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Precision health: Advancing symptom and self-management science
Kathleen T Hickey1, Suzanne Bakken2, Mary W Byrne3
1Cardiac Electrophysiology, Columbia University School of Nursing, Columbia University Medical Center, New York, NY.
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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