Translation Research on Chronic Disease Self-Management

描述(由申请人提供)：我们建议成立爱德华·R·罗伊巴尔脆弱老年人慢性病自我管理翻译研究中心(IU-Roybal)。Iu-Roybal将支持基础设施，以维持社会和行为科学的基础领域和应用领域之间的反馈循环。这一基础设施将使我们能够将社会科学创新转化为实际的临床应用，为老年人提供日常医疗保健。反过来，这些临床站点的医疗保健提供者将反馈问题、想法和对新的受使用启发的基础研究的需求。在过去的十年里，我们已经成功地在短时间内为单个研究项目实现了这种科学反馈循环。有了IU-Roybal的资源，我们将有能力在持续的一段时间内稳定这个反馈回路。这样一个持续的基础设施将使我们能够吸引新的研究人员、新的社区合作伙伴和新的临床地点，以改善老年人的健康和功能。提出这一应用程序的项目使用医生-患者-卫生系统协作的生态模型来改进自我管理教育和对脆弱老年人中的慢性病的支持。 我们的主要目标是促进在由多面手医生照顾的脆弱老年人中改善自我管理支持和教育的研究。 这项建议建立在我们十二年来从NIA获得支持的历史上，建立了一个专注于改善脆弱老年人生活质量的研究计划。我们寻求将我们的计划转变为国家资源。拟议的三个试点项目中的每一个都侧重于通过改善患者、医生和卫生保健系统之间的合作来提高初级保健环境中的知识利用的战略。我们还建议与印第安纳州医疗补助办公室和州卫生部建立新的合作伙伴关系，以便将我们的发现应用于全州范围内的弱势老年人人口。

DESCRIPTION (provided by applicant): We propose an Edward R. Roybal Center for Translational Research on Chronic Disease Self-Management among Vulnerable Older Adults (IU-Roybal). The IU-Roybal would support the infrastructure to maintain a feedback loop between basic and applied areas of social and behavioral science. This infrastructure will allow us to translate social science innovations into practical clinical applications in day-to-day provision of health care for older adults. In turn, health care providers in these clinical sites will feedback problems, ideas, and needs for new use-inspired basic research. We have successfully achieved this scientific feedback loop for short periods of time for individual research projects over the past decade. With the resources of the IU-Roybal, we would have the capacity to stabilize this feedback loop over a sustained period of time. Such a sustained infrastructure would allow us to attract new investigators, new community partners, and new clinical sites to improve the health and functioning of older adults. The projects proposed this application use ecological models of physician-patient-health system collaboration to improve self-management education and support for chronic conditions among vulnerable older adults. Our primary objective is facilitation of research on improving support and education for self-management among vulnerable older adults cared for by generalist physicians. This proposal builds upon our twelve-year history of support from the NIA in building a research program focused on improving the quality of life of vulnerable older adults. We seek to transform our program into a national resource. Each of the three proposed pilot projects focus on strategies to improve knowledge utilization in the primary care environment through improved collaboration between patients, physicians, and the health care system. We also propose a new partnership with the Indiana Medicaid Office and State Department of Health to allow application of our findings to the statewide population of vulnerable elders.