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Precision health: Advancing symptom and self-management science.

Authors
  • Hickey, Kathleen T1
  • Bakken, Suzanne2
  • Byrne, Mary W3
  • Bailey, Donald Chip E4
  • Demiris, George5
  • Docherty, Sharron L4
  • Dorsey, Susan G6
  • Guthrie, Barbara J7
  • Heitkemper, Margaret M8
  • Jacelon, Cynthia S9
  • Kelechi, Teresa J10
  • Moore, Shirley M11
  • Redeker, Nancy S12
  • Renn, Cynthia L13
  • Resnick, Barbara14
  • Starkweather, Angela15
  • Thompson, Hilaire16
  • Ward, Teresa M16
  • McCloskey, Donna Jo17
  • Austin, Joan K18
  • And 1 more
  • 1 Cardiac Electrophysiology, Columbia University School of Nursing, Columbia University Medical Center, New York, NY.
  • 2 School of Nursing and Department of Biomedical Informatics, Columbia University, New York, NY. Electronic address: [email protected]
  • 3 Department of Anesthesiology, Columbia University School of Nursing, Columbia University College of Physicians and Surgeons, New York, NY; Center for Children and Families, Columbia University School of Nursing, Columbia University College of Physicians and Surgeons, New York, NY.
  • 4 Duke University School of Nursing, Durham, NC.
  • 5 University of Pennsylvania, School of Nursing, Philadelphia, PA.
  • 6 Department of Pain and Translational Symptom Science, School of Medicine, University of Maryland Baltimore, Baltimore, MD; Department of Anesthesiology, School of Medicine, University of Maryland Baltimore, Baltimore, MD.
  • 7 Bouve College of Health Sciences, Northeastern University School of Nursing, Boston, MA.
  • 8 Department of Biobehavioral Nursing and Health Informatics, University of Washington School of Nursing, Seattle, WA.
  • 9 University of Massachusetts Amherst College of Nursing, Amherst, MA.
  • 10 Medical University of South Carolina, College of Nursing, Charleston, SC.
  • 11 Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH. , (France)
  • 12 Section of Pulmonary, Critical Care and Sleep Medicine, Yale University, New Haven, CT.
  • 13 Department of Pain and Translational Symptom Science, University of Maryland Baltimore, Baltimore, MD.
  • 14 Organizational Systems and Adult Health Nursing Department, University of Maryland Baltimore, Baltimore, MD.
  • 15 University of Connecticut School of Nursing, Storrs, CT.
  • 16 University of Washington School of Nursing, Seattle, WA.
  • 17 National Institute of Nursing Research, Bethesda, MD.
  • 18 National Institute of Nursing Research, Bethesda, MD; Indiana University School of Nursing, Bloomington, IN. , (India)
Type
Published Article
Journal
Nursing outlook
Publication Date
Jan 01, 2019
Volume
67
Issue
4
Pages
462–475
Identifiers
DOI: 10.1016/j.outlook.2019.01.003
PMID: 30795850
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Precision health considers individual lifestyle, genetics, behaviors, and environment context and facilitates interventions aimed at helping individuals achieve well-being and optimal health. 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. 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. 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. Nurse scientist leadership is necessary to realize the vision of precision health as reflected in the NSPH Model. Copyright © 2019 The Authors. Published by Elsevier Inc. All rights reserved.

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