This K01 Award will allow the candidate to deepen and expand her research on Preparation for Future Care (PFC) in older adults. PFC is defined as thoughts and actions involved when individuals formulate explicit plans for where, when, how, and from whom they will receive care if they become frail. More than 50% of older adults have no concrete plans for care, and 20% actively avoid any planning. For many, crisis care decisions lead to inappropriate care arrangements, including health care over-or-under-utilization, and premature death. Given the aging of the population, failure or inability to prepare for future care presents a problem for public policy and public health. The proposed program of research will lay the foundation for designing and implementing studies that will inform clinical and policy-based interventions to enhance PFC in the older population. The research plan is designed to initiate a program of systematic research on PFC by (1) describing the natural course of PFC in older adults at greater than average risk for care needs, (2) investigating four antecedents of PFS: Personality, Cognitive Functioning and Impairment, Depression, and Medical Illness, (3) examining the consequences of PFC over time with regard to Subjective Well-being, Functional Status, and Health Care Utilization. Data will be collected as part of an ancillary study to a NIA-funded longitudinal investigation of first-degree relatives of Alzheimer's patients (ADAPT). In addition, secondary data analyses will be performed in an ongoing NIH-funded study of depression in primary care patients (DOS), and HCFA's Medicare Current Beneficiaries data, in order to assess the antecedents and consequences of PFC. The educational plan includes (1) Tutorials and consultation to increase the candidate's knowledge of Personality, Cognitive Functioning and impairment, Depression, Medical Illness and Functional Status, (2) academic coursework and mentored research experiences to develop her skills in assessment and analysis of health care utilization, (3) coursework and research experiences to teach her advanced statistical methods for longitudinal analysis. The Candidate will combine perspectives from life-span development, epidemiology, health services, and late life psychopathology to develop PFC as a vibrant, multidisciplinary field of scientific inquiry with the potential to influence public health and public policy.

National Institute of Health (NIH)
National Institute on Aging (NIA)
Research Scientist Development Award - Research & Training (K01)
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National Institute on Aging Initial Review Group (NIA)
Program Officer
Stahl, Sidney M
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University of Rochester
Schools of Dentistry
United States
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Sörensen, Silvia; Chapman, Benjamin P; Duberstein, Paul R et al. (2017) Assessing future care preparation in late life: Two short measures. Psychol Assess 29:1480-1495
Bender, Andreas; Desplats, Paula; Spencer, Brian et al. (2013) TOM40 mediates mitochondrial dysfunction induced by ?-synuclein accumulation in Parkinson's disease. PLoS One 8:e62277
Mak, Wingyun; Sörensen, Silvia (2012) Trajectories of preparation for future care among first-degree relatives of Alzheimer's disease patients: an ancillary study of ADAPT. Gerontologist 52:531-40
Sörensen, Silvia; Mak, Wingyun; Chapman, Benjamin et al. (2012) The relationship of preparation for future care to depression and anxiety in older primary care patients at 2-year follow-up. Am J Geriatr Psychiatry 20:887-94
Sörensen, Silvia; Mak, Wingyun; Pinquart, Martin (2011) Planning and Decision Making for Care Transitions. Annu Rev Gerontol Geriatr 31:111-142
Pinquart, Martin; Sörensen, Silvia (2011) Spouses, adult children, and children-in-law as caregivers of older adults: a meta-analytic comparison. Psychol Aging 26:1-14
Sorensen, Silvia; Duberstein, Paul R; Chapman, Benjamin et al. (2008) How are personality traits related to preparation for future care needs in older adults? J Gerontol B Psychol Sci Soc Sci 63:P328-36
Pinquart, Martin; Sorensen, Silvia (2007) Correlates of physical health of informal caregivers: a meta-analysis. J Gerontol B Psychol Sci Soc Sci 62:P126-37
Sorensen, Silvia; Duberstein, Paul; Gill, David et al. (2006) Dementia care: mental health effects, intervention strategies, and clinical implications. Lancet Neurol 5:961-73
Chapman, Benjamin P; Duberstein, Paul R; Sorensen, Silvia et al. (2006) Personality and perceived health in older adults: the five factor model in primary care. J Gerontol B Psychol Sci Soc Sci 61:P362-5

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