Center for Complexity and Self-management of Chronic Disease (CSCD)

 描述(由申请人提供)：慢性疾病复杂性和自我管理中心(CSCD)将解决日益增长的慢性病问题。随着应对疾病的知识和技术的进步，而对健康促进和疾病预防的关注继续滞后，慢性病的负担迅速增加。许多人担心人口老龄化和慢性病的增加，呼吁提高医疗保健提供的效率。改进自我管理是以具有成本效益的方式改善健康结果的重要战略。尽管在自我管理方面进行了大量研究，但知识方面的关键差距依然存在。目前的研究受到设计、方法和分析的限制，这些设计、方法和分析将大量动态、相互作用的变量减少到带有选定变量的线性方程中，从而导致错过了在预期结果中进行量子改进的机会。自我管理涉及一系列行为、过程和背景，以及“自我”和提供者、医疗保健系统和社区之间的关系。此外，个人、家庭和人口经常面临多种慢性病的挑战。对这一复杂领域的研究需要能够处理许多变量之间的非线性、动态关系的方法和分析。尽管现状面临挑战，但慢性疾病复杂性和自我管理中心(CSCD)正在为实现以下具体目标而努力：1)利用复杂性推动自我管理科学，以促进慢性病患者的健康；2)扩大在自我管理研究中成功独立资助职业的研究人员的数量和质量，以改善健康结果；3)促进将研究成果传播给科学界，并在适用时向临床社区传播；4)制定计划，以维持CSCD和其成员中的跨学科团队。为了实现这些目标，我们将建立三个核心：管理、试点和方法/分析。该中心将以混沌理论为指导的个人和家庭自我管理理论为指导。简而言之，慢性疾病复杂性和自我管理中心的总体目的是满足对围绕复杂性的创新研究的需求，以便促进自我管理的科学，以实现临床上重要的结果，如最大限度地减少残疾、优化功能和生活良好。此外，该中心还将为 采用跨学科的方法，并扩大跨学科研究团队的队伍，这些团队有能力成功地开发和实施外部资助的自我管理研究项目。我们计划改变自我管理研究的格局，从而以高效、有意义的方式推动科学发展。

 DESCRIPTION (provided by applicant): The Center for Complexity and Self-Management of Chronic Disease (CSCD) will address the growing problem of chronic disease. As knowledge and technology addressing disease advances, and the focus on health promotion and illness prevention continues to lag behind, the burden of chronic illness burgeons. Many are concerned about the aging population and the increase in chronic disease, calling for improved efficiencies in the provision of health care. Improved self-management is an important strategy to improve health outcomes in a cost effective manner. Despite much research in self-management, critical gaps in knowledge persist. Current research is limited by designs, methods and analytics that reduce the high number of dynamic, interacting variables into linear equations with select variables that result in missed opportunities for quantum improvements in the desired outcomes. Self-management involves a cluster of behaviors, processes and context, and relationships among the "self" and provider, health care system, and community. In addition, individuals, families and populations too often are confronted with challenges of multiple chronic illnesses. Research in this complex arena requires methods and analytics that can address non-linear, dynamic relationships between many variables. Though a challenge for the status quo, the Center for Complexity and Self-Management of Chronic Disease (CSCD) is positioning itself to address the following specific aims: 1) to leverage complexity to advance the science of self-management for the promotion of health in chronic illness; 2) expand the number and quality of research investigators who are successful in independently funded careers in self-management research to improve health outcomes; 3) facilitate the dissemination of research findings to the scientific and, when applicable, to the clinical communities and 4) develop plans to sustain the CSCD and the interdisciplinary teams who are in its membership. To accomplish these aims, we will establish three cores, administrative, pilot and methods/analytics. The Center will be guided by Individual and Family Self-Management Theory that has been informed by Chaos Theory. In short the overall purpose of the Center for Complexity and Self-management of Chronic Disease is to address the need for innovative research that encompasses complexity in order to advance the science in self-management to achieve clinically important outcomes such as minimizing disability, optimizing function and living well. In addition, the Center will facilitate interdisciplinary approaches and expand the pool of interdisciplinary research teams who are equipped to successfully develop and implement externally funded programs of research in self-management. We plan to change the landscape of self-management research and thereby advance the science in efficient, meaningful ways.