Admin Core

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Specific Aims Toward the goal of improving self-management processes and outcomes for persons with chronic health conditions, the overall objectives of this P30 submission are to enhance interdisciplinary, biobehavioral research capacity for scientists conducting self-management research in underserved populations at the Columbia University School of Nursing and to increase the quantity and quality of the self-management research conducted. Building upon six years of experience and productivity as a P20 Exploratory Center, broad interdisciplinary collaboration, outstanding institutional resources including a Clinical and Translational Science Award (CTSA), strong evidence of commitment to research for underserved populations, and unique strengths in the areas of informatics and economic analysis, the aims of the Center for Evidence-based Practice in the Underserved (CEBP) are to: 1. Facilitate the development of biobehavioral research capacity in self-management for underserved populations through the funding of research studies and the implementation of four interdisciplinary cores (Administrative; Self-Management, Biobehavioral, and Informatics; Design, Methods, Biostatistics, and Economic Analysis; Dissemination and Translation) that provide expertise, services, and resources, 2. Implement and maintain a social software-based approach, building upon the infrastructure of the CTSA "WorkWeb" Portal, that will enable interdisciplinary researchers in self-management to communicate and collaborate by accessing a variety of information and communication technologies and services through a secure portal, 3. Enhance the expertise of CEBP investigators in informatics-based approaches that enable selfmanagement interventions for underserved populations in a manner appropriate to culture and level of health literacy, 4. Develop the expertise of CEBP investigators in application of appropriate economic methods and analyses for self-management studies in underserved populations, 5. Facilitate dissemination of research findings into the interdisciplinary scientific literature and translation into practice and policy, and 6. Implement a formative and summative evaluation plan that includes measurable goals and ongoing assessment of the progress of each Core and research project, collaborative research activities, dissemination and impact of knowledge gained from research projects, and efforts to facilitate sustainability. These aims are relevant to three self-management areas of opportunity identified in NINR's Strategic Plan: 1) develop technologies to facilitate early self-identification and self-reporting of symptoms; 2) design culturally appropriate self-management decision-making strategies that promote healthy lifestyle choices such as diet, exercise, and primary health care practices in acutely or chronically ill persons; and 3) identify cost-effective strategies for self-management and promotion of personal health among long-term survivors of disease and persons with chronic disabilities. Our approaches capitalize on outstanding interdisciplinary collaborations and resources and the use of innovative information technologies including social/collaborative and knowledge management software to support communication, collaboration, and resource access. Our resource development activities focus on the design and implementation of novel resources that will enable information sharing and knowledge development for self-management research.