Hopkins Center to Promote resilience in persons and families living with multiple chronic conditions (the PROMOTE Center)

霍普金斯促进患有多种慢性病的个人和家庭的复原力中心（PROMOTE 中心）

• 批准号: 9768552
• 负责人: Sarah L Szanton
• 金额: $ 55.72万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-08-22 至 2023-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9768552
• 关键词: Address; Adoption; Adult; Affective; Age; Area; Attention; Behavior Therapy; Biological Markers; Businesses; Caregivers; Caring; Cells; Cessation of life; Chronic; Communication; Communities; Community Health Systems; Consultations; Development; Discipline of Nursing; Elderly; Environment; Evaluation; Family; Family Caregiver; Fatigue; Fostering; Generations; Genomics; Goals; Habits; Health; Healthcare; Home environment; Individual; Infrastructure; Insurance; Interdisciplinary Study; Intervention; Intervention Studies; Knowledge; Lead; Life; Logic; Measures; Mentorship; Methodology; Methods; Modeling; Nurses; Pain; Participant; Persons; Phase; Physiological; Physiological Processes; Pilot Projects; Policies; Population; Positioning Attribute; Process; Provider; Quality of life; Research; Research Personnel; Resource Development; Resources; Risk; Science; Scientist; Societies; Sweat; Testing; Translations; United States; Work; base; biobehavior; career; contextual factors; cytokine; design; disability; evidence base; experience; frailty; health care service utilization; improved; informal caregiver; innovation; member; multidisciplinary; multiple chronic conditions; preference; resilience; skills; social health determinants; theories; therapy development; uptake

Developing feasible, effective and scalable interventions to improve health among people with multiple chronic conditions is urgent. However, research gaps hinder intervention development. Most interventions do not consider co-occurring functional limitations, family caregivers' perspectives or contextual factors that define social determinants of health. Moreover, interventions commonly focus on deficits rather than strengths. These limitations are compounded by lack of communication among practitioners and people experiencing multiple chronic conditions about their goals, values, and preferences. The proposed Hopkins Center to Promote resilience in persons and families living with multiple chronic conditions (the PROMOTE Center) is poised to address these gaps. The PROMOTE Center will leverage a unique combination of interdisciplinary expertise in 1) behavioral intervention research 2) research and statistical methodology and 3) physiological processes including cytokines found in sweat. Early, mid-career and senior researchers, persons and families experiencing multiple chronic conditions, and key translational stakeholders will work together to advance the science of improving health among those with multiple chronic conditions using our innovative ecological resilience framework. This framework conceptualizes resilience as a life-long process impacted by cumulative interaction of multiple inter-related factors, such as society, community, and family, individual, physiologic and genomic factors. The PROMOTE Center will advance science to improve health and care of adults with multiple chronic conditions by providing expertise, mentorship and resources for the development, implementation and evaluation of theory-driven interdisciplinary research through three Aims. Aim 1: Establish a community-informed, sustainable infrastructure with dedicated resources to advance interdisciplinary nursing science that improves the health of vulnerable adults with multiple chronic conditions and their family caregivers: Aim 2: Foster a new generation of nursing scholars with skills to lead interdisciplinary research that improves the resilience of adults with multiple chronic conditions. Aim 3: Leverage unique environmental strengths to enhance dissemination and translation of evidence-based multiple chronic condition interventions through established partnerships with key stakeholders. Key innovations of the PROMOTE Center include: 1) Use of Society to Cells Resilience Framework that supports focus on health phases in which people are most likely to be open to new information and habits; 2) Integration of exploratory aims in pilot studies measuring bio- markers of resilience with non-invasive sweat measures developed at NINR; and 3) User-centered strengths- based co-design approaches at each phase of pilot development leading to enhanced participant uptake and higher likelihood of sustainability and translation to other settings.

制定可行、有效和可扩展的干预措施，以改善多种慢性疾病患者的健康