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. 2011 Jan;70(1):4-8.

A center for self-management of chronic illnesses in diverse groups

Jillian Inouye  1 , Mary G Boland, Claudio R Nigg, Kathleen Sullivan, Anne Leake, Debra Mark, Cheryl L Albright
Affiliations

A center for self-management of chronic illnesses in diverse groups

Jillian Inouye et al. Hawaii Med J. 2011 Jan.

Abstract

Prevention and successful treatment of chronic disease require a scientific understanding of the impacts and interactions of ethnicity, culture, and illness on self-management interventions. This article presents one approach to developing effective methods to address the needs of ethnic minorities living with chronic illnesses. Described is the University of Hawaii Center for Ohana Self-Management of Chronic Illnesses (COSMCI) located in the School of Nursing & Dental Hygiene and funded by the National Institute of Nursing Research (Award Number P20NR010671). The interdisciplinary center focuses on family and community self-management interventions in ethnically diverse populations with chronic illnesses. Areas discussed are: 1) the operational structure for creating an environment conducive to interdisciplinary ohana self-management chronic illness research in ethnically diverse populations; and 2) the development of sustainable interdisciplinary, biobehavioral research capacity. The COSMCI uses a social cognitive theory framework to guide the application of established self-management interventions to Asian and Pacific Island populations (API) through three conceptually linked research projects on HIV infection, type 2 diabetes, and chronic obstructive pulmonary disease. COSMI addresses the feasibility of sharing of lessons learned among the approaches taken. The interdisciplinary nature of COSMCI increases the potential success of the intervention efforts.

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Figures

Figure 1
Figure 1
Chronic Health Condition Prevalence by Ethnicity, Hawai‘i Health Survey, 2008
Figure 2
Figure 2
COSMCI Conceptual Framework
Figure 3
Figure 3
COSMCI Operational Structure
See this image and copyright information in PMC

References

    1. Hawaii State Department of Health, author. Hawaii Health Survey. 2008. [February 8, 2010]. Available at: http://hawaii.gov/health/statistics/hhs/hhs_08/index.html.
    1. U.S. Center for Disease Control and Prevention, author. Behavioral Risk Factor Surveillance System. 2008. [February 8, 2010]. Available at: http://cdc.gov/brfss/index.htm.
    1. Juarez DT, Samoa RA, Chung RS, Seto TB. Disparities in health, obesity and access to care among an insured population of Asian and Pacific Islander Americans in Hawai‘i. Hawaii Med J. 2010;69(2):42–46. - PMC - PubMed
    1. U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion, author. Healthy People. 2010. [February 1, 2010]. Available at: http://www.healthypeople.gov. - PubMed

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