Interventions for Preventing and Managing Chronic Illness

项目摘要/摘要 这笔培训补助金的目的是为护士科学家提供实质性和方法论方面的培训 应用社区参与干预测绘(IM；整合社区参与研究)的能力 方法/中心与IM)，因为他们设计、测试和实施基于理论的多层次干预措施，以防止 并管理弱势人群中的慢性病。T32在过去25年的资金投入中已经成熟； 重点已经扩大到解决基于理论的干预研究中的紧急科学优先事项 预防和管理慢性病，并反映我们教员研究的实力和多样性。在这 应用程序，我们继续解决关注弱势群体和加快 将干预措施从研究转化为临床实践。我们将通过提供以下功能来增强正在进行的T32 使用社区参与IM设计多层次、以理论为基础的有效干预措施的培训 在整个过程中让利益相关者参与进来。我们假设使用社区参与的IM来设计、测试和 实施以理论为基础的多层次干预将加速转化为临床实践。我们的续集 将加强对基于理论的干预的关注，将新的重点放在使用 以行为改变和环境为重点的理论，以及使用IM和Cenr方法的培训 有效吸引目标人群成员、临床医生、社区和其他类型的人员参与 研究中的利益相关者。对于博士前实习生，博士课程的增强将包括：(A) 为解决IM核心流程、传统和现代CENR方法而设计的必修课， 和6个迭代步骤；(B)有指导的研究经验；(C)参与综合和科学研究 系列研讨会的重点是培养所需的能力，以建立富有成效的研究计划， 涉及设计、测试和实施基于理论的多层次干预措施。对于博士后实习生， 培训计划将包括：(A)必修课程，(B)独立研究经验，和(C) 积极参与这两个系列研讨会。6名博士后实习生和3名博士后实习生将被 在5年的培训计划中，每年都提供支持。重点将利用我们的教职员工 优势、强大的研究基础设施和良好的研究伙伴关系 在北卡罗来纳州的教堂山校园和整个农村和日益多样化的北卡罗来纳州。

PROJECT SUMMARY/ABSTRACT The purpose of this training grant is to prepare nurse scientists with the substantive and methodological capacity to apply community-engaged intervention mapping (IM; integrating community-engaged research approaches/CEnR with IM) as they design, test and implement multilevel theory-based interventions to prevent and manage chronic illness in vulnerable populations. The T32 has matured over the last 25 years of funding; the focus has expanded to address emergent scientific priorities in research on theory-based interventions for preventing and managing chronic illness, and to reflect the strength and diversity of our faculty research. In this application, we continue to address the scientific priorities of focusing on vulnerable populations and speeding translation of interventions from research into clinical practice. We will enhance the ongoing T32 by providing training in using community-engaged IM to design multilevel, theory-based interventions and effectively engage stakeholders throughout the process. We posit that using community-engaged IM to design, test, and implement theory-based multilevel interventions will speed translation into clinical practice. Our continued focus on theory-based interventions will be enhanced by a new focus on multilevel interventions that use behavior change and environment focused theories, and training in using IM and CEnR approaches to effectively engage members of the target population, clinicians, communities, and other types of other stakeholders in the research. For predoctoral trainees, enhancements to the PhD program will include: (a) required courses structured to address IM core processes, traditional and contemporary CEnR approaches, and 6 iterative steps; (b) mentored research experiences; and (c) participation in integrative and scientific seminar series focused on developing competencies needed to build productive programs of research that involve designing, testing and implementing multilevel theory-based interventions. For postdoctoral trainees, the training program will include: (a) the required courses, (b) independent research experiences, and (c) active involvement in both seminar series. Six pre-doctoral trainees and three post-doctoral trainees will be supported each year over the 5 years of the training program. The emphases will capitalize on our faculty strengths, strong research infrastructure, and well-established research partnerships on The University of North Carolina at Chapel Hill campus and throughout the rural and increasingly diverse state of North Carolina.