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。在实现联合国艾滋病规划署 95-95-95 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最佳艾滋病毒研究中存在的差距至关重要然而，迄今为止，医学/公共卫生领域代表性不足的资助率（URiM）。研究人员远低于白人研究人员（约 15% 对 25%），仅占 K 职业生涯的 6% 发展奖申请者是 URiM 方法的学员。研究计划使用社会认知职业理论和跨差异指导框架来每年都会举办研讨会，培训导师掌握关键技能，以成功支持 URiM 学员。在目标 2 中，该计划专门为 URiM 提供结构化研究指导。解决艾滋病毒连续护理问题的学员主要是通过住院实习和后期培训来确定的。马萨诸塞州总医院的博士奖学金项目以及马萨诸塞州总医院的硕士学位和博士学位项目哈佛大学陈曾熙公共卫生学院；但是，来自其他机构的个人也有资格。学员接受有关艾滋病毒持续护理和职业发展的正式教学，重点关注问题与 URiM 受训者特别相关（例如，隐性偏见、研究弹性）。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是根据需要量身定制的。 URiM 学员和每个人的培训阶段研究涉及艾滋病毒的以下领域。国内和全球的连续护理：PrEP 的提供和依从性；联系、保留护理和抗逆转录病毒疗法的依从性；治疗艾滋病毒和孕产妇的长期护理和并发症；健康和围产期传播补充活动将支持为期 6 周的强化临床计划。对于那些完成住院医师实习或从住院医师过渡的人来说，“启动”临床研究职业的有效性除上述计划活动外，还包括补充领域。艾滋病毒研究导师具有成功支持 URiM 学员所需的指导能力，如以及对完成核心研究的 URiM 学员提供高质量、令人满意且有影响力的指导其他成果包括实习生奖学金（即手稿和助学金）、进步学员通过学术研究渠道和项目实施的保真度。该计划的创新之处在于 1) 对导师进行有针对性的培训，以有效支持 URiM 学员，2) 重点关注许多学员离开学术研究的过渡期，3）创建一个基础广泛的社区 URiM 学员之间的实践，以及 4) 跨学科重点，促进交叉协作和团队科学。