The Methods Core will provide infrastructure for advancing the science on cognitive/affective changes that accompany chronic illness and for ameliorating the symptoms associated with these changes using adaptive approaches and provider directed therapies (technical work). Cognitive/affective symptoms, so prevalent in chronic illness, are complex, multi-causal, non-linear and characterized by considerable variability. Thus, the methods for studying these symptoms must be able to characterize these aspects of the symptom experience for both groups and individuals. Trajectory science in nursing is expanding. Combined with longitudinal methods for both quantitative and qualitative data and innovative data visualization techniques, trajectory methods can be used to explore data in various ways to create different pictures of the phenomena and enhance insights that can be gained from studies of symptoms in chronic illness. The Methods Core will work closely with the Administrative Core and Scholarship/Mentoring Core to:
Aim 1 : Promote and expand bio-behavioral research and trajectory methods (longitudinal and longitudinal mixed methods designs, trajectory analyses, and visualization techniques) in studies to understand and ameliorate symptoms, symptom distress, and symptom sequelae for people with cognitive/affective changes in chronic illness.
Aim 2 : Provide consultation and support for trajectory methods.
Aim 3 : Support database development and management for Center Investigators.
Aim 4 : Collaborate with the Scholarship and Mentoring Core to promote learning and collaboration among center investigators through seminars and a journal club focused en measuring cognitive/affective symptoms and trajectory analyses.

Public Health Relevance

Cognitive/affective symptoms are common for patients with chronic illness. This Methods Core is to assist nursing scientists in conducting scientifically sound interdisciplinary research to advance symptom science.

Agency
National Institute of Health (NIH)
Institute
National Institute of Nursing Research (NINR)
Type
Center Core Grants (P30)
Project #
5P30NR014139-03
Application #
8692447
Study Section
Special Emphasis Panel (ZNR1)
Project Start
Project End
Budget Start
2014-07-01
Budget End
2015-06-30
Support Year
3
Fiscal Year
2014
Total Cost
Indirect Cost
Name
Duke University
Department
Type
DUNS #
City
Durham
State
NC
Country
United States
Zip Code
Lepore, Michael; Scales, Kezia; Anderson, Ruth A et al. (2018) Person-directed care planning in nursing homes: A scoping review. Int J Older People Nurs 13:e12212
Affronti, Mary Lou; Randazzo, Dina; Lipp, Eric S et al. (2018) Pilot Study to Describe the Trajectory of Symptoms and Adaptive Strategies of Adults Living with Low-grade Glioma. Semin Oncol Nurs 34:472-485
Reuter-Rice, Karin; Regier, Michael; Bennett, Ellen et al. (2018) The Effect of the Relationship of APOE Polymorphisms and Cerebral Vasospasm on Functional Outcomes in Children With Traumatic Brain Injury. Biol Res Nurs 20:566-576
Cary Jr, Michael P; Hall, Rasheeda K; Anderson, Amber L et al. (2018) Management Team Perceptions of Risks and Strategies for Preventing Falls Among Short-Stay Patients in Nursing Homes. Health Care Manag (Frederick) 37:76-85
Wood, Kathryn A; Barnes, Angel H; Paul, Sudeshna et al. (2017) Symptom challenges after atrial fibrillation ablation. Heart Lung 46:425-431
Reuter-Rice, Karin (2017) Transcranial Doppler Ultrasound Use in Pediatric Traumatic Brain Injury. J Radiol Nurs 36:3-9
Harris, Gabrielle M; Collins-McNeil, Janice; Yang, Qing et al. (2017) Depression and Functional Status Among African American Stroke Survivors in Inpatient Rehabilitation. J Stroke Cerebrovasc Dis 26:116-124
Scales, Kezia; Lepore, Michael; Anderson, Ruth A et al. (2017) Person-Directed Care Planning in Nursing Homes: Resident, Family, and Staff Perspectives. J Appl Gerontol :733464817732519
Colón-Emeric, Cathleen S; Corazzini, Kirsten; McConnell, Eleanor et al. (2017) Study of Individualization and Bias in Nursing Home Fall Prevention Practices. J Am Geriatr Soc 65:815-821
Batchelor-Murphy, Melissa K; McConnell, Eleanor S; Amella, Elaine J et al. (2017) Experimental Comparison of Efficacy for Three Handfeeding Techniques in Dementia. J Am Geriatr Soc 65:e89-e94

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