Admin Core

管理核心

• 批准号: 7504954
• 负责人: Shirley M Moore
• 金额: $ 22.5万
• 依托单位: CASE WESTERN RESERVE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-29 至 2012-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7504954
• 关键词: Accounting; Clinical; Collaborations; Communication; Communities; Community Health Education; Community Outreach; Conscious; Consultations; Development; Diffuse; Economics; Effectiveness; Faculty; Family; Funding; Health; Health Services Accessibility; Housing; Human Resources; Individual; Interdisciplinary Study; Intervention; Intervention Studies; Investigation; Knowledge; Mentors; Methods; Mission; Modeling; Numbers; Nursing Schools; Outcome; Phase; Philosophy; Policies; Quality of life; Recording of previous events; Research; Research Infrastructure; Research Methodology; Research Personnel; Resource Sharing; Resources; Scholarship; School Nursing; Science; Self Management; Services; System; Testing; Time; Training Programs; Translations; United States National Institutes of Health; Universities; base; biobehavior; community organizations; dissemination research; health disparity; health economics; improved; innovation; programs; response; statistics; theories

The proposed Self-Management Advancement through Research and Translation (SMART) Center is supported by a strong interprofessional group of researchers with programs of research and expertise in selfmanagement science across several levels of systems: individual, family, organization, and community. The aims of the SMART Center are: (1) Expand knowledge related to self-management through coordinated, interdisciplinary investigations of self-management in the context of the individual, family, organization, and community; (2) Serve as a national leader in research and dissemination of research findings to the scientific community to expand knowledge related to self-management and provide new directions for research; (3) Diffuse knowledge into clinical practice and policy to enhance the use of self-management strategies to improve the health, function and quality of life of individuals. The SMART Center will prepare a critical mass of researchers to extend and diffuse this knowledge, contribute to the development of emerging biobehavioral research methods, focus on critical issues related to health disparities, and incorporate economic considerations as part of their research. A clear need exists for a center of excellence in self-management. Although there is increasing support for the effectiveness of self-management interventions,13"17 a number of recent Cochrane reviews indicate that that evidence is still insufficient. 1 The SMART Center is innovative in several ways. First, moving beyond the traditional model of selfmanagement intervention research that focuses on the individual or family level, the SMART Center will emphasize the development of self-management knowledge at four system levels: individual, family, organization, community. This perspective will promote added focus on the organization and community factors that influence the practice of self-management activities by individuals and families. Our view is that knowledge developed taking into account these broader contexts will have easier and faster translation into practice due to increased external validity.22'23 Examples of these intervention-testing contexts are setting-level and community factors that provide information about the influence of amount of available resources, level of expertise required, time available, competing demands and commitment to the intervention. Another innovative feature of the SMART Center is our conscious decision not to replicate infrastructure support services provided in other funded Centers in the University. Thus, we have formed targeted strategic alliances with key existing Centers within the University that have research and translation services to support the mission of the SMART Center. Our colleagues in these centers have embraced this philosophy of freely sharing resources across centers. As a result, we have included unique services in the SMART Center that will be shared with the other campus centers, such as offering consultation in item response theory (IRT) and its applications to support the national NIH PROMIS initiative and a research mentor training program. Lastly, the SMART Center will provide ample access to the services of a health economist to encourage every Center investigator to include health economic considerations at the development phase of every project.

拟议的通过研究和翻译实现自我管理进步（SMART）中心是 由强大的跨专业研究人员团队支持，他们拥有自我管理方面的研究项目和专业知识 科学跨越多个系统层面：个人、家庭、组织和社区。这 SMART 中心的目标是： (1) 通过协调、 在个人、家庭、组织和环境的背景下对自我管理进行跨学科研究 社区; (2) 发挥国家科研带头作用，将研究成果传播给科学界 社区扩大与自我管理相关的知识并提供新的研究方向； (3) 将知识传播到临床实践和政策中，以加强自我管理策略的使用 改善个人的健康、功能和生活质量。 SMART 中心将准备大量的 研究人员扩展和传播这些知识，为新兴生物行为的发展做出贡献 研究方法，重点关注与健康差异相关的关键问题，并将经济纳入 考虑因素作为他们研究的一部分。显然需要一个自我管理卓越中心。 尽管人们越来越多地支持自我管理干预措施的有效性，13"17 最近的 Cochrane 评论表明证据仍然不足。 1 SMART 中心在多个方面都具有创新性。一、超越传统的自我管理模式 SMART中心将重点关注个人或家庭层面的干预研究 强调在四个系统层面发展自我管理知识：个人、家庭、 组织、社区。这种观点将促进对组织和社区的更多关注 影响个人和家庭自我管理活动实践的因素。我们的观点是 考虑到这些更广泛背景而开发的知识将更容易、更快地转化为 由于外部有效性的增加而进行实践。22'23 这些干预测试环境的例子是设置级别 以及社区因素，提供有关可用资源数量、水平的影响的信息 所需的专业知识、可用时间、竞争性需求以及对干预的承诺。另一个创新 SMART 中心的特点是我们有意识地决定不复制所提供的基础设施支持服务 在大学的其他资助中心。因此，我们与现有的主要企业建立了有针对性的战略联盟。 大学内提供研究和翻译服务以支持 SMART 使命的中心 中心。我们这些中心的同事已经接受了这种在不同领域自由共享资源的理念。 中心。因此，我们在 SMART 中心提供了独特的服务，这些服务将与其他中心共享 校园中心，例如提供项目反应理论（IRT）及其应用方面的咨询，以支持 国家 NIH PROMIS 计划和研究导师培训计划。最后，SMART中心将 提供充足的机会获得健康经济学家的服务，以鼓励每个中心调查员包括 每个项目开发阶段的健康经济考虑。