Multilevel & Lifecourse Approaches to NCD Prevention in Latin America

描述（由申请人提供）：本提案的总体目标是通过综合培训方案加强拉丁美洲国家应对非传染性疾病流行的能力，该方案整合了多层次和生命过程方法，并强调减少非传染性疾病社会不平等的重要性。虽然培训将与非传染性疾病有关，但该方案将特别强调与许多其他非传染性疾病有关的心血管疾病和相关风险因素。这一方法是对该区域非传染性疾病研究相关技能差距的分析作出的反应，其中包括：1）缺乏正规培训机会，2）非传染性疾病研究经验的异质性，3）地方一级缺乏导师，4）在终身预防非传染性疾病方面培养训练有素的领导干部的潜力很大。我们建议与拉丁美洲的两个研究中心建立伙伴关系，即危地马拉的中美洲和巴拿马营养研究所（INCAP）和阿根廷布宜诺斯艾利斯的拉努斯国立大学。我们实现拟议目标的战略重点是开发一个多学科计划，为该地区的初级研究人员提供短期，中期和长期的培训机会，无论是在网站还是在密歇根大学。我们将把联合收割机现场活动与远程学习最先进的技术结合起来，制作学习材料，供分享和传播。这些网站的计划机会包括通过寿命，当地组织的网络研讨会，期刊俱乐部和培训后指导研究的非传染性疾病研究系列研讨会。在密歇根大学，该计划需要提供硕士和博士培训，短期暑期实习和中期博士后奖学金的全面支持。本项目的所有研究均将在研究中心进行。这一综合方案将加强当地地点之间的研究和培训合作，最终目标是在拉丁美洲建立一个协同的非传染性疾病培训和研究中心网络，并加强当地机构开展当地培训方案和领导研究工作的能力。

DESCRIPTION (provided by applicant): The overall aim of this proposal is to strengthen the capacity of Latin American countries to address the non- communicable diseases (NCD) epidemic through a comprehensive training program that integrates multilevel and life course approaches and emphasizes the importance of reducing social inequalities in NCD. Although the training will be relevant to NCD generally, the program will especially emphasize cardiovascular disease and associated risk factors which are of relevance to many other NCDs. This approach is responsive to an analysis of the gaps in NCD research-related skills in the region which include 1) lack of formal training opportunities, 2) heterogeneity in NCD research experience, 3) a dearth of mentors at the local level, 4) high potential for developing a cadre of highly trained leaders in prevention of NCD through the lifespan. We propose to establish partnerships with two research sites in Latin America, the Institute of Nutrition for Central America and Panama (INCAP) in Guatemala, and the National University of Lanus, in Buenos Aires, Argentina. Our strategies for achieving the proposed goal focus on developing a multidisciplinary program that provides training opportunities for junior investigators from the region in the short, medium, and long terms, both at the sites and at the University of Michigan. We will combine in-person activities with distant learning state-of-the-art technologies to produce learning material that will be shared and disseminated. The program opportunities at the sites include a workshops series on NCD research through the lifespan, locally-organized webinars, journal clubs, and post-training mentored research. At the University of Michigan, the program entails provision of full support for master's and doctoral training, short-term summer internships, and medium- term post-doctoral fellowships. All research derived from this program will be conducted at the sites. This integrated program will enhance research and training collaborations between the local sites with the ultimate goals of developing a network of synergistic NCD training and research centers in Latin America, and to strengthen local institutional capacity to conduct local training programs and lead research efforts.