Mentoring and Empowerment in the Context of HIV Care for At-Risk Populations

在艾滋病毒护理背景下为高危人群提供指导和赋权

基本信息

批准号：
8657266
负责人：
MALLORY O JOHNSON
金额：
$ 18.36万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-07-01 至 2019-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8657266
关键词：
AIDS prevention Address Adherence Adult Alcohol or Other Drugs use Alcohols Area Attitude Behavioral Belief Budgets Caring Clinical Cohort Analysis Collaborations Collection Complement Data Data Analyses Development Development Plans Discipline Doctor of Pharmacy Doctor of Philosophy Drug abuse Drug usage Fright Funding Funding Mechanisms Future Goals HCV Liver Disease HIV Health Healthcare Hepatitis C virus Intervention Investigation Knowledge Life Liver diseases Maps Mental disorders Mentors Mentorship Methods Minority Groups Misinformation Outcome Pattern Persons Population Populations at Risk Qualitative Methods Recording of previous events Reporting Research Research Activity Research Infrastructure Research Methodology Research Personnel Research Project Grants Research Support Resources Risk Scholarship Site Source System Testing Time Training Training Programs Treatment outcome United States National Institutes of Health Vulnerable Populations Woman Women&apos s Health alcohol risk antiretroviral therapy base career career development clinical care cohort design empowerment experience health care model housing instability improved innovation interest men novel patient oriented research programs public health relevance screening sexual minority skills social therapy adherence tool transgender uptake

项目摘要

DESCRIPTION (provided by applicant): The purpose of this K24 application is to support the continuation and proposed expansions of Dr. Mallory Johnson's programs of mentoring and patient-oriented research (POR) in social and behavioral approaches to optimizing engagement in HIV care among drug-using populations. The candidate proposes new mentoring, new research, and additional training to build competency in drug abuse research, HCV and liver disease, and advanced research methodologies. The proposed plan for mentoring expands his current mentoring program in new directions, including an innovative grand mentoring program, new sources of mentees, development of online team-based mentoring tools, and scholarship in best practices of mentoring. These plans emphasize the importance of addressing challenges to successful transition to independence during periods of budgetary constraint through the leveraging and strategic use of data, infrastructure, and expertise available through existing NIH-funded research networks, training programs, and funding mechanisms. Three aims for new research are proposed, which will provide data for future interventions to improve health care empowerment and clinical outcomes for populations at risk for suboptimal engagement in HIV care, including HIV-infected substance users (men, women, and transgender women) and HIV/HCV co-infected women. These POR activities will be conducted within the infrastructure of the Women's Interagency Health Study (WIHS), the CFAR Network of Integrated Clinical Systems (CNICS) and a cohort of transgender women led by one of the candidate's mentees. The overriding theme of the new POR is to investigate the challenges of engagement in care and uptake, persistence, and adherence, to antiretroviral therapy (ART) among populations at greatest risk for poor treatment outcomes. These POR activities will involve active participation by mentees and will complement their development plans and transitions to independence. All of the new aims will be framed in the Model of Health Care Empowerment and will provide preliminary data for subsequent observational and interventional studies of engagement in care. Through the efficient leveraging of existing resources, collaborations, data, and affiliations with NIH-funded networks, the overarching goal of this application is to support the development of early career investigators, new mentors, and to provide opportunities for my own training/competency-building, and to catalyze new projects in the area of engagement in HIV care among at- risk populations.

描述（由申请人提供）：本 K24 申请的目的是支持 Mallory Johnson 博士在社会和行为方法方面的指导和以患者为导向的研究 (POR) 计划的继续和拟议扩展，以优化药物之间艾滋病毒护理的参与- 使用人群。候选人提出新的指导、新的研究和额外的培训，以建立药物滥用研究、丙型肝炎和肝病以及先进研究方法方面的能力。拟议的指导计划将他当前的指导计划扩展到新的方向，包括创新的大型指导计划、新的受指导者来源、基于团队的在线指导工具的开发以及指导最佳实践的奖学金。这些计划强调了在预算紧张期间通过利用和战略性利用美国国立卫生研究院资助的现有研究网络、培训计划和资助机制提供的数据、基础设施和专业知识来应对成功过渡到独立的挑战的重要性。提出了新研究的三个目标，这些目标将为未来的干预措施提供数据，以改善艾滋病毒护理参与度不佳的风险人群的医疗保健赋权和临床结果，包括感染艾滋病毒的物质使用者（男性、女性和变性女性）和HIV/HCV 共同感染的女性。这些 POR 活动将在妇女机构间健康研究 (WIHS)、CFAR 综合临床系统网络 (CNICS) 和由候选人的一名学员领导的跨性别女性队列的基础设施内进行。新 POR 的首要主题是调查治疗结果不佳风险最大的人群在参与护理和接受、坚持和坚持抗逆转录病毒治疗 (ART) 方面面临的挑战。这些 POR 活动将涉及受训者的积极参与，并将补充他们的发展计划和向独立的过渡。所有新目标都将纳入医疗保健赋权模型中，并将为后续参与护理的观察性和干预性研究提供初步数据。通过有效利用现有资源、协作、数据和隶属关系 NIH 资助的网络，此应用程序的总体目标是支持早期职业调查员、新导师的发展，并为我自己的培训/能力建设提供机会，并促进参与艾滋病毒护理领域的新项目高危人群中。