Switch to Accessible Site
Couple Riding Bikes

Dr. Sadak's Resume

BIOSKETCH

BIOGRAPHICAL SKETCH

NAME: Tatiana I. Sadak

eRA COMMONS USER NAME (credential, e.g., agency login): SADAKT

POSITION TITLE: Associate Professor, Department of Psychosocial and Community Health Nursing

INSTITUTION AND LOCATION

DEGREE

(if applicable)

Completion Date

MM/YYYY

FIELD OF STUDY

Seattle Pacific University, Seattle WA

BA

1997-08

Psychology/Gerontology

University of Washington School of Nursing, Seattle WA

MN

PhD

2008-08

2011-06

Nursing/Psychiatry

Nursing/Geriatric Psychiatry

National Hartford Centers of Gerontological Nursing

Excellence, Washington, DC

Pre-Doctoral Scholar

Post-Doctoral Fellow

2009-11

2011-13

Nursing/Gerontology

Nursing/Gerontology

University of Washington, Department of Biomedical Informatics and Medical Education, Seattle WA

Teaching Scholars Fellow

2013-14

Biomedical Informatics and Medical Education

Robert Wood Johnson Foundation, Princeton, NJ

Nurse Faculty Scholar

 

2013-17

 

Research and Career Development Fellowship

Cambia Health Foundation, OR

Sojourns Leadership Scholar

2017-19

Palliative Care Career Development Award

Institute for Functional Medicine, WA

ReCODE Reversing Cognitive Impairment Certification

2018

 

Neurodegenerative Disorders

 

Centre for Translational Genomics, South Africa

Translational Nutrigenomics, Evidence Based Clinical Practice Certification

2018

Genetics and Nutrition

 

A.   Personal Statement

I am an experienced gero-psychiatric nurse practitioner, specializing in dementia.  My program of research is focused on developing measurements and interventions aimed at improving dementia care partner’s (CP) health/wellness and their ability to manage health/wellness needs of their care recipients. I am therefore well positioned to lead the work on the proposed project, which serves as a logical next step in my program of research.  My team and I developed several measures that we included in the CP needs assessment battery, including a nationally recognized measure of dementia CP activation.  We also tested the use of this battery, transformed paper-pencil assessment forms into REDCap format and created an interactive web interface that will serve as a foundation for the proposed Dementia Care Partner_Road Map portal. We are currently completing data analyses on a collaborative grant and preparing multiple manuscripts to disseminate findings that serve as a foundation for the proposed R03 grant.

  1. Sadak, T. I.,Katon, J., Beck, C., Cochrane, B. B., & Borson, S. (2013). Key Neuropsychiatric Symptoms in Common Dementias: Prevalence and Implications for Caregivers, Clinicians, and Health Systems. Res Gerontol Nurs,7(1):44-52doi: 10.3928/19404921-20130918-01. PMCID: PMC3909707
  2. Sadak, T., Korpak, A., & Borson, S. (2015). Measuring caregiver activation for health care: Validation of PBH-LCI:D. Geriatr Nurs, 36(4), 284-292. doi: 10.1016/j.gerinurse.2015.03.003
  3. Sadak, T., Souza, A., Borson, S. (2015). Toward Assessment of Dementia Caregiver Activation for Health Care: A Systematic Review of Related Constructs and Measures. Res in Gerontol Nurs. 1-11. doi:10.3928/19404921-20151019-02
  4. Sadak, T., Wright J., Borson S., (2016). Managing Your Loved One’s Health. Care management tool for dementia caregivers. J of Appl Gerontol. August. 1-24.. doi: 10.1177/0733464816657472.

B.   Positions and Honors

Positions

2009-11                 Pre-Doctoral Scholar John A Hartford Building Academic Geriatric Nursing Capacity, UW, WA

2010-2012             Psychiatric Mental Health Nurse Practitioner, Geriatrics/Dementia focus, Shifa Health

2010-2011             On-call Attending, Inpatient Psychiatry, Navos, Seattle, WA

2011-2017             Assistant Professor, School of Nursing, Psychosocial Community Health, UW, WA

2012–present       Advisory board member Alzheimer’s Association Snohomish County, WA

2012-2014            Advisory board member Advanced Practice Education: Collaborative Mental Health Care

2012-present        Nurse Practitioner, Dementia Specialist, Psychiatric Wellness &  Dementia Care, LLC.

