Adaptive Leadership for Cognitive Affective Symptom Science (ADAPT) Center

Our mission is to support innovative research that identifies how to empower individuals living with chronic illness and their caregivers to manage symptoms and optimize health.


The Adaptive Leadership for Cognitive Affective Symptom Science (ADAPT) Center is a National Institute of Nursing Research/National Institute of Health funded Center of Excellence (2012-2017) that promotes innovative research focused on managing and minimizing changes in cognition and emotional symptom responses to chronic illness. The Center applies a new lens - Adaptive Leadership Framework for Chronic Illness - to examine symptoms and gain insights into how to improve patient care.

The Center's primary objective is to support researchers in furthering the science of cognitive and affective symptoms in chronic illness, with the ultimate goal of empowering patients and their caregivers to optimize symptom management and enhance quality of life.

Overall Center Goals
  1. To encourage and foster the productivity of new nursing scientists engaged in research dedicated to understanding and minimizing chronic illness symptoms in individuals facing cognitive/emotional changes.

  2. To assist investigators in tailoring research to optimize participation by people with cognitive/emotional changes, specifically by addressing minority health issues, refining existing protocols (or creating new ones), as well as upgrading self-report measures.

  3. To advance investigator skill in using quantitative, qualitative, and mixed-method approaches to study symptoms and patient adaptation associated with cognitive/emotional changes.

ADAPT Investigators

To date, over 80 Center Investigators from a variety of disciplines and centers are actively engaged in symptom science research and supporting the overall aims of the ADAPT Center. Our Center Investigators share and disseminate new knowledge, participate in interdisciplinary research collaboration to advance the field of symptom science, and assist other investigators to conceptualize and study cognitive/affective symptoms and intervene in ways that promote patients' and their family caregivers' adaptive abilities.

Disclaimer: If you utilized ADAPT Center services (collaborating, mentoring, consulting, design & statistical support, or funding) for your study, please include the following statement in all future publications related to the study and outcomes: "This work was supported in part by the National Institute of Nursing Research (NIH P30NR014139), S.L. Docherty and D.E. Bailey Jr., principal investigators, Duke University School of Nursing."

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