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

描述(申请人提供)：慢性病的预防和成功治疗需要对种族、文化和疾病对社区自我管理干预的影响和相互作用有科学的理解。夏威夷大学马诺阿分校护理和牙齿卫生学院(SONDH)建议建立P-20慢性病自我管理探索中心(COSMCI)，以测试在不同种族的慢性病患者中建立以家庭和社区为重点的自我管理干预措施的可行性。参与这项工作的跨学科合作伙伴包括公共卫生部、约翰·A·伯恩斯医学院(JABSOM)、夏威夷癌症研究中心(CRCH)和特里普勒陆军医疗中心(TAMC)的教职员工。COSMCI行政核心包括研究和评价两个分核心和三个研究项目：1)创造一个有利于在不同族裔人群中开展跨学科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)传播和转化产生的知识；4)评价活动和成果。该委员会将使用一个社会认知理论框架来指导对亚洲和太平洋岛屿人口应用既定的自我管理干预措施的理解。研究将采用类似的措施来创建一个中心数据库，供自我管理研究中的研究人员共享。最初的项目将以社会学习理论为框架，为三个概念上相互关联的项目提供支持：1)有症状的艾滋病毒患者的自我效能和自我管理；2)菲律宾的Kalusagan ay Kayamanan(健康就是财富)2型糖尿病预防；3)针对慢性阻塞性肺疾病患者的呼吸模式再培训自我管理干预措施。为了利用NINR的称号，该大学和SONDH承诺提供支持和财政资源，以创建一种以亚洲和太平洋岛民为重点的自我管理科学跨学科研究的示范方法。

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.