Admin Core

通过研究和翻译（SMART）中心的建议自我管理进步， 由一个强大的跨专业的研究人员小组与研究和自我管理的专业知识方案的支持 科学跨越几个层次的系统：个人，家庭，组织和社区。的 SMART中心的目标是：（1）通过协调， 自我管理的跨学科研究在个人，家庭，组织和 （2）在研究和向科学界传播研究成果方面发挥国家领导作用; 社区拓展自我管理相关知识，提供新的研究方向;（3） 将知识扩散到临床实践和政策中，以加强自我管理策略的使用， 改善个人的健康、功能和生活质量。SMART中心将准备大量的 研究人员扩展和传播这一知识，有助于新兴的生物行为的发展， 研究方法，重点关注与健康差距有关的关键问题，并将经济 作为研究的一部分。显然需要一个自我管理的卓越中心。 虽然越来越多的人支持自我管理干预措施的有效性，但13“17一些人认为， 最近的科克伦综述表明，证据仍然不足。1 SMART中心在几个方面具有创新性。第一，超越传统的自我管理模式 干预研究，侧重于个人或家庭层面，SMART中心将 强调在四个系统层面发展自我管理知识：个人，家庭， 组织，社区。这种观点将促进对组织和社区的更多关注 影响个人和家庭开展自我管理活动的因素。我们认为 考虑到这些更广泛的背景而开发的知识将更容易和更快地转化为 22 '23这些干预测试背景的例子有： 和社区因素，这些因素提供了关于可用资源量、 所需的专门知识、可用的时间、相互竞争的需求和对干预的承诺。另一创新 SMART中心的一个特点是，我们有意识地决定不重复提供的基础设施支持服务 在大学的其他资助中心。因此，我们已经与现有的关键企业建立了有针对性的战略联盟， 大学内拥有研究和翻译服务的中心，以支持SMART的使命 中心我们在这些中心的同事都接受了这种免费共享资源的理念， 中心.因此，我们在SMART中心中纳入了将与其他人共享的独特服务 校园中心，如提供项目反应理论（IRT）及其应用方面的咨询，以支持 国家NIH PROMIS倡议和研究导师培训计划。最后，SMART中心将 提供充分的卫生经济学家的服务，以鼓励每一个中心的研究者，包括 在每个项目的开发阶段考虑健康经济因素。

The proposed Self-Management Advancement through Research and Translation (SMART) Center is supported by a strong interprofessional group of researchers with programs of research and expertise in selfmanagement science across several levels of systems: individual, family, organization, and community. The aims of the SMART Center are: (1) Expand knowledge related to self-management through coordinated, interdisciplinary investigations of self-management in the context of the individual, family, organization, and community; (2) Serve as a national leader in research and dissemination of research findings to the scientific community to expand knowledge related to self-management and provide new directions for research; (3) Diffuse knowledge into clinical practice and policy to enhance the use of self-management strategies to improve the health, function and quality of life of individuals. The SMART Center will prepare a critical mass of researchers to extend and diffuse this knowledge, contribute to the development of emerging biobehavioral research methods, focus on critical issues related to health disparities, and incorporate economic considerations as part of their research. A clear need exists for a center of excellence in self-management. Although there is increasing support for the effectiveness of self-management interventions,13"17 a number of recent Cochrane reviews indicate that that evidence is still insufficient. 1 The SMART Center is innovative in several ways. First, moving beyond the traditional model of selfmanagement intervention research that focuses on the individual or family level, the SMART Center will emphasize the development of self-management knowledge at four system levels: individual, family, organization, community. This perspective will promote added focus on the organization and community factors that influence the practice of self-management activities by individuals and families. Our view is that knowledge developed taking into account these broader contexts will have easier and faster translation into practice due to increased external validity.22'23 Examples of these intervention-testing contexts are setting-level and community factors that provide information about the influence of amount of available resources, level of expertise required, time available, competing demands and commitment to the intervention. Another innovative feature of the SMART Center is our conscious decision not to replicate infrastructure support services provided in other funded Centers in the University. Thus, we have formed targeted strategic alliances with key existing Centers within the University that have research and translation services to support the mission of the SMART Center. Our colleagues in these centers have embraced this philosophy of freely sharing resources across centers. As a result, we have included unique services in the SMART Center that will be shared with the other campus centers, such as offering consultation in item response theory (IRT) and its applications to support the national NIH PROMIS initiative and a research mentor training program. Lastly, the SMART Center will provide ample access to the services of a health economist to encourage every Center investigator to include health economic considerations at the development phase of every project.