4.5 Article

Precision health: Advancing symptom and self-management science

Journal

NURSING OUTLOOK
Volume 67, Issue 4, Pages 462-475

Publisher

ELSEVIER SCIENCE INC
DOI: 10.1016/j.outlook.2019.01.003

Keywords

Precision health; symptom science; Air self-management; Major nursing; informatics; data science

Categories

Funding

  1. Center for Pain Genomics [P30NR014129]
  2. Center for Adaptive Leadership in Symptom Science [P30NR014139]
  3. SMART Center II: Brain Behavior Connections in Self-Management Science [P30NR015326]
  4. Center to Advance Chronic Pain Research [P30NR016579]
  5. Center for Innovation in Sleep Self-Management [P30NR016585]
  6. Precision in Symptom Self -Management (PriSSM) Center [P30NR016587]
  7. Yale Center for Sleep Disturbance in Acute and Chronic Conditions [P20NR014126]
  8. UManage Center: UMass Center for Building the Science of Symptom Self-Management [P20NR016599]
  9. Center for Accelerating Precision Pain Self -Management [P20NR016605]
  10. Symptoms Self -Management Center [P20NR016575]
  11. Northeastern Center for Technology in Support of Self -Management and Health [P20NR015320]

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Background: Precision health considers individual lifestyle, genetics, behaviors, and environment context and facilitates interventions aimed at helping individuals achieve well-being and optimal health. Purpose: To present the Nursing Science Precision Health (NSPH) Model and describe the integration of precision health concepts within the domains of symptom and self-management science as reflected in the National Institute of Nursing Research P30 Centers of Excellence and P20 Exploratory Centers. Methods: Center members developed the NSPH Model and the manuscript based on presentations and discussions at the annual NINR Center Directors Meeting and in follow-up telephone meetings. Discussion: The NSPH Model comprises four precision components (measurement; characterization of phenotype including lifestyle and environment; characterization of genotype and other biomarkers; and intervention target discovery, design, and delivery) that are underpinned by an information and data science infrastructure. Conclusion: Nurse scientist leadership is necessary to realize the vision of precision health as reflected in the NSPH Model.

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