Mentoring the next generation of trainees in patient-oriented, community engaged research in obesity and health equity

指导下一代学员进行以患者为中心、社区参与的肥胖和健康公平研究

基本信息

批准号：
10662072
负责人：
Melanie Jay
金额：
$ 12.69万
依托单位：
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-04-01 至 2028-03-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10662072
关键词：
Active Learning Address Adult Advisory Committees Area Award Behavioral Black race Body Weight Changes Body Weight decreased Caring Cohort Studies Collaborations Communities Community Health Data Set Discrimination Disparity Environment Evaluation Faculty Feedback Funding Grant Health Hispanic Individual Intervention Intervention Studies Intervention Trial K-Series Research Career Programs Leadership Learning Measures Mentors Mentorship Mid-Career Clinical Scientist Award (K24)Minority Groups Modeling National Heart, Lung, and Blood Institute Neighborhoods Obesity Outcome Participant Patient Education Patient Recruitments Patients Population Postdoctoral Fellow Primary Care Process Race Research Research Personnel Resources Risk Social Interaction Strategic vision Structural Racism Students Testing Time Training Training Support Underrepresented Minority United States Department of Veterans Affairs United States National Institutes of Health Vulnerable Populations Weight Weight maintenance regimen Work bariatric surgery behavioral clinical trial black patient cardiometabolic risk career cohort community engaged research community engagement comparison control deprivation design experience health difference health disparity health equity health equity promotion improved interest intervention delivery intervention participants intervention program member minority trainee next generation obese patients participant enrollment patient engagement patient oriented patient oriented research patient population programs racial discrimination recruit skills social health determinants surgery outcome symposium

项目摘要

PROJECT SUMMARY/ABSTRACT Over 42% of adults have obesity, which is more prevalent in under-represented minority (URM) populations. While even modest (3-5%) weight loss improves this risk, Black and Hispanic patients are less likely to lose weight in intervention programs, and we and others have found that Black patients lose less weight with bariatric surgery. To address these disparities and promote health equity, the focus of my patient-oriented research has been to develop and test weight management interventions in underserved patient populations. I am currently PI on 4 behavioral clinical trials funded through the NIH and Veterans affairs and one longitudinal bariatric surgery cohort study. These studies, with approximately 1700 patients enrolled thus far, have supported the training of several students, post-doctoral fellows and junior faculty. I have been passionate about mentoring trainees, especially those from URM populations. NYU Langone Health provides a rich training environment for mentees at all levels to advance their research careers. This K24 award will provide me with additional resources and protected time to increase the impact of my trainees’ and my research. With collaboration and guidance from my K24 Advisory Committee and Community Advisory Board (CAB) members, the K24 will support the following Short-Term Career Objectives 1) To be a primary mentor for 1-2 additional URM junior faculty or fellows per year; 2) To improve my skills in mentoring URM trainees; 3) To increase my expertise and mentorship in social determinants of health (SDOH), health equity, and community engagement; 4) To develop leadership skills in health equity; and 5) To obtain 2 additional R01-level or higher grants to test and implement interventions addressing obesity-related health disparities. Through formal coursework, conferences, and hands-on experiential training, I will enhance my skills and expertise in leadership and mentorship in health equity, social determinants of health, and community-engaged research. The K24 advisory committee, consisting of senior leaders and collaborators in these areas, will advise on my research and training aims and will review a yearly formal evaluation of my mentoring. My mentees and I are interested in how individual and neighborhood level markers of race and weight discrimination impact weight management outcomes in vulnerable populations. For our research aims, we will use existing datasets (n=768) participants in health coaching weight management intervention studies and 207 participants in a bariatric surgery cohort study to evaluate the impact of neighborhood- and individual- level SDOH (including markers of discrimination) on weight management outcomes. We will engage relevant patient and community stakeholders to collaborate on all aspects of the research. The research aims were developed through extensive discussions with each of my current mentees to enhance their training, support their individual research and improve the care of vulnerable patients with obesity.

项目摘要/摘要超过42％的成年人患有肥胖症，这在代表性不足的少数民族（URM）人群中更为普遍。尽管减肥（3-5％）甚至可以改善这种风险，但黑人和西班牙裔患者的可能性较小干预计划的体重，我们和其他人发现，黑人患者的体重减少了减肥手术。为了解决这些分配并促进健康平等，我以患者为导向的重点研究是为了在服务不足的患者人群中开发和测试体重管理干预措施。我目前是通过NIH和退伍军人事务和一项纵向资助的4项行为临床试验的PI 减肥手术队列研究。到目前为止，这些研究已有大约1700名患者支持对几名学生，博士后研究员和初级教师的培训。我一直热衷于心理学员，尤其是来自URM人群的学员。 NYU Langone 健康为各个级别的月经提供了丰富的培训环境，以提高其研究职业。这 K24奖将为我提供更多资源和受保护的时间，以增加培训的影响和我的研究。在我的K24咨询委员会和社区咨询的合作和指导下董事会（CAB）成员，K24将支持以下短期职业目标1）每年额外的1-2个URM初级教师或研究员的心理； 2）提高我在心理URM方面的技能学员； 3）提高我在卫生社会决定者（SDOH），卫生公平方面的专业知识和心态，和社区参与； 4）发展健康公平方面的领导能力； 5）获得2个 R01级或更高的赠款，以测试和实施解决与肥胖相关的健康分布的干预措施。通过正式的课程，会议和动手专家培训，我将提高自己的技能和健康公平领导力和心理方面的专业知识，卫生社会决定者和社区参与的专业知识研究。 K24咨询委员会由这些领域的高级领导人和合作者组成，将建议我的研究和培训目标，并将审查对我的心理的年度正式评估。我和我的Menees对种族和体重的个人和邻里水平标记感兴趣歧视会影响脆弱人群的体重管理结果。为了我们的研究目的，我们将在健康教练体重管理干预研究和207中使用现有的数据集（n = 768）参与者一项减肥手术队列研究的参与者，以评估邻里和个体水平的影响 SDOH（包括歧视标记）在体重管理结果上。我们将吸引相关性患者和社区利益相关者就研究的各个方面进行合作。研究目的是通过与我目前的每个月经的广泛讨论来开发，以增强他们的培训，支持他们的个人研究并改善了肥胖患者的护理。