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

 描述（由申请人提供）：慢性病复杂性和自我管理中心（CSCD）将解决日益严重的慢性病问题。随着应对疾病的知识和技术的进步，以及对健康促进和疾病预防的重视继续滞后，慢性病的负担越来越重。许多人对人口老龄化和慢性病的增加感到担忧，呼吁提高提供医疗保健的效率。改善自我管理是以具有成本效益的方式改善健康结果的一项重要战略。尽管对自我管理进行了大量研究，但知识方面的重大差距仍然存在。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的、相互作用的变量减少到具有选择变量的线性方程中，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”与提供者、医疗保健系统和社区之间的关系。此外，个人、家庭和人口往往面临多种慢性病的挑战。在这个复杂的竞技场中的研究需要能够解决许多变量之间的非线性动态关系的方法和分析。慢性病复杂性与自我管理中心（CSCD）的目标是：1）利用复杂性促进慢性病自我管理科学的发展，促进慢性病的健康;（2）扩大在独立资助的职业生涯中取得成功的研究人员的数量和质量，管理研究，以改善健康成果; 3）促进研究成果的传播，以科学，并在适用的情况下，临床社区和4）制定计划，以维持CSCD和跨学科团队谁是其成员。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。该中心将由个人和家庭自我管理理论指导，该理论已被混沌理论告知。简而言之，慢性病复杂性和自我管理中心的总体目的是解决对创新研究的需求，包括复杂性，以推进自我管理的科学，以实现临床上重要的成果，如最大限度地减少残疾，优化功能和生活。此外，该中心还将促进 跨学科的方法和扩大跨学科的研究团队谁配备成功地开发和实施外部资助的研究自我管理计划池。我们计划改变自我管理研究的格局，从而以有效、有意义的方式推进科学。

 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.