Self-Management Science Center at UWM

 描述（申请人提供）：虽然存在解决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没有建立在一个全面的理论中，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，这些技能和能力尚未完全确定，以及这两个组成部分如何影响自我管理行为的采用。此外，自我管理行为的具体干预方案和结果之间的关系尚未完全阐明。自我管理科学中心（SMSC）的目的是通过自我管理的科学来改善不同人群的健康状况。这样做的目的是加强和突出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，以推进患有慢性病或在整个生命周期中处于慢性病高风险的个人和家庭的自我管理科学;（2）扩大和完善研究，以更好地理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）综合利用个人和家庭自我管理理论的研究对科学的贡献;以及4）通过跨学科科学家，伙伴机构， 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上，这些关系和基础设施由护理学院的适度投资维持; 2）专注于风险人群中慢性疾病的管理和/或预防; 3）使用IFSMT作为试点项目的框架;和4）利用我们在社区参与，以社区为基础的护士管理中心和UWM在东南威斯康星州的临床和转化科学研究所的参与优势。管理和供应链委员会由一个行政核心和一个试点项目核心组成，前者负责管理和监督管理和供应链委员会，后者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。申请书中包括了对初始试点项目的简要建议。SMSC将利用来自学院，大学，外部科学和医疗保健社区的资源，包括东南威斯康星州的临床和转化科学研究所，以及更大的个人和家庭社区。

 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.