Training in Interventions to Improve Outcomes in Chronic Conditions

改善慢性病治疗效果的干预措施培训

• 批准号: 8440287
• 负责人: SANDRA B. DUNBAR
• 金额: $ 30.48万
• 依托单位: EMORY UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-07-01 至 2017-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8440287
• 关键词: Chronic; Intervention; Outcome; Training; improved

DESCRIPTION (provided by applicant): The need for evidence based interventions to improve outcomes in chronic conditions has never been greater as the prevalence of heart disease, stroke, cancer, and diabetes, for example, continue to escalate across all age groups. Nurse researchers are in a pivotal position to address and reduce the individual, family, and health care system burden imposed by chronic illness through improved self management approaches for prevention, self care, and symptom management. The Emory University School of Nursing provides a unique and interdisciplinary environment for training nurse scientists in intervention research to address the needs of patients and families with chronic health problems. The purpose of this proposed training grant is to provide rigorous research training centered on design and testing of theory based and clinically relevant interventions which will lead to prevention of and improved health outcomes for those at risk for or with chronic conditions such as but not limited to cardiovascular, cancer, neurological and diabetes/endocrine health problems. The goals are to provide: 1) the theoretical and conceptual basis to generate a program of research examining ways in which self-management interventions improve individual, family or health resource use outcomes, 2) methodological skills to support innovative design and rigorous testing of interventions with measurement of biobehavioral outcomes, biomarkers, and health resource use outcomes, and 3) mentor trainees to support their science and career development so that they will initiate and sustain interdisciplinary scholarly inquiry in this substantive area. The science and training activities wll be guided by a broad conceptual model targeting individual and context/family factors that influence self management behaviors through interventions to achieve improved health outcomes measured as reduced risk, improved physical, social and psychological function, improved quality of life, improved physiological biomarkers pertinent to the chronic condition, and reduced health resource use. Support for enrolling two-three predoctoral and 1 postdoctoral trainees each year is requested to prepare a total of 13 predoctoral and 5 postdoctoral trainees Predoctoral fellows will take core courses in the existing doctoral program, which includes a strong science focus on health outcomes research including research with vulnerable populations, analytic techniques, and participation in research through research residencies. Additionally they will take graduate-level electives in the biological, behavioral, public health, and nursing sciences. Postdoctoral work will be guided by an interdisciplinary team of researchers and constructed to meet the research needs of each trainee, emphasizing coursework in health outcomes research, complex conditions and methods, and participation in research. All trainees will develop and implement research projects, develop grant writing and research dissemination skills. The program unites expert core and collaborating faculty who have active research programs in the substantive area within a vibrant and interdisciplinary academic, clinical and research environment to prepare future nurse scientists.

描述（由申请人提供）：例如，随着心脏病，中风，癌症和糖尿病的患病率的流行，基于证据的干预措施以改善慢性状况的预后，例如，在所有年龄段中继续升级。护士研究人员处于关键位置，可以通过改善预防，自我护理和症状管理的自我管理方法来解决和减少慢性病施加的个人，家庭和医疗系统负担。埃默里大学护理学院提供了一个独特的跨学科环境，以培训护士科学家进行干预研究，以满足患有慢性健康问题的患者和家庭的需求。这项拟议的培训补助金的目的是提供以基于理论和临床相关的干预措施的设计和测试为中心的严格研究培训，这将导致预防和改善患有慢性病风险或不限于心血管，癌症，神经和糖尿病和糖尿病和内分泌健康问题的人的健康状况。目标是提供：1）制定研究计划的理论和概念基础，以研究自我管理干预措施改善个人，家庭或健康资源的使用结果，2）方法学技能，以支持创新设计和严格测试干预措施，并通过测量生物关注者，生物标志和健康的启动和培训，并支持他们的生物标志和生物培训，以及他们的生物培养和3次传播者，以及他们的生物培训和3），以下是他们的生物培训和3）。在这个实体领域的跨学科学术询问。科学和培训活动以广泛的概念模型为指导，该模型针对个人和背景/家庭因素，通过干预措施影响自我管理行为，以实现改善的健康状况，以降低风险，改善身体，社会和心理功能，改善生活质量，改善生理生物标志物，与慢性状况相关，以及健康资源的使用。支持每年招收两三个二三个杂志学期学员和1名博士后学员，以准备总共13个专业和5个博士后学员，将在现有博士学位课程中攻读核心课程，其中包括针对健康的研究，包括对健康的研究，包括对健康的研究，包括对健康群体的研究，包括研究，分析技术和参与者的研究和参与研究。此外，他们还将在生物学，行为，公共卫生和护理科学中攻读研究生级的选修课。博士后工作将由研究人员的跨学科团队进行指导，并构建以满足每个学员的研究需求，强调健康结果研究，复杂条件和方法的课程以及参与研究。所有学员将开发和实施研究项目，发展赠款写作和研究传播技能。该计划将专家核心和合作的教师团结起来，他们在充满活力和跨学科的学术，临床和研究环境中拥有活跃的研究计划，以准备未来的护士科学家。