Awardee OrganizationCASE WESTERN RESERVE UNIVERSITY
Description
Abstract Text
The mission of the Scientific & Mentoring Core is to enhance and develop productive programs of research in
the area of self-management interventions, with a special emphasis among minority and health disparate
populations. Research is an explicit component of the mission of the Bolton School of Nursing. A research
culture prevails at the school and includes: (1) faculty with long-term commitment and productivity as nurse
scientists, (2) focused programs of research excellence, (3) the availability of senior investigators and mentors,
(4) opportunities for pre- and postdoctoral study; (5) interdisciplinary research and educational experiences for
nurse investigators; and (6) a strong research infrastructure to support research and scholarly productivity.
While these characteristics establish a solid foundation for knowledge development, there are two ways in
which the support of a center grant will substantially accelerate scholarship: integration and coordination of a
variety of external resources, and strengthening, coordinating, and formalizing infrastructure supports.
Self-management is a term that refers to the behaviors that an individual employs as part of response to or
management of a health state. Thus, it can entail specific management of disease-related prescriptions, such
as medication or diet, or to health maintenance activities, such as exercise or stress reduction, or to the
absence of any engagement in healthful behaviors.24 To date, studies of self -management strategies have
concentrated primarily on educational interventions for persons with chronic illnesses, such as diabetes,
asthma, and epilepsy. The elements of self-management most commonly identified include: problem-solving
training, decision making, resource utilization, patient-provider partnership, action planning, and self-tailoring.24
Despite a decade of study and analysis, there has been no consensus about essential elements of selfmanagement
education, specific mechanisms, nor ideal measurement approaches for effectiveness
evaluation.18 It is our contention that, in order to advance science in this promising area, a more
comprehensive and coordinated approach to investigation must be undertaken. Resource utilization,
partnership with providers, and action planning all require addressing the influence of the environment in which
patient education, problem solving, and tailoring take place. Thus, the next generation of self-management
investigation must address the context within which self-management activities take place (organization and
community) and the entities and influences that support or present barriers to self-management (family and
health disparity forces). The resources provided by a center can directly address this need.
No Sub Projects information available for 1P30NR010676-01 9001
Publications
Publications are associated with projects, but cannot be identified with any particular year of the project or fiscal year of funding. This is due to the continuous and cumulative nature of knowledge generation across the life of a project and the sometimes long and variable publishing timeline. Similarly, for multi-component projects, publications are associated with the parent core project and not with individual sub-projects.
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Patents
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Outcomes
The Project Outcomes shown here are displayed verbatim as submitted by the Principal Investigator (PI) for this award. Any opinions, findings, and conclusions or recommendations expressed are those of the PI and do not necessarily reflect the views of the National Institutes of Health. NIH has not endorsed the content below.
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Clinical Studies
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History
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