This application is for the NIA Special Emphasis Research Career Award in Behavioral Geriatrics Research. The applicant is a behavioral psychologist with considerable experience in aging research. In particular she has investigated agitation in nursing home residents and developed assessment instruments for agitation, as well as a conceptual framework for the study of agitation. A full understanding of agitation and its treatment requires knowledge in pharmacology and physiologic processes. The purpose of this SERCA proposal is to provide the applicant, who has not had such training previously, with biomedical training which will allow her to develop a comprehensive and practical intervention program for agitation in the nursing home. Several areas of training are required to attain the skills necessary for understanding the complexity of intervention research in this population. The proposed training program includes supervised research experience, coursework, clinical training, and training with senior researchers and clinicians in the areas of pharmacology, geriatric medicine, geriatric psychiatry, and geriatric nursing. A research project utilizing a placebo-controlled, double-blind, design examining the impact of withdrawal of psychotropic drugs on agitation in nursing home residents will be conducted under the supervision of Raymond L. Woosley, M.D., Ph.D., professor and chairman, department of pharmacology, Georgetown University School of Medicine. This area of research is of extreme importance because of the burden and suffering afflicted on caregivers and agitated individuals. Additionally, the widespread use of psychotropic drugs in this population, and the high risk of adverse effects mandate that the effectiveness of these drugs and the process of withdrawal be evaluated.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Research Scientist Development Award - Research & Training (K01)
Project #
5K01AG000547-03
Application #
2048291
Study Section
Neuroscience, Behavior and Sociology of Aging Review Committee (NBSA)
Project Start
1992-02-01
Project End
1996-12-31
Budget Start
1994-01-01
Budget End
1994-12-31
Support Year
3
Fiscal Year
1994
Total Cost
Indirect Cost
Name
Georgetown University
Department
Psychiatry
Type
Schools of Medicine
DUNS #
049515844
City
Washington
State
DC
Country
United States
Zip Code
20057
Cohen-Mansfield, Jiska; Wirtz, Philip W (2011) Predictors of entry to the nursing home: does length of follow-up matter? Arch Gerontol Geriatr 53:309-15
Cohen-Mansfield, Jiska (2002) Development of a framework to encourage addressing advance directives when resources are limited. J Aging Health 14:24-41
Cohen-Mansfield, J; Pawlson, G; Lipson, S et al. (2001) The measurement of health: a comparison of indices of disease severity. J Clin Epidemiol 54:1094-102
Cohen-Mansfield, J; Lipson, S; Brenneman, K S et al. (2001) Health status of participants of adult day care centers. J Health Soc Policy 14:71-89
Cohen-Mansfield, J; Marx, M S; Lipson, S et al. (1999) Predictors of mortality in nursing home residents. J Clin Epidemiol 52:273-80
Cohen-Mansfield, J; Taylor, L; Werner, P (1998) Delusions and hallucinations in an adult day care population. A longitudinal study. Am J Geriatr Psychiatry 6:104-21
Cohen-Mansfield, J; Werner, P (1998) Longitudinal changes in behavioral problems in old age: a study in an adult day care population. J Gerontol A Biol Sci Med Sci 53:M65-71
Cohen-Mansfield, J; Werner, P (1998) Predictors of aggressive behaviors: a longitudinal study in senior day care centers. J Gerontol B Psychol Sci Soc Sci 53:P300-10
Cohen-Mansfield, J (1996) Conceptualization of agitation: results based on the Cohen-Mansfield Agitation Inventory and the Agitation Behavior Mapping Instrument. Int Psychogeriatr 8 Suppl 3:309-15;discussion 351-4
Cohen-Mansfield, J (1995) Assessment of disruptive behavior/agitation in the elderly: function, methods, and difficulties. J Geriatr Psychiatry Neurol 8:52-60

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