2016-present        Attending, Inpatient Geriatric Psychiatry, Fairfax Inpatient Hospital. Monroe, WA

2016-present        State of WA Dementia Action Collaborative member. Appointed by the Secretary for the Aging   and Long-Term Support Administration. Olympia, WA

2017-present        Associate Professor. School of Nursing, Psychosocial Community Health, UW, Seattle, WA

2017-present        Director of Undergraduate Education. UW, Seattle, WA

2017-present        Bree Collaborative Dementia Expert Workgroup Member. Collaborative is established by WA state legislature to improve health care quality, outcomes and affordability by creating recommendations that are incorporated into insurer purchasing contracts. WA

2018-present        NIH/NIA ETTN-12 Small Business Study Section. RFA on Alzheimer’s and Related Dementia. Scientific Reviewer. 

Honors

1995                      Mortar Board Honor Society President, Seattle Pacific University

1995-1998             Psi Chi Psychology Honor Society President Seattle Pacific University

2004-2005             Volunteer of the Year Award, North Home Retirement Community

2006                      UW Retirement Association Scholarship, Seattle, WA

2007                      Association of Advanced Practice Psychiatric Nurses Scholarship

2007                      UW Academic Excellence Dean Award Scholarship, Seattle

2007                      American Association of Psychiatric Practicing Nurses Poster Presentation Award

2008                      Nursing Graduate Education Enhancement Fund Scholarship

2006-2008             de Tornyay Center for Healthy Aging, UW Healthy Aging Scholar, Seattle, WA

                              Pre-doctoral Scholarship

2007-present        Sigma Theta Tau Nursing Honor Society (Psi-at-Large Chapter)          

2009-2011             John A Hartford Foundation. Building Academic Geriatric Nursing Capacity

2011-2013             John A. Hartford Foundation. Claire M. Fagin Postdoctoral Fellowship 

2012                      American Geriatric Society Poster (fellow award)

2013-16                 RWJF Nurse Faculty Scholar Fellowship

2016                      Featured as an accomplished clinician, researcher and a former scholarship recipient at the Association of Advanced Practice Psychiatric Nurses regional conference. Seattle, WA

2016                      UW Leadership Excellence Project: “Thriving as a Change Agent in Academia”. Represent UW School of Nursing.

2016                      Gerontological Society of America Springer Publishing Company Geriatric/Gerontological Nursing Award for a Distinguished Single research manuscript addressing Geriatric/Gerontological Nursing. New Orleans, LA

2017                  Top doctor, nurse practitioner, physician assistant in psychiatry in 2017. Seattle Met Magazine. WA

2018                   Named Fellow of the Gerontological Society of America. USA

C.    Contribution to Science

Contribution 1.Dementia Care. My mentored and independent research trajectory evolved from focusing on testosterone supplementation to understanding dementia prevalence, multimorbidity and symptom management. This transition started when I served as a co-investigator on a study of dementia screening using telemedicine1and performed a secondary data analysis of a large national dementia dataset identifying neuropsychiatric symptom profiles that are frequently co-morbid with different dementia diagnoses.2Early dementia screening allows for early clinical interventions, prevention of complication and end-of-life planning. The use of telemedicine technology increases access to early screening and diagnostics. Understanding of neuropsychiatric symptoms that are commonly comorbid with different dementia diagnoses can improve prognostication and care planning and can increase early recognition and management of both the neuropsychiatric and cognitive symptoms of dementia. 

