Center for 'Ohana Self-Management of Chronic Illnesses Hawaii (COSMCI0): Building

描述（由申请人提供）：慢性病的预防和成功治疗需要科学地了解种族、文化和疾病对基于社区的自我管理干预措施的影响和相互作用。夏威夷大学马诺阿分校护理和牙科卫生学院 (SONDH) 提议建立 P-20 慢性病自我管理探索中心 (COSMCI)，以测试针对患有慢性病的不同种族人群建立的以家庭和社区为重点的自我管理干预措施的可行性。这项工作的跨学科合作伙伴包括来自公共卫生部、约翰·A·伯恩斯医学院 (JABSOM)、夏威夷癌症研究中心 (CRCH) 和 Tripler 陆军医疗中心 (TAMC) 的教师。 COSMCI 行政核心包括两个研究和评估子核心以及三个研究项目，将： 1) 创造一个有利于在不同种族人群中开展跨学科 Ohana 自我管理慢性病研究的环境； 2）发展可持续的跨学科、生物行为研究能力； 3）传播和翻译所产生的知识； 4) 评估活动和结果。 COSMCI 将使用社会认知理论框架来指导理解已建立的自我管理干预措施在亚洲和太平洋岛屿人群 (API) 中的应用。研究将采用类似的措施来创建一个中心数据库，以便与自我管理研究的研究者共享。最初的项目将使用社会学习理论作为三个概念上相关的项目的框架； 1) 有症状的艾滋病毒患者的自我效能和自我管理； 2) 菲律宾人的 kalusagan ay kayamanan（健康就是财富）2 型糖尿病预防； 3) 利用交互式电信系统对慢性阻塞性肺病 (COPD) 患者进行呼吸模式再训练自我管理干预。为了利用 NINR 称号，该大学和 SONDH 投入了支持和财政资源，以创建一种自我管理科学跨学科研究的模型方法，重点关注亚洲和太平洋岛民。

DESCRIPTION (provided by applicant): Prevention and successful treatment of chronic disease requires a scientific understanding of the impacts and interactions of ethnicity, culture, and illness on community based self-management interventions. The School of Nursing and Dental Hygiene, University of Hawaii at Manoa (SONDH) proposes to establish the P-20 Exploratory Center for 'Ohana Self-Management of Chronic Illness (COSMCI) to test feasibility of established family and community focused self-management interventions in ethnically diverse populations with chronic illnesses. Interdisciplinary partners in this effort include faculty from the Department of Public Health, John A Burns School of Medicine (JABSOM) Cancer Research Center of Hawaii (CRCH), and Tripler Army Medical Center (TAMC). The COSMCI administrative core with two sub-cores of research and evaluation, and three research projects will: 1) create an environment conducive to interdisciplinary Ohana self-management chronic illness research in ethnically diverse populations; 2) develop sustainable interdisciplinary, biobehavioral research capacity; 3) disseminate and translate knowledge generated; and 4) evaluate activities and outcomes. The COSMCI will use a social cognitive theory framework to guide understanding of the application of established self-management interventions to Asian and Pacific Island populations (API). Studies will employ comparable measures to create a Center database available for sharing with investigators in self-management research. The initial projects will use social learning theory as the framework to for three conceptually linked projects; 1) self-efficacy and self-management for persons with symptomatic HIV disease; 2) kalusagan ay kayamanan (health is wealth) type 2 diabetes prevention in Filipinos; and 3) a breathing pattern retraining self-management intervention with an interactive telecommunication system for persons with chronic obstructive pulmonary disease (COPD). To leverage the NINR designation, the university and SONDH have committed support and fiscal resources to create a model approach to interdisciplinary research in self-management science with a focus on Asian and Pacific Islanders.