The purpose of this Mentored Patient- Oriented Research Career Development Award is to further the growth of my research skills so that I can become an independent and productive researcher focused on reducing family caregiving burden and improving care for Latino elderly with dementia-related mental and behavioral disturbances. This Award builds directly on my training in medical anthropology, health services research, and geropsychiatry. The five-year plan for career development emphasizes four areas: 1) longitudinal quantitative methods and analysis, 2) qualitative methods and analysis, 3) cultural dimensions of Latino family caregiving, and 4) geropsychiatric aspects of dementia assessment and management. Five different learning modalities are emphasized: a) formal coursework, b) supervised reading tutorials, c) research colloquia and seminars, and d) on and off-site practical with mentors. The final and most important modality is supervised development and implementation of a longitudinal research project. The research project I propose is a three-year investigation that integrates qualitative and quantitative methods to assess burdens that family caregivers of elderly face and where they turn for help. This project's specific aims are a) to identify factors (e.g., disease characteristics, caregiver characteristics, illness meanings, social network features, accessibility Of the local health care system) that influence whether and where Latino families seek help for dementia neuropsychiatric symptoms, and b) to examine the mental health consequences (e.g., caregiver strain due to neuropsychiatric symptoms. depressive symptoms, cultural idioms of distress) of dementia neuropsychiatric symptoms on family caregivers. The learning goals and career development activities outlined in this revised application will equip me to be a successful and independent investigator in minority aging, a clinical expert in assessing dementia and in managing related mental and behavioral disturbances, and a mentor for the next generation of investigators.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Mentored Patient-Oriented Research Career Development Award (K23)
Project #
1K23AG019809-01A1
Application #
6475144
Study Section
National Institute on Aging Initial Review Group (NIA)
Program Officer
Stahl, Sidney M
Project Start
2002-07-01
Project End
2007-06-30
Budget Start
2002-07-01
Budget End
2003-06-30
Support Year
1
Fiscal Year
2002
Total Cost
$149,580
Indirect Cost
Name
University of California Davis
Department
Psychiatry
Type
Schools of Medicine
DUNS #
094878337
City
Davis
State
CA
Country
United States
Zip Code
95618
Apesoa-Varano, Ester Carolina; Barker, Judith C; Hinton, Ladson (2011) Curing and caring: the work of primary care physicians with dementia patients. Qual Health Res 21:1469-83
Franz, Carol E; Barker, Judith C; Kim, Kathleen et al. (2010) When help becomes a hindrance: mental health referral systems as barriers to care for primary care physicians treating patients with Alzheimer's disease. Am J Geriatr Psychiatry 18:576-85
Flores, Yvette G; Hinton, Ladson; Barker, Judith C et al. (2009) Beyond familism: a case study of the ethics of care of a Latina caregiver of an elderly parent with dementia. Health Care Women Int 30:1055-72
Hinton, Ladson; Hagar, Yolanda; West, Nancy et al. (2009) Longitudinal influences of partner depression on cognitive functioning in latino spousal pairs. Dement Geriatr Cogn Disord 27:491-500
Hinton, Ladson; Chambers, Darin; Velásquez, Alexandra (2009) Making sense of behavioral disturbances in persons with dementia: Latino family caregiver attributions of neuropsychiatric inventory domains. Alzheimer Dis Assoc Disord 23:401-5
Liu, Dandan; Hinton, Ladson; Tran, Cindy et al. (2008) Reexamining the relationships among dementia, stigma, and aging in immigrant Chinese and Vietnamese family caregivers. J Cross Cult Gerontol 23:283-99
Gonzalez, Hector M; Croghan, Thomas; West, Brady et al. (2008) Antidepressant use in black and white populations in the United States. Psychiatr Serv 59:1131-8
Hinton, Ladson; Franz, Carol E; Reddy, Geetha et al. (2007) Practice constraints, behavioral problems, and dementia care: primary care physicians'perspectives. J Gen Intern Med 22:1487-92
Hinton, Ladson; Zweifach, Mark; Oishi, Sabine et al. (2006) Gender disparities in the treatment of late-life depression: qualitative and quantitative findings from the IMPACT trial. Am J Geriatr Psychiatry 14:884-92
Gonzalez, Hector M; Hinton, Ladson; Ortiz, Teresa et al. (2006) Antidepressant class and dosing among older Mexican Americans: application of geropsychiatric treatment guidelines. Am J Geriatr Psychiatry 14:79-83

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