The purpose of this initiative is to support research in self-management focused across conditions and their co-occurrence. A recent report from the Institute of Medicine (IOM) identifies the epidemic of chronic condition as the nation’s leading health challenge and calls for cross-cutting, coordinated public health actions for “living well with chronic illness”. This Funding Opportunity Announcement (FOA) addresses that recommendation by describing an initiative that focuses on self-management as a mainstream science in order to reduce the burden of chronic illnesses/conditions. Self-management is the ability of the individual, in conjunction with family, community, and healthcare professionals, to manage symptoms, treatments, lifestyle changes, and psychosocial, cultural, and spiritual consequences associated with one or more chronic illnesses or conditions - See more at: http://grants.nih.gov/grants/guide/pa-files/PA-14-345.html#sthash.ww2J0jJp.dpuf
The purpose of this program is to support research in self-management focused across conditions and their co-occurrence. A recent report from the Institute of Medicine (IOM) identifies the epidemic of chronic condition as the nation’s leading health challenge and calls for cross-cutting, coordinated public health actions for “living well with chronic illness”. This program addresses that recommendation by describing an initiative that focuses on self-management as a mainstream science in order to reduce the burden of chronic illnesses/conditions. Self-management is the ability of the individual, in conjunction with family, community, and healthcare professionals, to manage symptoms, treatments, lifestyle changes, and psychosocial, cultural, and spiritual consequences associated with one or more chronic illnesses or conditions.
Research Objectives
- Examine the influence of quality of life, burden of care, culture, ethnicity, age, family, or socioeconomic status on self-management across chronic conditions
- Determine whether age-, gender-, and ethnically-related motivational factors are associated with improved self-management of chronic conditions in children
- Investigate how the multiple co-morbidities and disabilities associated with aging affect the types of self-management strategies chosen as well as the effectiveness of different approaches
- Studies supporting the use of decision-support and personalized interventions to increase adherence to treatment
- Developing research programs that advance work in genetic outcome assessment for self-management measures and optimal self-management health outcomes
- Designing novel technologies and social media that assist in monitoring symptom status, promoting health behavior modifications, and accessing/imparting health information
- Incorporating community engaged research methodologies to include the use of social media, wireless monitoring, and home evaluations for self-management
- Predictive research on who will benefit from self-management strategies to achieve person-driven, goal-oriented activities and care that facilitate improved outcomes
- Use of pragmatic clinical trial designs
- Studies that incorporate resilience as it relates to self-management such as resilience factors throughout early childhood, adolescence, early adulthood, old age
- Dissemination and implementation research focused on self-management
- Develop behavioral interventions for use in varied clinical and community settings that test the effectiveness of self-management interventions for chronic conditions to reduce burden and disability, improve well-being, strengthen self-determination and participation in health care, and prevent illness and complications
- Strategies that utilize the built environment in improving self-management in chronic conditions
- Investigate intervention strategies that promote self-management across chronic conditions and their combinations in which they have not been adequately or previously tested
- Determine the influence of established approaches to self-management across chronic conditions (examples: improved self-efficacy, cognitive strategies, social support, coping skills