Center for Transdisciplinary Collaborative Research in Self-Management Science

 描述(申请人提供)：今天，美国的人口结构正在发生根本性的变化，技术进步正在迅速和广泛地传播，人们日常生活的核心条件正在发生巨大变化。总体而言，美国人口正在变得越来越老龄化，变得更加多样化。随着人口老龄化，其对护理的需求也在增加；慢性病的频率和负担正在增加，在日益多样化的美国人口中，许多亚群正在经历健康差距，尽管在过去十年里做出了巨大努力来弥补这些差距。护士科学家长期以来一直认识到慢性病患者需要有效的自我管理策略，并带头建立了自我管理科学的理论和实践基础。有效的自我管理策略越来越被认为是护理中的高度优先事项；它们是 循证实践和以病人为中心的关怀。当前自我管理科学中最明显的差距是缺乏有效和实际的干预措施，以跨学科的方法解决这种复杂性。因此，我们的目标是创建一个模范的国家中心--自我管理科学跨学科合作研究中心(TCRSS)，在那里我们将开发、测试和传播创新的自我管理解决方案，以改善慢性病患者的健康状况。为了实现这一目标，TCRSS中心将包括四个核心--管理、试点和可行性、方法和技术创新以及社区参与和翻译--旨在实现以下中心的具体目标：1.提供专门用于跨学科协作的基础设施 在护理和其他学科的研究人员中进行研究，以提高自我管理科学。2.通过为护士科学家提供研究培训和资源以及在生物行为、不断发展的技术(例如工程学、计算机科学)、商业原则和营销方法等广泛方法方面的专家指导，创造协同效应，促进在自我管理科学中执行高影响力项目的护士科学家的发展。3.支持跨学科合作，促进开发、测试和评估具有成本效益的自我管理干预措施，以改善以患者为中心的护理和健康结果，包括个人、家庭和社区的与健康相关的生活质量。

 DESCRIPTION (provided by applicant): Today, U.S. demographics are radically changing, technological advances are spreading rapidly and widely, and the core conditions of people's daily lives are changing dramatically. In general, the U.S. population is growing older and becoming more diverse. As the population ages, so do its needs for care; the frequency and burden of chronic diseases are increasing, and many subgroups within the increasingly diverse U.S. population are experiencing health disparities despite great efforts to redress such gaps in the last decade. Nurse scientists have long recognized the need for effective self-management strategies among people with chronic conditions and led the way in establishing the theoretical and practical grounds of self-management science. Effective self-management strategies are increasingly being recognized as a high priority in nursing; they are an essential prerequisite for evidence-based practice and patient-centered care. The most glaring gap in current self-management science is the paucity of effective and practical interventions that address this complexity with a trans-disciplinary approach. Our goal, therefore, is to create a model national center, the Center for Trans-disciplinary Collaborative Research in Self-Management Science (TCRSS), where we will develop, test, and disseminate innovative self-management solutions to improve the health outcomes of people with chronic conditions. To achieve this goal, the Center for TCRSS will include four cores - Administration, Pilot & Feasibility, Innovations in Methods & Technology, and Community Engagement & Translation - designed to achieve the following Center specific aims: 1. To provide an infrastructure dedicated to trans-disciplinary collaborative research among investigators in nursing and other disciplines in order to improve self-management science. 2. To create synergy that will facilitate the development of nurse scientists who execute high-impact projects in self-management science by providing them with research training and resources as well as expert mentoring in a wide range of approaches such as biobehavior, evolving technology (e.g., engineering, computer science), business principles, and marketing methods. 3. To support trans-disciplinary collaborations that will facilitate the development, testing, and evaluation of cost-effective self-management interventions for improving patient-centered care and health outcomes including health-related quality of life for individuals, families, and communities.