Center of Excellence to Build the Science of Self-Management: A Systems Approach

卓越的拟议中心，通过研究和翻译（SMART）的自我管理进步，是由一个强大的跨专业的研究人员小组的研究和专业知识在自我管理科学跨系统的几个层次的方案支持：个人，家庭，组织和社区。SMART中心的目标是：（1）通过对个人、家庭、组织和社区背景下的自我管理进行协调的跨学科调查，扩大与自我管理有关的知识;（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，以扩大与自我管理有关的知识，并为研究提供新的方向;（3）将知识传播到临床实践和政策中，以加强自我管理策略的使用，以改善个人的健康、功能和生活质量。 SMART中心将准备一批研究人员来扩展和传播这一知识，促进新兴生物行为研究方法的发展，重点关注与健康差距相关的关键问题，并将经济因素作为其研究的一部分。SMART中心建立在来自7个学科（8个护理学院）的16名教师的初步研究基础上，他们拥有完善的研究计划，解决自我管理问题，包括所有系统级别。此外，4个试点研究的研究人员新的自我管理研究的描述，计划在项目期间完成至少2个试点研究。我们还确定了10项最近或即将完成的与自我管理干预措施有关的研究，这些研究将成为我们最初传播和翻译活动的基础。SMART中心提供的一套独特的基础设施支持服务分为四个核心：（1）行政，（2）奖学金和指导，（3）方法和统计，以及（4）传播和翻译。除了跨学科的研究人员和研究基地，战略合作已经形成了与几所大学和社区卓越中心，以促进跨学科合作和研究专业知识和知识的共享有关自我管理。该应用程序的主要目标不是复制，而是通过向SMART中心和合作大学中心的研究人员提供新服务来扩展研究基础设施支持。这些服务的例子是项目反应理论（IRT）的专业知识及其应用，以支持国家NIH PROMIS倡议，增加研究人员接触卫生经济学家的机会，以及系统的研究导师培训计划。我们还建立了循证实践中心，为SMART中心的研究人员提供专业知识，以进行知识综合和传播，并将其转化为实践。对过程和结果的全面评估将有助于我们衡量我们的成功，并促进SMART中心的可持续发展。 中心作为一个整体，包括行政核心和评价中心

DESCRIPTION (provided by applicant): The proposed center of excellence, Self-Management Advancement through Research and Translation (SMART), is supported by a strong interprofessional group of researchers with programs of research and expertise in self-management science across several levels of system: 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 disseminate 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. The SMART Center is founded on an initial research base of 16 faculty from 7 disciplines (8 nursing faculty) who have well-established programs of research that address self-management, encompassing all system levels. Additionally, 4 pilot studies of researchers new to self-management research are described, with plans to complete at least 2 more pilot studies during the project period. We also have identified 10 recently or soon-to-be-completed studies related to self-management interventions that will form the base for our initial dissemination and translation activities. A unique set of infrastructure support services offered by the SMART Center are organized in four Cores: (1) Administrative, (2) Scholarship & Mentoring, (3) Methods & Statistics, and (4) Dissemination & Translation. In addition to the interdisciplinary set of researchers and research base, strategic collaborations have been formed with several university and community Centers of Excellence to promote interdisciplinary collaboration and sharing of research expertise and knowledge related to self-management. A major goal of this application was not to replicate, but rather to expand, the research infrastructure support by offering new services to researchers in the SMART Center and the collaborating university centers. Examples of these services are expertise in item response theory (IRT) and its applications to support the national NIH PROMIS initiative, increased access of researchers to health economists, and a systematic research mentor training program. We also have an established Center for Evidence-based Practice that will provide expertise to the SMART Center investigators for knowledge synthesis and dissemination and translation into practice. A thorough evaluation of process and outcomes will assist us to measure our success and promote sustainability of the SMART Center. CENTER AS A WHOLE, INCLUDING ADMINSTRATIVE CORE AND EVALUATION PLAN