Specific AimsToward the goal of improving self-management processes and outcomes for persons with chronic healthconditions, the overall objectives of this P30 submission are to enhance interdisciplinary, biobehavioralresearch capacity for scientists conducting self-management research in underserved populations at theColumbia University School of Nursing and to increase the quantity and quality of the self-managementresearch conducted. Building upon six years of experience and productivity as a P20 Exploratory Center,broad interdisciplinary collaboration, outstanding institutional resources including a Clinical and TranslationalScience Award (CTSA), strong evidence of commitment to research for underserved populations, and uniquestrengths in the areas of informatics and economic analysis, the aims of the Center for Evidence-basedPractice in the Underserved (CEBP) are to:1. Facilitate the development of biobehavioral research capacity in self-management for underservedpopulations through the funding of research studies and the implementation of four interdisciplinarycores (Administrative; Self-Management, Biobehavioral, and Informatics; Design, Methods,Biostatistics, and Economic Analysis; Dissemination and Translation) that provide expertise, services,and resources,2. Implement and maintain a social software-based approach, building upon the infrastructure of theCTSA 'WorkWeb' Portal, that will enable interdisciplinary researchers in self-management tocommunicate and collaborate by accessing a variety of information and communication technologiesand services through a secure portal,3. Enhance the expertise of CEBP investigators in informatics-based approaches that enable selfmanagementinterventions for underserved populations in a manner appropriate to culture and level ofhealth literacy,4. Develop the expertise of CEBP investigators in application of appropriate economic methods andanalyses for self-management studies in underserved populations,5. Facilitate dissemination of research findings into the interdisciplinary scientific literature and translationinto practice and policy, and6. Implement a formative and summative evaluation plan that includes measurable goals and ongoingassessment of the progress of each Core and research project, collaborative research activities,dissemination and impact of knowledge gained from research projects, and efforts to facilitatesustainability.
These aims are relevant to three self-management areas of opportunity identified in NINR's Strategic Plan: 1)develop technologies to facilitate early self-identification and self-reporting of symptoms; 2) design culturallyappropriate self-management decision-making strategies that promote healthy lifestyle choices such as diet,exercise, and primary health care practices in acutely or chronically ill persons; and 3) identify cost-effectivestrategies for self-management and promotion of personal health among long-term survivors of disease andpersons with chronic disabilities. Our approaches capitalize on outstanding interdisciplinary collaborations andresources and the use of innovative information technologies including social/collaborative and knowledgemanagement software to support communication, collaboration, and resource access. Our resourcedevelopment activities focus on the design and implementation of novel resources that will enable informationsharing and knowledge development for self-management research.
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