Interventions for Preventing and Managing Chronic Illness

项目总结/摘要 这项培训补助金的目的是准备护士科学家的实质性和方法 应用社区参与的干预绘图（IM;整合社区参与的研究）的能力 方法/CEnR与IM），因为他们设计，测试和实施多层次的理论为基础的干预措施，以防止 并在弱势群体中管理慢性病。T32在过去25年的资助中已经成熟; 重点已经扩大到解决基于理论的干预研究中出现的科学优先事项， 预防和管理慢性疾病，并反映我们的教师研究的实力和多样性。在这 应用，我们继续解决科学的优先事项，重点关注弱势群体和加速 将干预措施从研究转化为临床实践。我们会加强现时的T32， 培训使用社区参与的IM来设计多层次的，基于理论的干预措施， 让利益相关者参与整个过程。我们认为，使用社区参与的IM来设计、测试和 实施以理论为基础多层次干预将加速转化为临床实践。我们继续 对基于理论的干预措施的关注将通过对多层次干预措施的新关注得到加强， 行为改变和环境关注理论，以及使用IM和CEnR方法的培训， 有效地吸引目标人群、临床医生、社区和其他类型的其他组织的成员， 研究中的利益相关者。对于博士前学员，增强博士课程将包括：（a） 必修课程的结构，以解决IM核心流程，传统和当代CEnR方法， 和6个迭代步骤;（B）指导研究经验;和（c）参与综合和科学 研讨会系列侧重于培养建立富有成效的研究计划所需的能力， 涉及设计，测试和实施多层次的理论为基础的干预措施。对于博士后， 培训计划将包括：（a）必修课程，（B）独立研究经验，（c） 积极参与两个系列研讨会。六名博士前学员和三名博士后学员将在 在5年的培训计划中，每年都得到支持。重点将利用我们的教师 优势，强大的研究基础设施，以及建立良好的研究合作伙伴关系的大学 北卡罗来纳州查佩尔山校区和整个农村和日益多样化的北卡罗来纳州。

PROJECT SUMMARY/ABSTRACT The purpose of this training grant is to prepare nurse scientists with the substantive and methodological capacity to apply community-engaged intervention mapping (IM; integrating community-engaged research approaches/CEnR with IM) as they design, test and implement multilevel theory-based interventions to prevent and manage chronic illness in vulnerable populations. The T32 has matured over the last 25 years of funding; the focus has expanded to address emergent scientific priorities in research on theory-based interventions for preventing and managing chronic illness, and to reflect the strength and diversity of our faculty research. In this application, we continue to address the scientific priorities of focusing on vulnerable populations and speeding translation of interventions from research into clinical practice. We will enhance the ongoing T32 by providing training in using community-engaged IM to design multilevel, theory-based interventions and effectively engage stakeholders throughout the process. We posit that using community-engaged IM to design, test, and implement theory-based multilevel interventions will speed translation into clinical practice. Our continued focus on theory-based interventions will be enhanced by a new focus on multilevel interventions that use behavior change and environment focused theories, and training in using IM and CEnR approaches to effectively engage members of the target population, clinicians, communities, and other types of other stakeholders in the research. For predoctoral trainees, enhancements to the PhD program will include: (a) required courses structured to address IM core processes, traditional and contemporary CEnR approaches, and 6 iterative steps; (b) mentored research experiences; and (c) participation in integrative and scientific seminar series focused on developing competencies needed to build productive programs of research that involve designing, testing and implementing multilevel theory-based interventions. For postdoctoral trainees, the training program will include: (a) the required courses, (b) independent research experiences, and (c) active involvement in both seminar series. Six pre-doctoral trainees and three post-doctoral trainees will be supported each year over the 5 years of the training program. The emphases will capitalize on our faculty strengths, strong research infrastructure, and well-established research partnerships on The University of North Carolina at Chapel Hill campus and throughout the rural and increasingly diverse state of North Carolina.