  1. Shores MM, Ryan-Dykes P, Williams R, Mamerto B, Sadak TI, Pascualy M, Felker B, Zweigle M, Nichol P and Peskind ER. (2004). Identifying undiagnosed dementia in residential care veterans via telemedicine examination.  International Journal of Geriatric Psychiatry19, 101-108. DOI:10.1002/gps.1029
  2. Sadak T., Foster-Zdon S., Ishado E., Zaslavsky, O., Borson S.  (2017). Potentially Preventable Hospitalizations in Dementia: Family Caregiver Experiences.Int Psychogeriatr. 2017 Mar 28:1-11. doi: 10.1017/S1041610217000217. 
  3. Sadak, T., Buckwalter, K., Korpak, A., Wright, J., Noel, M., Borson, S. (2017). Psychometric Evaluation of Kingston Caregiver Stress Scale. Clin Gerontol. 2017 Apr 5:1-13. doi: 10.1080/07317115.2017.1313349
  4.  Borson, S., Scanlan, J. M., Sadak, T., Lessig, M., & Vitaliano, P. (2014). Dementia Services Mini-Screen: A Simple Method to Identify Patients and Caregivers in Need of Enhanced Dementia Care Services. Am J Geriatr Psychiatry. doi: 10.1016/j.jagp.2014.11.001. PMCID: PMC4018424

Contribution 2. Structured Informal Caregiver Assessment Battery. A. My most significant contribution to date is a definition of a new concept of caregiver activation: “family/friend caregiver’s readiness to take on caregiving roles, to develop required knowledge and skills and to care for themselves while caring for their care recipient” and development of a measure of caregiver activation: Managing Your Loved One’s Health [MYLOH]. This instrument has broad clinical applications in healthcare of people who require help of their informal caregivers to manage their health 2,3,4.  MYLOH can be used across life stages and settings (outpatient, inpatient, transitional, and community-based long-term care, hospice) and serves as the foundation for designing tailored, culturally sensitive, testable caregiver activation interventions consisting of caregiver/clinician education and behavioral and communication coaching around domains of low activation. We completed psychometric validation and cultural tailoring of MYLOH with African American and Hispanic caregivers and are now conducting a pragmatic trial of caregiver activation interventions in hospice. B.I collaborated with Dr. Soo Borson on developing simple methods for identifying dementia caregivers who are at high need for medical and psychosocial services. We validated Dementia Services Mini Screen 1and are now exploring the applicability of this tool for use with hospice family/friend caregivers. C.We are now completing the development of several other informal caregiver assessment tools: Readiness for Caregiving / Clinician’s assessment of Caregiver Readiness for Caregiving; Managing Your Own Wellbeing [MYOW] caregiver’s inventory of self care (day-to-day and during care recipient’s health crises). We combed these tools and Dr. Borson’s Mini-Cog (cognitive screen) into a caregiver assessment battery designed to iteratively assess caregiver’s needs and to design tailored interventions for supporting caregivers in managing their own and their care recipient’s health and wellness.

  1. Sadak, T., Korpak, A., & Borson, S. (2015). Measuring caregiver activation for health care: Validation of PBH-LCI:D. Geriatr Nurs, 36(4), 284-292. doi: 10.1016/j.gerinurse.2015.03.003
  2. Sadak, T., Souza, A., Borson, S. (2015). Toward Assessment of Dementia Caregiver Activation for Health Care: A Systematic Review of Related Constructs and Measures. Res in Gerontol Nurs. 1-11. doi:10.3928/19404921-20151019-02
  3. Sadak, T., Wright J., Borson S., (2016). Managing Your Loved One’s Health. Care management tool for dementia caregivers. J of Appl Gerontol. August. 1-24.. doi: 10.1177/0733464816657472.
  4. Borson S., Mobley P., Sadak T,Fernstron, K., Mink P., Britt, H. Measuring Caregiver Activation to Identify Coaching and Support Needs: Extending MYLOH to Advanced Chronic Illness'. PLOS ONE. (In print).

Contribution 3. Testosterone and Depression. Early in my research career I co-authored several publications that made significant contribution to our current understanding of the relationship between testosterone and wellbeing in older men. Our team identified correlations between low testosterone and depression and explored the effects of testosterone supplementation on improving mood and overall wellbeing of older men1,2.

