Fostering diversity in the next generation of HIV researchers to improve the HIV continuum of care

培养下一代艾滋病毒研究人员的多样性，以改善艾滋病毒连续护理

基本信息

批准号：
10228677
负责人：
Jessica Elizabeth Haberer
金额：
$ 27.06万
依托单位：
MASSACHUSETTS GENERAL HOSPITAL
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-08-05 至 2025-06-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10228677
关键词：
AIDS prevention Acquired Immunodeficiency Syndrome Address Adherence African American Applications Grants Area Behavioral Behavioral Sciences Belief Breathing Cancer Education Grant Program Caring Chronic Care Clinical Cognitive Collaborations Communicable Diseases Community of Practice Competence Continuity of Patient Care Cultural Sensitivity Discipline of obstetrics Diverse Workforce Doctor of Philosophy Education Projects Educational Curriculum Educational workshop Epidemic Epidemiology Ethnic Origin Exposure to Face Faculty Fellowship Program Fostering Funding General Hospitals Goals Grant Gynecology HIV Hospital Departments Human immunodeficiency virus test Immunology Individual Intervention Investments K-Series Research Career Programs Knowledge Latinx Manuscripts Massachusetts Master&apos s Degree Maternal Health Measures Medicine Mentors Mentorship Methods National Institute of Mental Health Outcome Paper Perinatal transmission Population Postdoctoral Fellow Psychiatry Public Health Public Health Schools Race Research Research Activity Research Personnel Research Priority Residencies Scholarship Science Sexual and Gender Minorities Structure Techniques Training Training Programs United States National Institutes of Health Vocational Guidance Work Writing antiretroviral therapy base behavioral/social science career career development community based practice design doctoral student ethnic diversity evidence base experience global health graduate student implicit bias improved innovation next generation novel novel strategies outreach pre-exposure prophylaxis primary outcome programs racial and ethnic racial diversity recruit satisfaction skills social success theories therapy adherence tool unconscious bias

项目摘要

PROJECT SUMMARY. Significance. Great progress has been made toward the UNAIDS 90-90-90 goals worldwide, and novel methods for HIV prevention are beginning to decrease the size of the epidemic. However, much work on the HIV continuum of care remains. Racial and ethnic diversity among HIV researchers will be critical in developing new approaches to address the “10-10-10” gap that currently eludes the best behavioral science conducted to date. Yet, funding rates for underrepresented in medicine/public health (URM) researchers are well below those of white researchers (~15% versus 25%) and only 6% of K career development award applicants have been URM trainees. Approach. In Aim 1, the proposed Fostering Diversity in HIV Research Program will follow Social Cognitive Career Theory and the Mentoring Across Difference framework to train mentors in key skills to successfully support URM trainees. Workshops will be held annually with additional quarterly sessions. In Aim 2, the program will provide structured research mentorship exclusively to URM trainees to address the HIV continuum of care. Trainees will be identified through residency and post-doctoral fellowship programs at Massachusetts General Hospital (Departments of Medicine, Infectious Disease, Psychiatry, Obstetrics/Gynecology) and master’s degree and PhD programs at the Harvard T. H. Chan School of Public Health (Departments of Behavioral and Social Science, Global Health and Population, Epidemiology, Immunology and Infectious Diseases); recruitment will also involve active outreach efforts. Trainees will receive formal didactics on the HIV continuum of care and career development, focusing on issues particularly relevant for URM trainees (e.g., implicit bias). Mentors will support URM trainees in gaining knowledge about behavioral HIV research, as well as provide the hands-on technical and professional skills needed to develop successful research careers. All activities will be tailored to the needs of URMs and each individual’s stage of training. Research will address the following areas of the HIV continuum of care both domestically and globally: PrEP delivery and adherence; HIV testing and outreach; linkage, retention in care, and ART adherence; chronic care and complications of treated HIV; maternal health and perinatal transmission. Primary outcomes of the program will be HIV research mentors with the necessary mentoring competencies to successfully support URM trainees, as well as high quality, satisfying, and impactful mentorship of URM trainees who achieve core research competencies. Other outcomes include trainee scholarship (i.e., manuscripts and grants), progression of trainees through the academic research pipeline, and fidelity of program implementation. Innovation. The Fostering Diversity in HIV Research Program is innovative in its 1) targeted training of mentors to effective support URM trainees, 2) focus on the transition periods when many trainees leave academic research, 3) creation of a broad-based Community of Practice among URM trainees, and 4) interdisciplinary focus, fostering cross-collaboration and team science.

项目摘要意义。在实现联合国艾滋病规划署 90-90-90 目标方面取得了巨大进展。在世界范围内，预防艾滋病毒的新方法开始减少艾滋病毒的流行规模。然而，关于艾滋病毒连续护理的许多工作仍然存在。研究人员对于开发新方法来解决目前无法解决的“10-10-10”差距至关重要迄今为止进行的最好的行为科学，但医学/公共领域代表性不足的资助率。健康 (URM) 研究人员远低于白人研究人员（约 15% 对 25%），并且只有 6% 的 K 职业发展奖申请者是 URM 培训生。在目标 1 中，提出了培养方法。艾滋病毒研究计划的多样性将遵循社会认知职业理论和跨学科指导将采用差异框架来培训导师关键技能，以成功支持 URM 学员。每年举行一次，并每季度举行一次会议。在目标 2 中，该计划将提供结构化研究。将确定专门针对 URM 受训人员的指导，以解决受训人员的艾滋病毒连续护理问题。通过马萨诸塞州总医院（部门）的住院医师和博士后研究金计划医学、传染病、精神病学、妇产科）以及硕士和博士学位课程哈佛大学陈曾熙公共卫生学院（行为与社会科学系、全球健康系）招聘还将涉及积极的培训人员将接受有关艾滋病毒持续护理和职业发展的正式教育。关注与 URM 学员特别相关的问题（例如，隐性偏见）。导师将支持 URM。学员获得有关艾滋病毒行为研究的知识，并提供实践技术和发展成功的研究事业所需的专业技能所有活动都将根据需要进行定制。 URM 和每个人的培训阶段将涉及艾滋病毒连续体的以下领域。国内和全球护理：PrEP 的提供和依从性；艾滋病毒检测和推广；护理的保留和抗逆转录病毒疗法的依从性；治疗艾滋病毒的长期护理和并发症；该计划的主要成果是为艾滋病毒研究提供必要的指导。成功支持 URM 学员的指导能力，以及高质量、令人满意和对获得核心研究能力的 URM 学员进行有效的指导其他成果包括。实习生奖学金（即手稿和补助金）、实习生通过学术研究的进步促进艾滋病毒研究计划的多样性。其创新之处在于 1) 对导师进行有针对性的培训，以有效支持 URM 学员，2) 关注过渡许多学员离开学术研究的时期，3）创建基础广泛的实践社区 URM 学员之间的交流，以及 4) 跨学科重点，促进交叉协作和团队科学。