PREDOCTORAL FELLOWSHIP PROGRAM (DISABILITY)

这项研究的主要目的是探索两者之间的关系 慢性病患者的生理、行为和社会科学因素 在810名类风湿性关节炎(RA)患者队列中进行管理。 这项研究的具体目的是：1)协助发展 测量RA患者自我管理策略的量表，2) 无助感与自我表现的关系探讨 管理策略，3)探索各种自我的贡献 自我报告身体功能的管理策略，以及4) 探索人口统计因素、疼痛、 慢性阻塞性肺疾病患者的无助、疲劳、功能状态与共病 疾病自我管理。除了上述具体目标外，部分 这项提案的资金将分配给开发一个 基于行为科学理论的自我管理干预方案 和RA患者的健康心理学。横截面数据将是 引用自Leigh Callahan博士关于“自我管理和教育”的研究 因此，这是对数据的二次数据分析，将 在机构批准的另一项研究中收集 北卡罗来纳大学医学院的审查委员会。 描述性多变量方差分析和结构方程 将执行建模分析。

The main objective of this study is to explore the relationships of physical, behavioral and social science factors with chronic disease self- management among a cohort of 810 persons with rheumatoid arthritis (RA). The specific aims of this study are to: 1) assist with the development of a scale to measure self-management strategies for persons with Ra, 2) explore the relationship of helplessness with performance of self- management strategies, 3) explore the contributions of various self- management strategies to self-reported physical functioning, and 4) explore direct and indirect effects of demographic factors, pain, helplessness, fatigue, functional status and co-morbidity on chronic disease self-management. In addition to the above specific aims, part of the funding from this proposal will be allocated to the development of a self-management intervention program based on behavioral science theory and health psychology for persons with RA. Cross-sectional data will be used from Dr. Leigh Callahan's study on "Self-management. Education and Outcomes in RA." Thus, this is a secondary data analysis on data that will be collected in another study that has been approved by the Institutional Review Board at the University of North Carolina School of Medicine. Descriptive, multi-variate analyses of variance and structural equation modeling analyses will be performed.