Northeastern Center for Technology in Support of Self Management and Health

 描述(申请人提供)：随着人口老龄化，我国正经历着前所未有的人口结构变化。老年人往往在慢性病和流行疾病的存在下难以保持生活质量和独立性；对于低收入老年人来说，获得资源丰富的支持性环境的机会有限，这些挑战更加深刻。在老年人口中，自我照顾/自我管理行为对于提高生活质量和总体健康非常重要。整体而言 我们建议的东北技术支持自我管理和健康中心(NCTech)的目标是在自我管理领域为健康状况不佳的风险较高的老年人发展护理研究专业知识和有效的干预措施。我们计划通过为使用最先进的技术创建基础设施支持来支持这一使命，以促进 自我管理干预措施的及时性、可扩展性和有效性。此外，我们创建了一个基础设施，支持护士科学家在项目生命周期中进行及时培训，并在实验设计、技术选择/开发、数据收集/存储/安全、人体受试者保证、界面设计/可用性测试和分析方法等领域提供指导和协调服务。为了实现这一目标，我们的具体目标是：(1)促进自我管理、基于社区的参与式设计、家庭监测和指导技术以及包括家庭和非正式照顾者在内的基于团队的护理的高质量护理研究。(2)开发基础设施，支持护士科学家使用最先进的监测和通信技术，以及数据库支持、研究数据隐私和安全保证，以及实施新的自我管理干预措施的软件工程支持。(3)建立跨学科研究团队，以持续的协作关系解决护理研究问题，包括与社区和患者群体的联系。(4)在护士科学家的整个研究项目中提供指导和及时培训。NCTech基础设施将包括三个核心：行政、技术和评估，以及试点研究项目；一个社区和科学咨询委员会，以及一个执行委员会。两个试点项目将利用创新技术支持自我管理，解决卫生保健过渡、指导和患者激活问题。NCTech以多学科/跨学科研究原则为基础，承认美国的健康差距是一个复杂的问题，需要共同的理解和新的有希望的解决方案，使脆弱的老年人在自己的家庭和社区成功老龄化。

 DESCRIPTION (provided by applicant): Our nation is experiencing unprecedented demographic changes with the aging of the population. Older adults often struggle to maintain quality of life and independence in the presence of chronic diseases and prevailing illness; for low income elders with limited access to a resource-rich, supportive environment, these challenges are even more profound. Self-care/self-management behaviors are extremely important in the older adult population to increase quality of life and general health. The overall goal of our proposed Northeastern Center for Technology in Support of Self-Management and Health (NCTecH) is to develop nursing research expertise and effective interventions in the area of self- management for older adults at risk for poor health outcomes. We plan to support this mission by creating infrastructure support for the use of state-of-the-art technology to facilitate the timeliness, scalability and effectiveness of self-management interventions. Additionally, we have created an infrastructure that supports just-in-time training for nurse scientists as they progress through a project's life-cycle, with mentoring and coordinated services in the areas of experimental design, technology selection / development, data collection / storage / security, human subjects assurance, interface design / usability testing, and analysis methods. To achieve this goal, our specific aims are to: (1) Promote high quality nursing research in self-management, community-based participatory design, technologies for home monitoring and coaching, and team-based care that includes families and informal caregivers. (2) Develop an infrastructure to support nurse scientists with access to state-of-the-art monitoring and communications technologies, as well as database support, assurance of privacy and security of research data, and software engineering support for implementing novel self-management interventions. (3) Build interdisciplinary research teams to address nursing research questions with sustained collaborative relationships, including links to the community and patient groups. (4) Provide mentoring and just-in-time training throughout the nurse scientist's research project. NCTecH infrastructure will include three cores: Administrative, Technology and Assessment, and Pilot Research Projects; a Community and Scientific Advisory Boards, and an Executive Committee. Two pilot projects will address health care transitions, coaching and patient activation using innovative technologies to support self-management. NCTecH is grounded on multi/transdisciplinary research principles that acknowledge that health disparities in the United States are a complex problem that requires a shared understanding and novel promising solutions for vulnerable older adults to age successfully in their homes and own communities.