This application is a application for a five-year NIMH Independent Scientist Career Development Award (K-02) to prepare the candidate to design an intervention to encourage employers to engage in efforts to assure their depressed employees receive high quality treatment for the condition. To accomplish this goal, the application presents a detailed research plan describing a scientifically rigorous process to select a performance indicator that predicts the work impairment costs employers absorb, and to evaluate how quality improvement initiatives impact the selected performance indicator and total employer costs. After validating the indicator in an independent database, the candidate will provide performance indicator feedback to large corporations created from their own claims databases. This pilot will assist the candidate in identifying additional components that need to be added to a performance indicator intervention to successfully engage employers in quality assurance activities. In order to succeed with this research agenda, the candidate proposes a specific learning plan to develop knowledge of advanced statistical skills needed to create performance indicators; cost effectiveness analysis skills needed to evaluate the effect of quality improvement interventions on total employer costs; and other important skill sets detailed in the application. During the final year of the award, the candidate proposes to pilot an intervention prototype and develop a proposal for a full intervention trial. In supplanting the salary the candidate draws for administrative and teaching duties, the Career Development Award will increase the applicants ability to better integrate mental health services research and employer decision-making. In addition, support from this award will allow the applicant to transfer existing and newly acquired skills to other investigators interested in testing new interventions for their effect on under-investigated work outcomes.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Scientist Development Award - Research (K02)
Project #
5K02MH063651-03
Application #
6645676
Study Section
Special Emphasis Panel (ZMH1-SRV-C (02))
Program Officer
Oliver, Karen Anderson
Project Start
2001-06-15
Project End
2006-05-31
Budget Start
2003-06-01
Budget End
2004-05-31
Support Year
3
Fiscal Year
2003
Total Cost
$121,500
Indirect Cost
Name
University of Colorado Denver
Department
Family Medicine
Type
Schools of Medicine
DUNS #
041096314
City
Aurora
State
CO
Country
United States
Zip Code
80045
Rost, Kathryn (2009) Disability from depression: the public health challenge to primary care. Nord J Psychiatry 63:17-21
Hepner, Kimberly A; Rowe, Melissa; Rost, Kathryn et al. (2007) The effect of adherence to practice guidelines on depression outcomes. Ann Intern Med 147:320-9
Rubenstein, Lisa V; Rayburn, Nadine R; Keeler, Emmett B et al. (2007) Predicting outcomes of primary care patients with major depression: development of a depression prognosis index. Psychiatr Serv 58:1049-56
Rost, Kathryn; Adams, Scott; Xu, Stanley et al. (2007) Rural-urban differences in hospitalization rates of primary care patients with depression. Psychiatr Serv 58:503-8
Rost, Kathryn; Dickinson, L Miriam; Fortney, John et al. (2005) Clinical improvement associated with conformance to HEDIS-based depression care. Ment Health Serv Res 7:103-12
Rost, Kathryn; Pyne, Jeffrey M; Dickinson, L Miriam et al. (2005) Cost-effectiveness of enhancing primary care depression management on an ongoing basis. Ann Fam Med 3:7-14
Pyne, Jeffrey M; Rost, Kathryn M; Farahati, Farah et al. (2005) One size fits some: the impact of patient treatment attitudes on the cost-effectiveness of a depression primary-care intervention. Psychol Med 35:839-54
Dickinson, L Miriam; Rost, Kathryn; Nutting, Paul A et al. (2005) RCT of a care manager intervention for major depression in primary care: 2-year costs for patients with physical vs psychological complaints. Ann Fam Med 3:15-22
Rost, Kathryn; Fortney, John; Coyne, James (2005) The relationship of depression treatment quality indicators to employee absenteeism. Ment Health Serv Res 7:161-9
Rost, Kathryn; Smith, Jeffrey L; Dickinson, Miriam (2004) The effect of improving primary care depression management on employee absenteeism and productivity. A randomized trial. Med Care 42:1202-10

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