学经验和专业发展机会：（1）制定方法 在纵向数据和健康差异分析的先进定量方法方面的专业知识， 包括多层次建模;（2）获得定性方法的培训，以帮助确定谁受益于 临床维护干预;（3）获得实施和传播评估方面的培训 科学，包括公共卫生干预措施的成功实施;（4）建立她的出版形象 作为一个早期的职业临床科学家;和（5）制定并提交一个成功资助的赠款申请， NIA指导科学家发展奖（K23）过渡到职业生涯作为一个独立的研究人员。

PROJECT SUMMARY The long-term goal of this Diversity Supplement Award is to prepare Dr. Mayra Sánchez González for an independent research career that aims to promote adaptive recovery for older adults following illness or injury, with the ultimate goal of optimizing quality of life. Although minority older adults represent the fastest growing segment of an aging US population, they have less access to mental health care and prevention of disability. Mental health illnesses, such as anxiety and depression, tend to follow a chronic episodic course that results in significant functional disability and negatively affect quality of life. Estimates suggest that up to one-third of individuals will experience a relapse and/or recurrence of mood disorder episodes following treatment. As minority older adults are at greater risk for severity, persistence, and recurrence of mental illness, studying the effectiveness of maintenance interventions to maintain psychological gains is instrumental to reduce disability and improve quality of life. Understanding clinically prognostic risk factors and sociocultural factors for diverse racial and ethnic populations can help to target maintenance-based interventions effectively, therefore maximizing cost-effectiveness and optimizing community-based intervention implementation. The specific research aims include (Aim 1) identify sociodemographic and clinical factors associated with accepting the E- PMSB group-based maintenance sessions among intervention participants; (Aim 2) examine whether intervention participants who receive the maintenance sessions are less likely to experience a relapse and/or recurrence of mental health symptoms; and (Aim 3) conditional on accepting and receiving the maintenance sessions, identify who benefits from the maintenance intervention using qualitative methods. The proposed research and career development activities will allow Dr. Sánchez González to maintain her current faculty position at Johns Hopkins University (JHU), while engaging in the project remotely at Massachusetts General Hospital (MGH). Dr. Sánchez González has formed a strong team of content experts in health disparities, disability, and psychological and behavioral interventions. Immersed in JHU and MGH’s rich training environments, Dr. Sánchez González will achieve the following career goals through dedicated mentorship, didactic experiences, and professional development opportunities: (1) develop methodological expertise in advanced quantitative methods for the analysis of longitudinal data and health disparities, including multilevel modeling; (2) obtain training in qualitative methods to aid in identifying who benefits from clinical maintenance interventions; (3) obtain training in the assessment of implementation and dissemination science, including the successful implementation of public health interventions; (4) build her publication profile as an early career clinician scientist; and (5) develop and submit a successfully funded grant application for an NIA Mentored Scientists Development Award (K23) to transition to a career as an independent researcher.