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：
10790281
负责人：
Jessica Elizabeth Haberer
金额：
$ 11.64万
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 2024-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10790281
关键词：
AIDS prevention Address Adherence Area Behavioral Biometry Caring Chronic Care Clinical Clinical Research Clinical effectiveness Cognitive Collaborations Competence Continuity of Patient Care Doctor of Philosophy Educational workshop Eligibility Determination Epidemic Exposure to Fellowship Program Fostering Foundational Skills Funding General Hospitals Goals Grant HIV Human immunodeficiency virus test Individual Institution K-Series Research Career Programs Knowledge Manuscripts Massachusetts Master of Science Maternal Health Medicine Mentors Mentorship Methods Outcome Perinatal transmission Postdoctoral Fellow Public Health Public Health Schools Research Research Personnel Residencies Scholarship Science Structure Training Work career career development clinical epidemiology community based practice ethnic diversity experience implicit bias improved innovation next generation novel novel strategies outreach pre-exposure prophylaxis primary outcome programs racial diversity research and development resilience skills social theories

项目摘要

PROJECT SUMMARY. Significance. Great progress has been made toward the UNAIDS 95-95-95 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 gaps that currently elude the best HIV science conducted to date. Yet, funding rates for underrepresented in medicine/public health (URiM) researchers are well below those of white researchers (~15% versus 25% overall) and only 6% of K career development award applicants have been URiM trainees. Approach. In Aim 1, the Fostering Diversity in HIV Research Program uses Social Cognitive Career Theory and the Mentoring Across Difference framework to train mentors in key skills to successfully support URiM trainees. Workshops are held annually with additional quarterly sessions. In Aim 2, the program provides structured research mentorship exclusively to URiM trainees to address the HIV continuum of care. Trainees are identified primarily through residency and post- doctoral fellowship programs at Massachusetts General Hospital and master’s degree and PhD programs at the Harvard T. H. Chan School of Public Health; however, individuals from other institutions are eligible. Trainees receive formal didactics on the HIV continuum of care and career development, focusing on issues particularly relevant for URiM trainees (e.g., implicit bias, resiliency in research). Mentors support URiM 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 are tailored to the needs of URiM trainees and each individual’s stage of training. Research addresses 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; and maternal health and perinatal transmission. Supplement activities will support an intensive 6-week Program in Clinical Effectiveness to “kickstart” clinical research careers for those completing residency or transitioning from complementary fields, in addition to the above-noted program activities. Primary outcomes of the program are HIV research mentors with the necessary mentoring competencies to successfully support URiM trainees, as well as high quality, satisfying, and impactful mentorship of URiM 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. This program is innovative in its 1) targeted training of mentors to effective support URiM trainees, 2) focus on the transition periods when many trainees leave academic research, 3) creation of a broad-based Community of Practice among URiM trainees, and 4) interdisciplinary focus, fostering cross-collaboration and team science.

项目摘要。意义。对UNAIDS 95-95-95进球取得了巨大进展全球和新型预防艾滋病毒的方法开始降低流行病的大小。但是，关于艾滋病毒的许多工作仍在继续。艾滋病毒之间的种族和种族多样性研究人员对于开发新方法来解决目前最好的艾滋病毒的差距至关重要科学迄今为止进行了。然而，医学/公共卫生（URIM）中代表性不足的资金率（URIM）研究人员远低于白人研究人员（总体上约15％v 25％），仅占K职业的6％开发奖申请是Urim受训者。方法。在AIM 1中，培养艾滋病毒的多样性研究计划使用社会认知职业理论和跨差异框架的指导培训导师以关键技能成功支持URIM受训者。每年举办研讨会季度会议。在AIM 2中，该计划专门为URIM提供结构化的研究精神职位学员讲解艾滋病毒连续性护理。学员主要是通过居住和居民确定的马萨诸塞州综合医院和硕士学位和博士学位课程的博士学位奖学金计划哈佛T. H. Chan公共卫生学院；但是，来自其他机构的个人符合条件。受训人员在护理和职业发展的HIV连续体中获得正式教学法，重点关注问题与Urim受训者特别相关（例如，隐性偏见，研究中的弹性）。导师支持Urim 学员获得有关行为艾滋病毒研究的知识，并提供动手的技术和发展成功的研究职业所需的专业技能。所有活动都是根据需求量身定制的 Urim受训者和每个人的培训阶段。研究解决了艾滋病毒的以下领域在国内和全球的关怀连续性：准备和依从性；艾滋病毒测试和外展；联系，保留护理和艺术依从性；慢性护理和治疗艾滋病毒的并发症；和母亲健康和围产期传播。补充活动将支持一项临床的6周密集计划为完成居住或过渡的人“启动”临床研究事业的有效性除了上述计划活动外，完全字段。该程序的主要结果是艾滋病毒研究导师具有必要的指导能力，以成功地支持URIM受训者，作为以及获得核心研究的Urim学员的高质量，令人满意和有影响力的心态能力。其他结果包括学员科学（即手稿和赠款），进展通过学术研究管道和计划实施的忠诚度过学员。创新。这计划在其1）对导师的目标培训中具有创新性，以提供有效的支持URIM受训者，2）专注于许多学员离开学术研究时的过渡期，3）建立一个基于广泛的社区在Urim受训者中进行实践，以及4）跨学科的重点，促进了交叉合作和团队科学。