Advanced Training in Self-Management Interventions for Serious Chronic Conditions

7.项目摘要/摘要 患有严重慢性病的人需要管理复杂的药物和治疗方案，监测 生理功能，管理症状和残疾，改变困难的生活方式，保持足够的 体育活动和适当的营养，获得护理，在医疗保健系统中导航，并进行沟通 有效地与提供商合作。预防或治疗严重慢性病的自我管理干预措施有 对于限制残疾、降低死亡率、提高生活质量、减少医疗资源使用以及降低 护理费用。拟议的新研究培训计划旨在为下一代 护理科学家进行高影响力的研究，并领导跨学科研究团队进行开发和测试 创新的自我管理干预措施，以预防或管理严重的慢性病。要做到这一点 目标，每年三(3)名博士后和三(3)名博士后实习生将接受跨学科研究 培训使他们做好准备：1)制定和应用概念和理论框架，以指导研究， 以及制定自我管理干预措施，以预防和管理严重的慢性病；2) 使用创新的设计、严谨的方法和复杂的分析进行研究，以推动 自我管理的科学；3)成为跨学科科学团队的领导者和研究的倡导者 和卫生政策，以改善自我管理，减轻严重慢性病的负担。实习生 将培养与科学界和非科学界进行有效口头和书面交流的技能。这个 拟议的培训计划建立在印第安纳大学25年研究培训经验的基础上 护理学院。这种跨学科培训将包括开发和测试量身定做的自我 管理干预，包括通过先进技术、先进研究方法、 以及接触到转化型护理研究的所有阶段。研究性培训以个人为基础 为每个学员的需求和研究领域量身定做的发展计划。培训将包括 所需的自我管理干预研讨会、相关课程、沉浸在导师的跨学科中 研究团队，由一名护士和一名跨学科导师进行密集指导，研讨会和咨询 与来访的科学家，以及学校内广泛的跨学科会议和研讨会 护理中心和整个大学。实习生的成果包括成功完成博士学位， 出版物、演示文稿、小额拨款，以及NIH拨款申请的提交。实习生进步 将受到密切监测，并将使用多种战略和 不同的视角。

7. PROJECT SUMMARY/ABSTRACT People with serious chronic conditions need to manage complex medication and treatment regimens, monitor physiological functioning, manage symptoms and disability, make difficult lifestyle changes, maintain adequate physical activity and proper nutrition, access care, navigate the health care system, and communicate effectively with providers. Self-management interventions that prevent or treat serious chronic illness are essential to limit disability, reduce mortality, improve quality of life, reduce healthcare resource use, and lower costs of care. The proposed new research training program is designed to prepare the next generation of nurse scientists to conduct high impact research and lead interdisciplinary research teams to develop and test innovative self-management interventions to prevent, or manage, serious chronic conditions. To achieve this goal, three (3) predoctoral and three (3) postdoctoral trainees annually will receive interdisciplinary research training to prepare them to: 1) develop and apply conceptual and theoretical frameworks to guide research on, and development of, self-management interventions to prevent and manage serious chronic conditions; 2) conduct research using innovative designs, rigorous methods, and sophisticated analytics to advance the science of self-management; 3) become leaders of interdisciplinary science teams and advocates of research and health policy to improve self-management and reduce the burden of serious chronic conditions. Trainees will develop skills to communicate effectively both orally and in writing to scientific and lay communities. The proposed training program builds upon 25 years of experience with research training at Indiana University School of Nursing. This interdisciplinary training will include development and testing of tailored self- management interventions, including those enhanced by advanced technology, advanced research methods, and exposure to all phases of translational nursing research. Research training is based on individual development plans that are tailored to the needs and research area of each trainee. Training will include required Self-Management Intervention seminars, relevant courses, immersion in the mentor’s interdisciplinary research team, intensive mentoring by a nursing and an interdisciplinary mentor, workshops and consultation with visiting scientists, and a wide array of interdisciplinary conferences and workshops available within School of Nursing centers and across the university. Trainee outcomes include successful completion of the PhD, publications, presentations, small grant funding, and submission of NIH grant applications. Trainee progress will be closely monitored and the program will be rigorously evaluated using multiple strategies and from diverse perspectives.