Center for Complexity and Self-management of Chronic Disease (CSCD)

慢性病复杂性和自我管理中心 (CSCD)

• 批准号: 9110741
• 负责人: DEBRA L. BARTON
• 金额: $ 23.58万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-09-26 至 2019-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9110741
• 关键词: Address; Award; Behavior; Chaos Theory; Chronic Disease; Clinical; Collaborations; Communication; Communities; Complex; Consultations; Critiques; Data; Data Analytics; Databases; Development; Discipline; Documentation; Educational workshop; Equation; Evaluation; Family; Foundations; Funding; Generations; Health; Health Promotion; Health system; Healthcare; Healthcare Systems; Individual; Interdisciplinary Study; Intervention; Knowledge; Lead; Life; Link; Manuals; Measurement; Mentors; Mentorship; Methods; Nonlinear Dynamics; Outcome; Patients; Pilot Projects; Population; Positioning Attribute; Prevention; Process; Protocols documentation; Provider; Research; Research Design; Research Infrastructure; Research Personnel; Resources; Risk; School Nursing; Science; Self Management; Techniques; Technology; Time; Training; United States; Universities; advanced disease; aging population; base; career; computer infrastructure; computerized data processing; cost effective; design; disability; dissemination research; effective intervention; improved; infrastructure development; innovation; interdisciplinary approach; meetings; multi-component intervention; multiple chronic conditions; programs; public health relevance; quantum; symposium; theories; tool

 DESCRIPTION (provided by applicant): The Center for Complexity and Self-Management of Chronic Disease (CSCD) will address the growing problem of chronic disease. As knowledge and technology addressing disease advances, and the focus on health promotion and illness prevention continues to lag behind, the burden of chronic illness burgeons. Many are concerned about the aging population and the increase in chronic disease, calling for improved efficiencies in the provision of health care. Improved self-management is an important strategy to improve health outcomes in a cost effective manner. Despite much research in self-management, critical gaps in knowledge persist. Current research is limited by designs, methods and analytics that reduce the high number of dynamic, interacting variables into linear equations with select variables that result in missed opportunities for quantum improvements in the desired outcomes. Self-management involves a cluster of behaviors, processes and context, and relationships among the "self" and provider, health care system, and community. In addition, individuals, families and populations too often are confronted with challenges of multiple chronic illnesses. Research in this complex arena requires methods and analytics that can address non-linear, dynamic relationships between many variables. Though a challenge for the status quo, the Center for Complexity and Self-Management of Chronic Disease (CSCD) is positioning itself to address the following specific aims: 1) to leverage complexity to advance the science of self-management for the promotion of health in chronic illness; 2) expand the number and quality of research investigators who are successful in independently funded careers in self-management research to improve health outcomes; 3) facilitate the dissemination of research findings to the scientific and, when applicable, to the clinical communities and 4) develop plans to sustain the CSCD and the interdisciplinary teams who are in its membership. To accomplish these aims, we will establish three cores, administrative, pilot and methods/analytics. The Center will be guided by Individual and Family Self-Management Theory that has been informed by Chaos Theory. In short the overall purpose of the Center for Complexity and Self-management of Chronic Disease is to address the need for innovative research that encompasses complexity in order to advance the science in self-management to achieve clinically important outcomes such as minimizing disability, optimizing function and living well. In addition, the Center will facilitate interdisciplinary approaches and expand the pool of interdisciplinary research teams who are equipped to successfully develop and implement externally funded programs of research in self-management. We plan to change the landscape of self-management research and thereby advance the science in efficient, meaningful ways.

 描述（由申请人提供）：随着解决疾病的知识和技术不断进步，以及对健康促进和疾病预防的关注持续滞后，慢性病复杂性和自我管理中心（CSCD）将解决日益严重的慢性病问题。许多人担心人口老龄化和慢性病的增加，呼吁提高医疗保健的效率，改善自我管理是改善健康状况的重要策略。尽管在自我管理方面进行了大量研究，但目前的研究仍然受到设计、方法和分析的限制，这些设计、方法和分析将大量动态、相互作用的变量减少到带有选择变量的线性方程中，从而导致错失量子机会。自我管理涉及一系列行为、过程和环境，以及“自我”与提供者、医疗保健系统和社区之间的关系。此外，个人、家庭和人群经常面临挑战。这个复杂领域的研究需要能够解决多种慢性疾病的方法和分析。尽管对现状提出了挑战，慢性病复杂性和自我管理中心 (CSCD) 仍致力于实现以下具体目标：1) 利用复杂性来推进慢性病的复杂性和自我管理。促进慢性病健康的自我管理科学；2) 扩大在自我管理研究领域取得成功的研究人员的数量和质量，以改善健康结果；科学的，当4) 制定计划来维持 CSCD 及其成员的跨学科团队 为了实现这些目标，我们将建立三个核心：管理、试点和方法/分析。混沌理论为基础的个人和家庭自我管理理论 简而言之，慢性病复杂性和自我管理中心的总体目标是满足包含复杂性的创新研究的需求，以推进科学发展。自我管理来实现此外，该中心还将促进临床上重要的成果，例如最大限度地减少残疾、优化功能和改善生活。 我们计划改变自我管理研究的格局，从而以有效、有意义的方式推进科学发展。