  1. Shores M, Platas A, Legner V,Kivlahan D, Li E, Matsumoto A,Sadak Tet al. (2004). The effect of testosterone on depressive symptoms and function in hypogonadal men with subsyndromal depression. Gerontologist, 44(sp iss 1), 33-33.
  2. Shores MM, Kivlahan DR, Sadak T, Li EJ, Matsumoto AM. (2009). A randomized, double-blind, placebo-controlled study of testosterone treatment in hypogonadal older men with subthreshold depression (dysthymia or minor depression). J Clin Psychiatry, 70(7), 1009-16. 

Complete List of Published Work in My Bibliography: 

http://www.ncbi.nlm.nih.gov/pubmed?cmd=historysearch&querykey=4

D.   Research Support 

Ongoing Research Support

Cambia Health Foundation                                           Sadak, PI                                         09/2017-08/2019Sojourns Leadership Scholar

Goal: To develop expertise and leadership in the field of palliative care and to create a web-based dementia palliative care assessment and resource hub.    

Grant# R21 AG054144-01

NIA                                                                                 Sadak, PI                                         09/2016-05/2019

Promoting Caregiver Resilience During Medical Crises of People Living with Dementia 

Goal: To develop measures of dementia caregiver resilience and self-care/self-management; to assess how preventable are dementia hospitalizations for ambulatory care sensitive conditions and to develop intervention for early identification and prevention of medical crises is dementia. 

HRSA                                                           Zierler, PI; Sadak, Key Personnel                   08/2018-08/2021

Nursing Education, Practice, Quality, and Retention (NEPQR)       

Academic-Practice Partnerships: Enhancing a Primary Care Nursing Workforce in WA State

Goal: Chronic disease prevention and management including mental and substance-use health conditions in Health Professional Shortage Areas for PC, medically underserved and rural settings.

Completed Research Support (past three years)

Grant# 2035922

NINR Palliative Care Research Collaborative Group  Sadak, PI                                         09/2016-01/2018                   

Dementia Caregiver Self-Care: the Key to Successful Palliative Care for Their Care Recipients 

Goal:Pilot. Identify existing palliative care practices for people living with dementia who were recently hospitalized for an ambulatory care sensitive condition. 

 

UW Royalty Research Fund. Pilot.                               Sadak, PI                                         09/2016-08/2017                                        

Avoidable Hospitalizations in People Living with Dementia 

Goal: Understanding family caregiver’s role in preventing hospitalizations in dementia

 

Robert Wood Johnson Nurse Faculty Scholar              Sadak, PI                                         09/2013-08/2017                              

Career Development Award - University of Washington School of Nursing  

Goal: To develop a battery of tools for systematic assessment of the informal caregiver’s needs for knowledge and skills in patient health-management and self-care.

 

HRSA                                                                            Zieler, PI; Sadak, Key Personnel   09/2015-08/2017

Enhancing Inter-Professional Geriatric Care   

Collaborative Practice Environment: between academic institutions, health sciences students and primary care providers 

Goal: To enhance existing partnerships and to develop new collaborations; to enhance curricular components and clinical mentoring and to recruit students who are interested in becoming geriatric providers.

 

University of Washington School of Nursing                 Sadak, PI                                         09/2015-08/2016

Research and Intramural Funding Program (RIFP)     

Dementia Family/Friend Caregiver Activation in Hospice                                                             

Goal: A pragmatic, value added trial to improve systematic caregiver assessment and targeted caregiver-centered interventions. Intervention pilot. 

University of Washington School of Nursing                 Sadak, PI                                         09/2015-08/2016

DeTornyay Center for Healthy Aging                            

Dementia Family/Friend Caregiver Activation in Hospice                                                             

Goal: A pragmatic, value added trial to improve systematic caregiver assessment and targeted caregiver-centered interventions. Intervention development. 

University of Maryland and                                            Sadak, Trainee                                09/2014-08/2015

The John A. Hartford Foundation 

Dissemination & Implementation Research Program Training Grant

Focus on manuscript development. 12-month manuscript preparation support.