Center for Evidence-based Practice in the Underserved (CEBP)

描述（由申请人提供）：此竞争性修订是为了响应NOT-OD-09-058，“NIH宣布竞争性修订申请的恢复法案资金可用性”而提交的。服务不足人群循证实践中心（CEBP）的目标是：1)通过资助研究和实施四个跨学科核心（行政管理、自我管理、生物行为和信息学、设计、方法、生物统计和经济分析、传播和翻译），促进服务不足人群自我管理的生物行为研究能力的发展；2)在CTSA“WorkWeb”门户网站的基础设施上，实施和维持一种基于社交软件的方法，使跨学科的自我管理研究人员能够通过各种信息和通信技术和服务进行沟通和协作；3)加强CEBP调查人员在基于信息学的方法方面的专门知识，使服务不足的人口能够以适合文化和卫生素养水平的方式进行自我管理干预；4)发展CEBP调查人员的专业知识，将适当的经济方法和分析应用于服务不足人群的自我管理研究；5)促进研究成果在跨学科科学文献中的传播，并转化为实践和政策；6)实施形成性、总结性评价方案。我们的方法利用优秀的跨学科合作和资源以及创新信息技术的使用。中心可行性研究利用CEBP核心资源，确定和测试四种弱势群体（糖尿病青少年、艾滋病毒/艾滋病感染者及其营养和症状管理需求、高血压糖尿病患者、社区居住的有摔伤风险的英语和西班牙语老年人）自我管理的策略。本次提交包括一项新的可行性研究，视频播客（ViP）用于PLWH症状自我管理，该研究将由一名少数研究者领导。此外，通过个人健康记录自我评估（SAPHeR）研究扩展了一个新的目标，扩大了样本，包括只讲西班牙语的人，并招募了一名讲西班牙语的西班牙裔护士科学家作为共同调查员。这些修订将加快中心内研究范围的节奏，并通过包括两名新的调查员和一名兼职程序员来支持创造就业机会。

DESCRIPTION (provided by applicant): This competitive revision is being submitted in response to NOT-OD-09-058, "NIH Announces the Availability of Recovery Act Funds for Competitive Revision Applications." The aims of the Center for Evidence-based Practice in the Underserved (CEBP) are to: 1) Facilitate the development of biobehavioral research capacity in self-management for underserved populations through the funding of research studies and the implementation of four interdisciplinary cores (Administrative; Self-Management, Biobehavioral, and Informatics; Design, Methods, Biostatistics, and Economic Analysis; Dissemination and Translation); 2) Implement and maintain a social software-based approach, building upon the infrastructure of the CTSA "WorkWeb" Portal to enable interdisciplinary researchers in self-management to communicate and collaborate through a variety of information and communication technologies and services; 3) Enhance the expertise of CEBP investigators in informatics-based approaches that enable self-management interventions for underserved populations in a manner appropriate to culture and level of health literacy; 4) Develop the expertise of CEBP investigators in application of appropriate economic methods and analyses for self-management studies in underserved populations; 5) Facilitate dissemination of research findings into the interdisciplinary scientific literature and translation into practice and policy; and 6) Implement a formative and summative evaluation plan. Our approaches capitalize on outstanding interdisciplinary collaborations and resources and the use of innovative information technologies. Center feasibility studies apply the resources of CEBP's cores to identify and test strategies to enhance self-management for four vulnerable populations (adolescents with diabetes, persons living with HIV/AIDS and their nutritional and symptom management needs, diabetics with hypertension, community-dwelling English- and Spanish-speaking elders at risk for injury by falls). This submission includes a new feasibility study, Video Podcasting (ViP) for Symptom Self-Management for PLWH, which will be led by a minority investigator. Additionally, the Self-Assessment via a Personal Health Record (SAPHeR) Study is extended through a new aim, expansion of sample to include Spanish-only speakers, and recruitment of a Spanish-speaking, Hispanic nurse scientist as co-investigator. These revisions will accelerate the tempo of the scope of research within the Center and support job creation through inclusion of two new investigators and a part-time programmer.