Abstract
PROBLEM STATEMENT: Rigorous evaluation assures that research endeavors meet their purpose and achieve stated goals. This is especially true for federally funded exploratory research centers, which tend to be more complex due to the involvement of multiple, interdisciplinary investigators. This study provides an overview of the approach used to develop an evaluation strategy and reports the lessons learned during the initial development of the Center for Ohana Self-Management of Chronic Illness (COSMCI) at the University of Hawai'i at Mānoa School of Nursing and Dental Hygiene. The COSMCI is composed of an interdisciplinary team of researchers and practitioners and aims to advance knowledge in the field of self management of chronic disease in the community setting. APPROACH: A systematic approach was utilized that included formative and summative strategies for ongoing evaluation. The problem was solved by addressing five key concerns: (1) development of research structure, (2) observing the process of the research pilot projects, (3) scholarly activity of COSMCI faculty, (4) dissemination and translation and (5) sustainability prospects. The method of research included formulating process strategies and determine if the plans for developing the Center were followed and whether these plans were effective. Interviews were also conducted at year one and at mid-point though the project. RESULTS: Themes that emerged from our evaluation included inclusion, timelines, realistic expectations, ongoing evaluation and preparing for changes in the team. This provided timely recognition of successes and challenges and facilitated a rapid response for interventions especially during the early development stage of the center. CONCLUSION/RECOMMENDATIONS: Effective development of a successful Center is highly dependent upon having a strong evaluation process in place that can inform ongoing development. An exploratory research center requires ongoing evaluation that allows for celebration of successes, as well as early identification of problems and rapid response.
Highlights
The United States spends approximately $2.25 trillion per year on healthcare (1) and $122 billion on health care related research (2)
The National Institutes of Health (NIH) utilizes several types of grants to support research related programs. These grants are categorized as: (1) research grants, which are the most common and usually support discrete, circumscribed research projects; (2) program project or center grants, which usually support integrated, multiple project endeavors that have a wide array of research activities focused on a common purpose or theme; (3) resource grants, which are designed to provide access to specialized research support or resources and (4) trans NIH Programs, which support broad reaching programs across multiple agencies involved in health research endeavors (3)
This study describes the evaluation strategy and reports the lessons learned during the initial development of the University of Hawai’i at Mānoa School of Nursing and Dental Hygiene (UH SONDH) Exploratory Center forOhana Self-Management of Chronic Illness (COSMCI)
Summary
The United States spends approximately $2.25 trillion per year on healthcare (1) and $122 billion on health care related research (2). These grants are categorized as: (1) research grants, which are the most common and usually support discrete, circumscribed research projects; (2) program project or center grants, which usually support integrated, multiple project endeavors that have a wide array of research activities focused on a common purpose or theme; (3) resource grants, which are designed to provide access to specialized research support or resources and (4) trans NIH Programs, which support broad reaching programs across multiple agencies involved in health research endeavors (3) These grant types are all directed toward meeting at least one of the two overarching goals of Healthy People 2010: namely, to increase quality and years of healthy life and eliminate health disparities (4). The COSMCI is a National Institute of Nursing Research (NINR), NIH funded P-20 grant (5P20NR010671), which has a mission to advance knowledge in the field ofohana (family) and self management of chronic illness in order to improve health related quality of life and reduce health disparities among ethnically diverse populations in the state of Hawai’i with a focus on building interdisciplinary biobehavioral research capacity. Ongoing evaluation processes serve to provide information that is used to refine the COSMCI operation
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