Abstract
This proposal is submitted in response to RFA NR - 02 0004, Nursing Partnership Centers on Health Disparities Grants. Yale School of Nursing (YSN) and the Howard University Division of Nursing (HUDON) propose to develop a Partnership Center on Reducing Health Disparities by Self and Family Management. Self-management encompasses a broad range of health, lifestyle, behavioral and self-assessment and treatment activities practiced by an individual in the context of the family, often with the support of nurses. Self and family management activities are likely to vary across socioeconomic status, gender and ethnic/cultural background. Within certain groups, disparities exist in risk to health status, access to health care and in treatment outcomes. We believe that self-management represents one promising avenue for eliminating these disparities, but the particular approaches to self and family management of health conditions needs to be better understood before nursing interventions can be developed to support self-management. The proposed Partnership Center will build on an existing partnership between YSN and HUDON, in which they have been funded for the Yale-Howard Scholars Program. The scientific focus extends the work of YSN's currently funded Exploratory Center on Self-Management Interventions for Populations at Risk into the area of disparities. The Partnership Center will build capacity by recruiting and developing nurse scientists to conduct culturally relevant and competent research to eliminate health disparities. The Center will be under the direction of Drs. Catherine Gilliss (YSN) and Dorothy Powell (HUDON), and is structured to include: an Administrative Core (Gilliss/Powell to direct; Drs. Margaret Grey [YSN] and Sheryl Nichols [HUDON] to serve as Associate Directors); a Pilot/Feasibility Core (Drs. Ann Williams [YSN] and Lena Austin [Howard University] to serve as Associate Directors; a Research Mentoring Core (Drs. Majorie Funk [YSN] and Coralease Ruff [HUDON] to serve as Associate Directors; and a Research/Outreach Dissemination Core (Drs. Ruth McCorkle [YSN] and Jacqueline Jordan [HUDON] to serve as Associate Directors. Proposals for five pilot studies are included with this application. In addition to building investigator capacity, our long term goal includes the establishment of an Office of Research Affairs at HUDON.
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