Admin Core

具体目标 努力实现改善慢性病患者自我管理过程和结果的目标 条件下，本P30提交的总体目标是加强跨学科，生物行为， 科学家在得不到充分服务的人口中进行自我管理研究的研究能力 并增加了哥伦比亚大学护理学院自我管理的数量和质量 进行的研究。基于六年的经验和生产力作为一个P20探索中心， 广泛的跨学科合作，优秀的机构资源，包括临床和翻译 科学奖（CTSA），致力于为服务不足的人群进行研究的有力证据， 信息学和经济分析领域的优势，循证医学中心的目标 服务不足者的做法是： 1.促进生物行为研究能力的发展，为服务不足的人提供自我管理 通过资助研究和实施四个跨学科项目， 核心（行政;自我管理，生物行为和信息学;设计，方法， 生物统计学和经济分析;传播和翻译），提供专业知识，服务， 和资源， 2.实施和维护基于社交软件的方法，建立在 CTSA“WorkWeb”门户网站，这将使跨学科的研究人员在自我管理， 通过访问各种信息和通信技术进行通信和协作 通过安全门户提供服务， 3.提高CEBP调查人员在基于信息的方法中的专业知识，使自我管理成为可能 以适合文化和水平的方式，为得不到充分服务的人口采取干预措施 卫生知识普及， 4.发展CEBP调查人员在应用适当经济方法方面的专业知识， 对服务不足人群的自我管理研究进行分析， 5.促进将研究成果传播到跨学科科学文献和翻译中 实践和政策， 6.实施形成性和总结性评估计划，包括可衡量的目标和持续的 评估每个核心和研究项目的进展，合作研究活动， 从研究项目中获得的知识的传播和影响， 持续发展 这些目标与NINR战略计划中确定的三个自我管理机会领域有关： 开发技术，以促进早期自我识别和自我报告症状; 2）设计文化 适当的自我管理决策策略，促进健康的生活方式选择，如饮食， 运动，以及急性或慢性病患者的初级卫生保健实践;以及3）确定成本效益 疾病长期幸存者自我管理和促进个人健康的战略， 长期残疾人。我们的方法利用了杰出的跨学科合作， 资源和使用创新的信息技术，包括社会/协作和知识 管理软件，以支持通信、协作和资源访问。我们的资源 开发活动的重点是设计和实施新的资源，使信息 自我管理研究的分享和知识发展。

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.