Northeastern Center for Technology in Support of Self Management and Health

 描述（由申请人提供）：随着人口老龄化，我国正在经历前所未有的人口变化。老年人在患有慢性病和流行病的情况下，往往难以维持生活质量和独立性;对于资源丰富、支持性环境有限的低收入老年人来说，这些挑战甚至更为深远。自我护理/自我管理行为对老年人提高生活质量和总体健康极为重要。整体 我们提议的东北自我管理和健康技术支持中心（NCTech）的目标是在老年人的自我管理领域发展护理研究专业知识和有效的干预措施，这些老年人有健康状况不佳的风险。我们计划通过创建基础设施支持来支持这一使命，以便使用最先进的技术来促进 自我管理干预措施的及时性、可扩展性和有效性。此外，我们还创建了一个基础设施，支持护士科学家在项目生命周期中的及时培训，在实验设计，技术选择/开发，数据收集/存储/安全，人类受试者保证，界面设计/可用性测试和分析方法等领域提供指导和协调服务。为了实现这一目标，我们的具体目标是：（1）促进高质量的护理研究，自我管理，社区为基础的参与式设计，技术的家庭监测和指导，以团队为基础的护理，包括家庭和非正式的照顾者。(2)开发基础设施，以支持护士科学家获得最先进的监测和通信技术，以及数据库支持，保证隐私和研究数据的安全性，并为实施新的自我管理干预措施提供软件工程支持。(3)建立跨学科的研究团队，以解决护理研究问题与持续的合作关系，包括链接到社区和患者群体。(4)在整个护理科学家的研究项目中提供指导和及时培训。NCTech基础设施将包括三个核心：行政，技术和评估以及试点研究项目;社区和科学咨询委员会以及执行委员会。两个试点项目将利用创新技术解决医疗保健过渡、辅导和患者激活问题，以支持自我管理。NCTECH是基于多/跨学科的研究原则，承认在美国的健康差距是一个复杂的问题，需要一个共同的理解和新的有前途的解决方案，为脆弱的老年人成功地在自己的家庭和社区的年龄。

 DESCRIPTION (provided by applicant): Our nation is experiencing unprecedented demographic changes with the aging of the population. Older adults often struggle to maintain quality of life and independence in the presence of chronic diseases and prevailing illness; for low income elders with limited access to a resource-rich, supportive environment, these challenges are even more profound. Self-care/self-management behaviors are extremely important in the older adult population to increase quality of life and general health. The overall goal of our proposed Northeastern Center for Technology in Support of Self-Management and Health (NCTecH) is to develop nursing research expertise and effective interventions in the area of self- management for older adults at risk for poor health outcomes. We plan to support this mission by creating infrastructure support for the use of state-of-the-art technology to facilitate the timeliness, scalability and effectiveness of self-management interventions. Additionally, we have created an infrastructure that supports just-in-time training for nurse scientists as they progress through a project's life-cycle, with mentoring and coordinated services in the areas of experimental design, technology selection / development, data collection / storage / security, human subjects assurance, interface design / usability testing, and analysis methods. To achieve this goal, our specific aims are to: (1) Promote high quality nursing research in self-management, community-based participatory design, technologies for home monitoring and coaching, and team-based care that includes families and informal caregivers. (2) Develop an infrastructure to support nurse scientists with access to state-of-the-art monitoring and communications technologies, as well as database support, assurance of privacy and security of research data, and software engineering support for implementing novel self-management interventions. (3) Build interdisciplinary research teams to address nursing research questions with sustained collaborative relationships, including links to the community and patient groups. (4) Provide mentoring and just-in-time training throughout the nurse scientist's research project. NCTecH infrastructure will include three cores: Administrative, Technology and Assessment, and Pilot Research Projects; a Community and Scientific Advisory Boards, and an Executive Committee. Two pilot projects will address health care transitions, coaching and patient activation using innovative technologies to support self-management. NCTecH is grounded on multi/transdisciplinary research principles that acknowledge that health disparities in the United States are a complex problem that requires a shared understanding and novel promising solutions for vulnerable older adults to age successfully in their homes and own communities.