A Training Development Plan for HIV-associated Behavioural Medicine

HIV 相关行为医学培训发展计划

• 批准号: 10688316
• 负责人: John Anton Joska
• 金额: $ 3.02万
• 依托单位: UNIVERSITY OF CAPE TOWN
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-04-01 至 2025-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10688316
• 关键词: Address; Adherence; African; Behavior; Behavioral Medicine; Caring; Complex; Country; Degree program; Development Plans; Elements; Epidemic; Funding; Grant; HIV; Institution; International; Intervention Trial; Master of Science; Mental Depression; Mental Health; Mental disorders; Outcome; Persons; Post-Traumatic Stress Disorders; Research; Research Training; Scientist; South Africa; South African; Stress; Substance Use Disorder; Training; Training Programs; United States National Institutes of Health; Universities; Viral; antiretroviral therapy; biopsychosocial factor; cohesion; cohort; comorbidity; improved; novel; organizational structure; post-doctoral training; programs; recruit; social; treatment adherence

Project Description/Abstract South Africa has the largest HIV burden in the world, with an estimated 8.2 million people living with HIV (PWH) in the country. The HIV epidemic is driven by a complex interaction of biopsychosocial factors, and PWH have high comorbidity with common mental disorders (CMD) – some estimates indicate that one in five PWH demonstrate symptomology for depression, post-traumatic stress disorder, or substance use disorders. The synergistic stress of HIV and CMD has significant adverse impacts across the HIV care-cascade, most notably on adherence to antiretroviral therapy, retention in HIV care, and viral suppression. To address these concerns, the HIV Mental Health Research Unit (HIV MHU) has conducted NIH-funded descriptive and intervention trial research for more than a decade, which resulted in the Unit developing a new master’s degree program in Behavioural Medicine – a novel and emerging field in South Africa. While research and training at UCT at the intersection of HIV and mental disorders has grown steadily, these elements require clear cohesion and strategic direction. Specifically, the proposed training programme intends to leverage existing research programs in the HIV MHU to build research training capacity in HIV-associated behavioural medicine. A two-year planning grant will allow us to document and analyse the existing research and training capacity at UCT and other South African universities in HIV-associated behavioural medicine to define gaps and needs. Moreover, through collaborative relationships with partnering institutions, we aim to establish an organisational structure that would support a Fogarty D43 application and identify potential trainee candidates at UCT that could be recruited for training in behavioural medicine within the D43 Fogarty training program. During the grant period, we aim to consolidate our behavioural medicine program within the Unit, the wider University, and with our international collaborators, to ultimately offer a suite of master’s, doctoral and post-doctoral training to a new cohort of both clinician- scientists, as well as basic and social scientists. While our research to date has led to improvements in HIV treatment adherence, viral suppression, and mental health outcomes, behavioural medicine is an emerging and evolving field in South Africa. To date, there are no established behavioural medicine programs in South Africa that focus on HIV, mental disorders, and behaviour. The proposed planning grant will facilitate establishing the field in South Africa and the African continent.

项目描述/摘要 南非是世界上艾滋病毒负担最重的国家，估计有 820 万艾滋病毒感染者 (PWH) 该国的艾滋病毒流行是由生物心理社会因素的复杂相互作用驱动的，而艾滋病毒感染者已经 常见精神障碍 (CMD) 的高合并症——一些估计表明，五分之一的感染者 证明抑郁症、创伤后应激障碍或药物滥用障碍的症状。 HIV 和 CMD 的协同压力对整个 HIV 护理级联产生重大不利影响，最显着的是 坚持抗逆转录病毒治疗、保留艾滋病毒护理和病毒抑制。 HIV 心理健康研究中心 (HIV MHU) 进行了 NIH 资助的描述性和干预性试验 经过十多年的研究，该单位开发了一个新的硕士学位课程 行为医学——南非的一个新兴领域，在 UCT 进行研究和培训。 艾滋病毒和精神障碍的交叉点正在稳步增长，这些要素需要明确的凝聚力和战略性 具体而言，拟议的培训计划旨在利用现有的研究计划。 HIV MHU 旨在建设 HIV 相关行为医学的研究培训能力 为期两年的规划拨款。 将使我们能够记录和分析 UCT 和南非其他地区的现有研究和培训能力 此外，还通过合作来确定艾滋病毒相关行为医学方面的差距和需求。 与合作机构的关系，我们的目标是建立一个组织结构，以支持 Fogarty D43 申请并确定 UCT 的潜在实习生候选人，这些候选人可以被招募参加培训 在资助期间，我们的目标是巩固 D43 Fogarty 培训计划中的行为医学。 我们的行为医学项目在该部门、更广泛的大学以及我们的国际合作者中， 最终为一批新的临床医生提供一套硕士、博士和博士后培训 科学家以及基础科学家和社会科学家迄今为止的研究已经导致艾滋病毒的改善。 治疗、病毒抑制和心理健康结果，行为医学是一门新兴的、 南非不断发展的领域，迄今为止，南非还没有既定的行为医学项目。 拟议的规划拨款将促进建立艾滋病毒、精神障碍和行为。 南非和非洲大陆的领域。