This application proposes a training plan to develop Laura E. Dreer, Ph.D. into an independent patient oriented researcher specializing in the psychological factors involved in low vision and its rehabilitation. Dr. Dreer is a licensed clinical psychologist with subspecialty training in rehabilitation psychology and neuropsychology and prior research experience involving the application of evidence-based psychoeducational interventions for persons with chronic conditions and functional impairments. This training program will consist of mentored research, advanced coursework leading to a Masters in Science in Public Health in Epidemiology, and multi-disciplinary didactics including courses in vision science. Mentored research will be conducted under the direction of a mentorship committee composed of Dr. Cynthia Owsley, Professor of Ophthalmology, and Director of the UAB Clinical Unit, Dr. Timothy R. Elliott, Professor of Psychology, and Dr. Gerald McGwin, Jr., Director of Epidemiology and Biostatistical Services in the Clinical Research Unit. Consultants expert in the delivery of low vision rehabilitation will participate in the training plan: Dr. Dawn DeCarlo, Director of UAB Center for Low Vision Rehabilitation; Dr. Lylas G. Mogk, Director of the Visual Rehabilitation Center of Michigan of the Henry Ford Health System; and Marry Warren, M.S., OTR/L, Director of the UAB Graduate Certificate in Low Vision Rehabilitation Program. This research will be conducted using the client resources of the UAB Center for Low Vision Rehabilitation. The current research literature on the psychosocial factors that influence adjustment following irreversible vision loss have been considerably understudied, despite the fact that adjustment to functional impairment and disability has been linked to health related outcomes in a variety of chronic health conditions. Empirical research clearly shows that problem solving training (a """"""""psychoeducational"""""""" intervention) effectively decreases distress and enhances the health and well-being of persons with serious chronic conditions. Thus, the current project aims to extend the application of this useful intervention to adult persons with low vision and their unique problems. The efficacy of the problem solving training intervention on depression and other health-related outcomes (emotional distress, vision-targeted health-related quality of life) will be examined in the research component of this K23 training program through the conduct of a randomized intervention evaluation. ? ? ?

National Institute of Health (NIH)
National Eye Institute (NEI)
Mentored Patient-Oriented Research Career Development Award (K23)
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Special Emphasis Panel (ZEY1-VSN (02))
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Schron, Eleanor
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University of Alabama Birmingham
Schools of Medicine
United States
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Dreer, Laura E; Owsley, Cynthia; Campbell, Lisa et al. (2016) Feasibility, Patient Acceptability, and Preliminary Efficacy of a Culturally Informed, Health Promotion Program to Improve Glaucoma Medication Adherence Among African Americans: ""Glaucoma Management Optimism for African Americans Living with Glaucoma"" ( Curr Eye Res 41:50-8
Dreer, Laura E; Weston, June; Owsley, Cynthia (2014) Strategic Planning for Recruitment and Retention of Older African Americans in Health Promotion Research Programs. J Health Dispar Res Pract 7:14-33
Dreer, Laura E; Girkin, Christopher A; Campbell, Lisa et al. (2013) Glaucoma medication adherence among African Americans: program development. Optom Vis Sci 90:883-97
Dreer, Laura E; Girkin, Christopher; Mansberger, Steven L (2012) Determinants of medication adherence to topical glaucoma therapy. J Glaucoma 21:234-40
Martin, Roy C; Triebel, Kristen; Dreer, Laura E et al. (2012) Neurocognitive predictors of financial capacity in traumatic brain injury. J Head Trauma Rehabil 27:E81-90
Dreer, Laura E; Devivo, Michael J; Novack, Thomas A et al. (2012) Financial capacity following traumatic brain injury: a six-month longitudinal study. Rehabil Psychol 57:5-12
Bambara, Jennifer K; Owsley, Cynthia; Wadley, Virginia et al. (2009) Family caregiver social problem-solving abilities and adjustment to caring for a relative with vision loss. Invest Ophthalmol Vis Sci 50:1585-92
Dreer, Laura E; Berry, Jack; Rivera, Patricia et al. (2009) Efficient assessment of social problem-solving abilities in medical and rehabilitation settings: a Rasch analysis of the Social Problem-Solving Inventory-Revised. J Clin Psychol 65:653-69
Dreer, Laura E; Elliott, Timothy R; Berry, Jack et al. (2008) Cognitive appraisals, distress and disability among persons in low vision rehabilitation. Br J Health Psychol 13:449-61