Jennifer L. Wolff, Ph.D. is an assistant professor at the Johns Hopkins Bloomberg School of PublicHealth who is trained in gerontology and health services and outcomes research. This proposed NIMHMentored Research Scientist Career Development (KOI)award will provide the necessary support to facilitate Dr. Wolffs successful transition to an independent investigator in the field of geriatric mentalhealth services intervention research. Dr. Wolffs ultimate goal is to develop a program of research to optimize family involvement in late-life depression care processes, and in doing so, to facilitate improved mental health and quality of life outcomes among older adults living with depression. The proposed training plan includes a series of learning activities to increase the candidate's knowledge of late-life depression, its treatment,and models of depression care delivery, as well as to develop new skills in health education and communication research and the conduct of clinicaltrials. Buildingon these learning activities,two types of research activities will be simultaneously pursued throughout the course of the award. First, secondary analyses will be undertaken to elucidatethe influence of family involvementon late-life depression diagnosisandtreatment from two points of departure: a population-based orientation using a nationallyrepresentative survey and linked administrative claims (Aim 1), and an individual patient perspective through examinationof existing audio-taped encounters of patient-(family)-physician office visits (Aim 2). The second set of research activities involves primary data collection. Focus groups will be conducted with depressed older adults, their families, and primary care health professionals to ascertain facilitativeand counterproductive behaviors assumed by family in depression care processes (Aim 3). Lastly, building on knowledge gained from Aims 1- 3, an interventionthat seeks to optimize family involvement in depression care processes will be developed and pilot tested (Aim 4). The proposed training plan and research aims are designed to provide Dr. Wolff with the additionalexperience and resources necessary to support the submissionof a successful R01 grant to rigorously test the efficacy of this intervention by the end of the award period.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Scientist Development Award - Research & Training (K01)
Project #
5K01MH082885-04
Application #
8207990
Study Section
Mental Health Services in MH Specialty Settings (SRSP)
Program Officer
Chavez, Mark
Project Start
2009-01-01
Project End
2013-12-31
Budget Start
2012-01-01
Budget End
2012-12-31
Support Year
4
Fiscal Year
2012
Total Cost
$161,064
Indirect Cost
$11,931
Name
Johns Hopkins University
Department
Public Health & Prev Medicine
Type
Schools of Public Health
DUNS #
001910777
City
Baltimore
State
MD
Country
United States
Zip Code
21218
Wolff, Jennifer L; Guan, Yue; Boyd, Cynthia M et al. (2016) Examining the context and helpfulness of family companion contributions to older adults' primary care visits. Patient Educ Couns :
Wolff, Jennifer L; Darer, Jonathan D; Larsen, Kevin L (2016) Family Caregivers and Consumer Health Information Technology. J Gen Intern Med 31:117-21
Wolff, Jennifer L; Spillman, Brenda C; Freedman, Vicki A et al. (2016) A National Profile of Family and Unpaid Caregivers Who Assist Older Adults With Health Care Activities. JAMA Intern Med 176:372-9
Wolff, Jennifer L; Boyd, Cynthia M (2015) A Look at Person- and Family-Centered Care Among Older Adults: Results from a National Survey [corrected]. J Gen Intern Med 30:1497-504
Wolff, Jennifer L; Clayman, Marla L; Rabins, Peter et al. (2015) An exploration of patient and family engagement in routine primary care visits. Health Expect 18:188-98
Wolff, Jennifer L; Roter, Debra L; Barron, Jeremy et al. (2014) A tool to strengthen the older patient-companion partnership in primary care: results from a pilot study. J Am Geriatr Soc 62:312-9
Boyd, Cynthia M; Wolff, Jennifer L; Giovannetti, Erin et al. (2014) Healthcare task difficulty among older adults with multimorbidity. Med Care 52 Suppl 3:S118-25
Wolff, Jennifer L; Spillman, Brenda (2014) Older adults receiving assistance with physician visits and prescribed medications and their family caregivers: prevalence, characteristics, and hours of care. J Gerontol B Psychol Sci Soc Sci 69 Suppl 1:S65-72
Wolff, Jennifer L; Boyd, Cynthia M; Gitlin, Laura N et al. (2012) Going it together: persistence of older adults' accompaniment to physician visits by a family companion. J Am Geriatr Soc 60:106-12
Working Group on Health Outcomes for Older Persons with Multiple Chronic Conditions (2012) Universal health outcome measures for older persons with multiple chronic conditions. J Am Geriatr Soc 60:2333-41

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