This application will support the career development of Dr. Derek Satre in the area of alcohol health services research for older adults. The proposal is submitted in response to PA-00-004, Mentored Patient-Oriented Research Career Development Award;and PA 01-142, Health Services Research on Alcohol-Related Problems. Dr. Constance Weisner of the University of California, San Francisco, will serve as the mentor. During this five-year program, the candidate will obtain training and experience in design and conduct of clinical trials, alcohol and drug treatment services research in older adult populations, and behavioral interventions. Working with an established team, the candidate will broaden collaborative research networks and academic skills.
The specific aims of the proposed research are: 1) to develop an acceptable and appropriate group treatment for older adults to address recovery support needs, and 2) to test this intervention in a pilot study that will serve as the foundation for a future R01-1evel efficacy study. The projects proposed to reach this goal include interviews with older chemical dependency patients and providers in a general mixed-age outpatient chemical dependency program, to inform intervention refinement;the adaptation of an empirically-supported group-model behavioral intervention (interpersonal psychotherapy) for older adults in alcohol and drug treatment;and testing the intervention in a pilot study. In the pilot, intervention participants will receive 10 weekly sessions of group treatment, and control participants will receive an education group. It is hypothesized that intervention participants will have better outcomes at six months (alcohol consumption, depression, and interpersonal functioning) than participants who receive the education group. This research career development program will yield significant knowledge regarding treatment of older adults with alcohol and drug problems, and will prepare the candidate for independence as a scientist in alcohol services research.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Mentored Patient-Oriented Research Career Development Award (K23)
Project #
5K23AA015411-05
Application #
7578355
Study Section
Health Services Research Review Subcommittee (AA)
Program Officer
Lowman, Cherry
Project Start
2005-03-15
Project End
2010-11-28
Budget Start
2009-03-01
Budget End
2010-11-28
Support Year
5
Fiscal Year
2009
Total Cost
$141,866
Indirect Cost
Name
University of California San Francisco
Department
Type
Schools of Medicine
DUNS #
094878337
City
San Francisco
State
CA
Country
United States
Zip Code
94143
Satre, Derek D; Delucchi, Kevin; Lichtmacher, Jonathan et al. (2013) Motivational interviewing to reduce hazardous drinking and drug use among depression patients. J Subst Abuse Treat 44:323-9
Satre, Derek D; Sterling, Stacy A; Mackin, R Scott et al. (2011) Patterns of alcohol and drug use among depressed older adults seeking outpatient psychiatric services. Am J Geriatr Psychiatry 19:695-703
Satre, Derek D; Chi, Felicia W; Eisendrath, Stuart et al. (2011) Subdiagnostic alcohol use by depressed men and women seeking outpatient psychiatric services: consumption patterns and motivation to reduce drinking. Alcohol Clin Exp Res 35:695-702
Satre, Derek D; Campbell, Cynthia I; Gordon, Nancy S et al. (2010) Ethnic disparities in accessing treatment for depression and substance use disorders in an integrated health plan. Int J Psychiatry Med 40:57-76
DeLorenze, Gerald N; Satre, Derek D; Quesenberry, Charles P et al. (2010) Mortality after diagnosis of psychiatric disorders and co-occurring substance use disorders among HIV-infected patients. AIDS Patient Care STDS 24:705-12
Satre, Derek; Wolfe, William; Eisendrath, Stuart et al. (2008) Computerized screening for alcohol and drug use among adults seeking outpatient psychiatric services. Psychiatr Serv 59:441-4
Satre, Derek D; Gordon, Nancy P; Weisner, Constance (2007) Alcohol consumption, medical conditions, and health behavior in older adults. Am J Health Behav 31:238-48
Satre, Derek D; Kohn, Carolynn S; Weisner, Constance (2007) Cigarette smoking and long-term alcohol and drug treatment outcomes: a telephone follow-up at five years. Am J Addict 16:32-7
Satre, Derek D; Blow, Frederic C; Chi, Felicia W et al. (2007) Gender differences in seven-year alcohol and drug treatment outcomes among older adults. Am J Addict 16:216-21