This is a proposal for a multi-disciplinary research program project involving the departments of Community Health, Neurology, Psychiatry and Pharmacy. It consists of a core cross-sectional and longitudinal population survey and four research projects based upon it. A population sample consisting of some 2,000 elderly community residents will provide the necessary subjects and data required for the initiation and execution of the four research projects. The overall effort will be accomplished over a period of five years. The four projects are: a) Core Health Study - investigating the relative effectiveness of the receipt of health care in maintaining the health and social functioning of a representative sample of elderly persons residing in a defined urban community. b) Antecedents of Depression and Dementia in the Community Aged - investigating the nature and prevalence of depression and its risk factors and co-existing dementia in a case control study. c) Assessment of Medication in the Elderly and Impact of Pharmacist Intervention-investigating the prevalence of drug use and its problems in the aged and the subsequent impact of pharmacist intervention. d) Sleep Disorders in the Elderly - investigating, in a series of studies on sleepwake disorders and hypnotic drug use, the prevalence of the problems. Both retrospective and prospective case-control studies and an intervention study are included.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Research Program Projects (P01)
Project #
5P01AG003424-04
Application #
3090680
Study Section
Aging Review Committee (AGE)
Project Start
1983-09-29
Project End
1988-08-31
Budget Start
1986-09-01
Budget End
1987-08-31
Support Year
4
Fiscal Year
1986
Total Cost
Indirect Cost
Name
Montefiore Medical Center (Bronx, NY)
Department
Type
DUNS #
City
New York
State
NY
Country
United States
Zip Code
10467
Kennedy, G J; Kelman, H R; Thomas, C et al. (1996) The relation of religious preference and practice to depressive symptoms among 1,855 older adults. J Gerontol B Psychol Sci Soc Sci 51:P301-8
Kelman, H R; Thomas, C; Tanaka, J S (1994) Longitudinal patterns of formal and informal social support in an urban elderly population. Soc Sci Med 38:905-14
Kelman, H R; Thomas, C; Kennedy, G J et al. (1994) Cognitive impairment and mortality in older community residents. Am J Public Health 84:1255-60
Pollak, C P; Perlick, D; Linsner, J P (1994) Sleep and motor activity of community elderly who frequently use bedtime medications. Biol Psychiatry 35:73-5
Pollak, C P; Perlick, D; Linsner, J P (1992) Daily sleep reports and circadian rest-activity cycles of elderly community residents with insomnia. Biol Psychiatry 32:1019-27
Thomas, C; Kelman, H R; Kennedy, G J et al. (1992) Depressive symptoms and mortality in elderly persons. J Gerontol 47:S80-7
Thomas, C; Kelman, H R (1991) Patterns of stability and change in health use among elderly people. Do service systems leave an imprint on behavior? J Aging Health 3:87-106
Kennedy, G J; Kelman, H R; Thomas, C (1991) Persistence and remission of depressive symptoms in late life. Am J Psychiatry 148:174-8
Kennedy, G J; Kelman, H R; Thomas, C (1990) The emergence of depressive symptoms in late life: the importance of declining health and increasing disability. J Community Health 15:93-104
Thomas, C; Kelman, H R (1990) Unreimbursed expenses for medical care among urban elderly people. J Community Health 15:137-49

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