Research Training in Prevention and Care of Chronic Illness in Childhood

儿童慢性病预防和护理研究培训

• 批准号: 9276708
• 负责人: JONATHAN A FINKELSTEIN
• 金额: $ 28.42万
• 依托单位: BOSTON CHILDREN'S HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-05-01 至 2018-10-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9276708
• 关键词: Childhood; Chronic Care; Chronic Disease; Prevention; Research Training

DESCRIPTION (provided by applicant): Meeting the promise of translational research will require a new cadre of investigators specifically trained to move discoveries from basic and clinical science to prevention and care delivery, where they actually impact the life course trajectories of children. Through this proposed NRSA training program, we will build on the experience of our interdisciplinary Harvard-wide faculty to implement an innovative, highly structured, training program for child health researchers, specifically focused on the translation of evidence into effective care delivery and community intervention for children. Because effective strategies to improve child health often cross boundaries of clinical specialties, this program will include post-residency pediatric generalists and subspecialists from any medical or surgical subspecialty, as well as PhD-trained investigators. Likewise, it will provide tailored training across methodological boundaries, including quantitative and qualitative analytic methods, and context-sensitive methods to engage communities and health systems in research. Trainee research will fall under three domains of central interest to NICHD: 1) studies that advance our understanding of the life course nature of health and illness, and lead to decreased exposure to risk factors (prenatally, in infancy, or in childhood) for future disease; 2) research directly related to implementation of new knowledge and innovations in clinical practice, including methods for transforming systems to deliver more effective, coordinated care; and 3) research to eliminate disparities in both health and health care for children, which continue to have pervasive effects on child health. The program will support 3 postdoctoral fellows in each of two years of training (6 total per year). The participating faculty have expertie in a broad range of disciplines devoted to prevention and care of key health conditions including obesity, asthma, inflammatory bowel disease, autism, and complex chronic illness and disability, as well as extensive experience in working with diverse patient populations. The program also engages partner organizations currently leading national care improvement efforts. Each trainee will pursue an MPH from the Harvard School of Public Health (for core skills of biostatistics and epidemiology), and participate in a curriculum of advanced methods training required to develop and rigorously test innovative strategies in clinical settings and communities. Experienced faculty using well defined mentorship strategies, an extensive research skills curriculum, and close tracking of trainee progress, all ensure completion of high quality research and acquisition of the skills needed for productive academic careers. We expect our graduates to be poised to become leaders in translating "what we know" into "what we do" to improve health and health care for children.

描述（由申请人提供）：实现转化研究的承诺将需要一批新的研究人员，他们经过专门培训，将发现从基础和临床科学转移到预防和护理服务中，这些发现实际上影响了儿童的生命历程轨迹。通过这个拟议的NRSA培训项目，我们将以哈佛大学跨学科教师的经验为基础，为儿童健康研究人员实施一个创新的、高度结构化的培训项目，特别侧重于将证据转化为有效的儿童护理和社区干预。由于改善儿童健康的有效策略经常跨越临床专业的界限，该计划将包括住院后儿科通才和来自任何医学或外科亚专业的专科医生，以及受过博士培训的调查员。同样，它将提供跨越方法学界限的量身定制的培训，包括定量和定性分析方法，以及使社区和卫生系统参与研究的环境敏感方法。培训研究将属于NICHD的三个核心兴趣领域：1)促进我们对健康和疾病的生命历程性质的理解，并导致减少暴露于未来疾病的风险因素（产前，婴儿期或儿童期）的研究；2）