TRANSLATION RESEARCH ON CHRONIC DISEASE SELF-MANAGEMENT

慢性病自我管理转化研究

• 批准号: 7932802
• 负责人: CHRISTOPHER M CALLAHAN
• 金额: $ 36.06万
• 依托单位: INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-30 至 2014-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7932802
• 关键词: TRANSLATION; RESEARCH; CHRONIC; DISEASE; SELF; TRANSLATION; RESEARCH; CHRONIC; DISEASE; SELF

DESCRIPTION (provided by applicant): This is a competing renewal application (Years 06-10) for the Indiana University Edward R. Roybal Center. The lU-Roybal facilitates research on improving support and education for self-management among vulnerable older adults cared for by generalist physicians. This thematic focus stems from our broad experience in designing and studying models of care for physically and socioeconomically vulnerable older adults. Our research recognizes the fundamental role of generalist physicians in providing care to older adults and the fundamental role of patient self-management in achieving excellent outcomes. In the first four years of the lU-Roybal, we supported 17 pilot projects that span cognitive, emotional, and physical domains of health as well as basic and applied research. Three Year 05 projects are now underway. Our pilots have largely operated in a laboratory of Community Health Centers (CHCs), which are part of an expanding national network of publicly-funded primary care sites serving persons regardless of ability to pay. The laboratory facilitates access to end-users (providers and patients and their families) who identify priorities and improve the translational potential of our interventions. Our 17 pilot projects have led to 11 externally funded grants and four pending grants. Translation to clinical pracitce outcomes to date include a cognitive care clinic, a lifestyle self-management program operating in seven CHCs, and a model academic-community research partnership to facilitate translation to clinical practice in an urban public health system. This competing renewal builds on our considerable strengths from the first five years of operations and proposes innovative new pilots and an expansion of our translational science laboratory. The pilots proposed represent use-inspired research that will asses a multi-modal self-management program to prevent or postpone cognitive decline, a study of the social factors that may prevent planned transitions out of nursing homes, decision support to facilitate patient-provider decision-making for complex preventive health services, and expansion of a two-way, interactive group video-conferencing project to promote physical activity among older adults. Each of these pilots addresses lessons learned and new opportunities identified in our first five years of funding. The four proposed pilots, as well as the 20 previous pilots, represent examples of the types of research projects that we will pursue in Years 6-10 of the lU-Roybal and represent the strengths of our real-world clinical laboratory.

描述（由申请人提供）：这是印第安纳大学爱德华·R·罗伊巴尔中心的竞争续约申请（06-10年）。 Lu-Roybal促进了有关改善通才医生照顾的脆弱老年人的支持和教育的研究。这种主题重点源于我们在设计和研究对身体和社会经济上脆弱的老年人的护理模型方面的广泛经验。我们的研究认识到通才医生在为老年人提供护理以及患者自我管理在实现良好结果中的基本作用方面的基本作用。在Lu-Roybal的头四年中，我们支持了17个试点项目，这些项目涵盖了健康的认知，情感和身体领域，以及基础和应用研究。三年05个项目正在进行中。我们的飞行员主要在社区卫生中心（CHC）的实验室中运营，该实验室是不论支付能力的公共资助的初级保健网站的不断扩展的国家网络的一部分。实验室促进了确定优先级并提高干预措施的转化潜力的最终用户（提供者，患者及其家人）的机会。我们的17个飞行员项目导致了11项外部资助的赠款和4项悬而未决的赠款。迄今为止，转化为临床预付款结果包括认知护理诊所，在七个CHC中运行的生活方式自我管理计划以及模型的学术社区研究伙伴关系，以促进城市公共卫生系统中的临床实践转化为临床实践。这种竞争性的更新以我们从运营的前五年起的优势为基础，并提出了创新的新飞行员，并扩大了我们的转化科学实验室。飞行员提出的代表使用使用的研究，该研究将评估一项多模式的自我管理计划，以预防或推迟认知能力下降，这项研究可能阻止社会因素从疗养院中进行计划的过渡，决策支持，以促进患者提供支持的决策，以促进复杂的预防性健康服务，并在互动的小组互动，促进体育范围的互动，以促进体育活动，以促进体育运动，以促进老年人的成年人。这些飞行员​​中的每一个都解决了在我们头五年的资金中所学到的经验教训和新的机会。提议的四个飞行员以及以前的20名飞行员代表了我们将在Lu-Roybal 6 - 10年中追求的研究项目类型的例子，并代表了我们现实世界中临床实验室的优势。