Self-Management Science Center at UWM

 描述(由申请人提供)：尽管存在针对慢性病自我管理的方案和干预措施，但这些方案和干预措施并未纳入一个全面的理论框架，该理论包括个人和家庭生活的环境与自我管理技能和能力的过程之间的复杂相互作用，这些过程尚未完全确定，以及这两个组成部分如何影响自我管理行为的采用。此外，自我管理行为、具体干预方案和结果之间的关系还没有得到充分的解释。威斯康星大学自我管理科学中心(SMSC)的目的是通过自我管理科学改善不同人群的健康状况。这样做的目的是加强和加强SMSC对个人和家庭慢性病自我管理的关注。SMSC的具体目标是：1)选择和支持试点研究，以促进患有或处于慢性病高危状态的个人和家庭终身自我管理的科学；2)扩大和完善研究，以更好地了解个人和家庭自我管理理论的组成部分，因为它们适用于慢性病；3)综合使用个人和家庭自我管理理论的研究对科学的贡献；以及4)通过跨学科的科学家、合作机构、 以及个人和家庭的社区网络。我们将通过以下方式实现这些目标：1)建立在NINR先前资助的关系和基础设施的基础上，护理学院的适度投资维持了这些关系和基础设施；2)专注于管理和/或预防高危人群中的慢性病；3)使用IFSMT作为试点项目的框架；4)利用我们在社区参与、社区护士管理中心和UWM参与威斯康星州东南部临床和转换科学研究所方面的优势。SMSC由一个负责组织和监督SMSC的行政核心和一个负责协助调查人员制定和实施概念和方法上强有力的试点/可行性项目的试点项目核心组成。申请书中还包括了对INITA试点项目的简要建议。SMSC将利用学院、大学、包括威斯康星州东南部临床和转化科学研究所在内的外部科学和医疗保健社区以及更大的个人和家庭社区的资源。

 DESCRIPTION (provided by applicant): Although programs and interventions exist that address self-management for chronic conditions, these programs and interventions are not framed in a comprehensive theory that includes the complex interactions between the contexts in which individuals and families live and the processes for skills and abilities of self-management, which are not fully identified, and how these two components influence adoption of self-management behaviors. In addition, the relationship between self-management behaviors specific intervention protocols, and outcomes has not been fully explicated. The purpose of the Self-Management Science Center at UWM (SMSC) is to improve health outcomes in diverse populations through the science of self- management. The purpose of this is to enhance and sharpen the focus of the SMSC to individual and family self-management of chronic conditions. The Specific Aims of the SMSC are to: 1) select and support pilot studies that advance the science of self-management for individuals and families with or at high risk for chronic conditions across the lifespan; 2) expand and refine research to better understand the components of the Individual and Family Self- Management Theory as they apply to chronic conditions; 3) synthesize the contribution to science from studies using the Individual and Family Self-Management Theory; and 4) expand the capacity for building research teams with a focus on self-management through collaborations interdisciplinary scientists, partner institutions, and community networks of individuals and families. We will achieve these aims by 1) building on the relationships and infrastructure initiated with the prior funding from NINR that have been sustained by modest investments from the College of Nursing; 2) focusing on the management and/or prevention of chronic conditions in at risk populations; 3) using the IFSMT as the framework for the pilot projects; and 4) capitalizing on our strengths in community engagement, community-based nurse-managed centers and UWM's participation in the Clinical and Translational Science Institute of Southeast Wisconsin. The SMSC is organized with an Administrative Core with responsibility for the organization and oversight of the SMSC and a Pilot Projects Core with responsibility for assisting investigators to develop and implement conceptually and methodologically strong pilot/feasibility projects. Brief proposals for the initia pilot projects are included in the application. The SMSC will leverage resources from the College, the University, the external scientific and health care community including the Clinical and Translational Science Institute of Southeast Wisconsin, and the greater community of individuals and families.