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.

项目概要/摘要超过 42% 的成年人患有肥胖症，这在代表性不足的少数群体 (URM) 人群中更为普遍。虽然即使是适度的（3-5%）体重减轻也会增加这种风险，但黑人和西班牙裔患者体重减轻的可能性较小干预计划中的体重，我们和其他人发现黑人患者通过以下措施减轻体重较少为了解决这些差异并促进健康公平，我的重点是以患者为本。研究一直是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 4 项由 NIH 和退伍军人事务部资助的行为临床试验和一项纵向试验的 PI 这些研究迄今为止已招募了大约 1700 名患者。支持培养多名学生、博士后研究员和初级教师。我一直热衷于指导学员，尤其是来自纽约大学朗格尼分校的学员。 Health 为各个级别的学员提供了丰富的培训环境，以促进他们的研究事业。 K24 奖项将为我提供额外的资源和受保护的时间，以提高我的学员的影响力我的研究得到了 K24 咨询委员会和社区咨询的合作和指导。作为董事会 (CAB) 成员，K24 将支持以下短期职业目标 1) 成为主要成员每年为 1-2 名 URM 初级教师或研究员提供指导 2) 提高我指导 URM 的技能； 3) 提高我在健康社会决定因素 (SDOH)、健康公平方面的专业知识和指导；和社区参与； 4) 培养健康公平方面的领导技能；以及 5) 获得额外 2 项技能； R01 级或更高级别的拨款，用于测试和实施解决肥胖相关健康差异的干预措施。通过正式的课程、会议和实践体验培训，我将提高我的技能和在健康公平、健康的社会决定因素和社区参与方面的领导和指导方面的专业知识由这些领域的高级领导者和合作者组成的 K24 咨询委员会将进行研究。就我的研究和培训目标提供建议，并将对我的指导进行年度正式评估。我和我的学员对种族和体重的个人和社区水平标记感兴趣歧视会影响弱势群体的体重管理结果。为了我们的研究目标，我们将。使用现有数据集 (n=768) 参与健康指导体重管理干预研究，以及 207 减肥手术队列研究的参与者，以评估邻里和个人层面的影响关于体重管理结果的 SDOH（包括歧视标记）我们将参与相关工作。患者和社区利益相关者在研究的各个方面进行合作。通过与我当前的每位学员进行广泛讨论而制定，以加强他们的培训、支持他们的个人研究并改善对弱势肥胖患者的护理。