This is a submission for a K23 Mentored Patient-Oriented Research Scientist Award. The applicant is a clinical psychologist and a developing investigator in the Cornell Advanced Center for Interventions and Services Research (ACISR). The goal of this application is to provide further interdisciplinary training and research opportunities to transition the applicant to become an independent investigator in interventions research. The career goal of the applicant is to develop interventions to improve the use and effectiveness of mental health services for older patients treated in a variety of medical settings. The career development objectives of this application are to learn about: 1. The assessment of treatment preferences and expectations in elderly primary care patients; 2. Treatment guidelines, and the assessment of ongoing patient engagement in and adherence to different forms of treatment; 3. Theories of health decision making and choice by patients, and how to optimize the treatment selection process within the primary care service delivery system; and 4. Research methodology, including the utilization of partial randomization research designs in clinical trials, and statistics. This training will provide the knowledge and skills necessary to conduct research that examines the impact of treatment preferences on treatment initiation, engagement in and adherence to treatment, and clinical outcomes of elderly depressed primary care patients.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Mentored Patient-Oriented Research Career Development Award (K23)
Project #
5K23MH069784-04
Application #
7155511
Study Section
Special Emphasis Panel (ZMH1-NRB-W (11))
Program Officer
Moten, Carmen P
Project Start
2004-01-01
Project End
2008-12-31
Budget Start
2007-01-01
Budget End
2007-12-31
Support Year
4
Fiscal Year
2007
Total Cost
$148,725
Indirect Cost
Name
Weill Medical College of Cornell University
Department
Psychiatry
Type
Schools of Medicine
DUNS #
060217502
City
New York
State
NY
Country
United States
Zip Code
10065
Raue, Patrick J; Weinberger, Mark I; Sirey, Jo Anne et al. (2011) Preferences for depression treatment among elderly home health care patients. Psychiatr Serv 62:532-7
Raue, Patrick J; Schulberg, Herbert C; Lewis-Fernandez, Roberto et al. (2010) Shared decision-making in the primary care treatment of late-life major depression: a needed new intervention? Int J Geriatr Psychiatry 25:1101-11
Raue, Patrick J; Morales, Knashawn H; Post, Edward P et al. (2010) The wish to die and 5-year mortality in elderly primary care patients. Am J Geriatr Psychiatry 18:341-50
Raue, Patrick J; Schulberg, Herbert C; Heo, Moonseong et al. (2009) Patients' depression treatment preferences and initiation, adherence, and outcome: a randomized primary care study. Psychiatr Serv 60:337-43
Marc, Linda G; Raue, Patrick J; Bruce, Martha L (2008) Screening performance of the 15-item geriatric depression scale in a diverse elderly home care population. Am J Geriatr Psychiatry 16:914-21
Alexopoulos, George S; Raue, Patrick J; Sirey, Jo Anne et al. (2008) Developing an intervention for depressed, chronically medically ill elders: a model from COPD. Int J Geriatr Psychiatry 23:447-53
Alexopoulos, George S; Raue, Patrick J; Kanellopoulos, Dora et al. (2008) Problem solving therapy for the depression-executive dysfunction syndrome of late life. Int J Geriatr Psychiatry 23:782-8
Bruce, Martha L; Brown, Ellen L; Raue, Patrick J et al. (2007) A randomized trial of depression assessment intervention in home health care. J Am Geriatr Soc 55:1793-800
Raue, Patrick J; Meyers, Barnett S; Rowe, Jennifer L et al. (2007) Suicidal ideation among elderly homecare patients. Int J Geriatr Psychiatry 22:32-7