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

• 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
• 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

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.

项目总结/摘要 超过42%的成年人患有肥胖症，这在代表性不足的少数民族（URM）人群中更为普遍。 虽然即使适度（3-5%）的体重减轻也会提高这种风险，但黑人和西班牙裔患者不太可能失去 我们和其他人发现，黑人患者在干预计划中体重减轻较少， 减肥手术为了解决这些差距，促进健康公平，我的以病人为导向的重点 研究一直是在服务不足的患者群体中开发和测试体重管理干预措施。我 我目前是4项行为临床试验的PI，这些试验由NIH和退伍军人事务部资助， 减肥手术队列研究。迄今为止，这些研究招募了大约1700名患者， 支持了对若干学生、博士后研究员和初级教员的培训。 我一直热衷于指导学员，特别是那些来自URM人群的学员。NYU Langone 卫生为各级学员提供了丰富的培训环境，以推进他们的研究事业。这 K24奖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。 还有我的研究在K24咨询委员会和社区咨询委员会的合作和指导下， 董事会（CAB）成员，K24将支持以下短期职业目标1）成为主要 每年指导1-2名URM初级教师或研究员; 2）提高指导URM的技能 3）增加我在健康的社会决定因素（SDOH），健康公平， 4）发展卫生公平方面的领导技能; 5）获得2个额外的 R 01级或更高的赠款，以测试和实施干预措施，解决肥胖相关的健康差距。 通过正式的课程，会议和实践经验培训，我将提高我的技能， 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 research. K24咨询委员会由这些领域的高级领导者和合作者组成，将 对我的研究和培训目标提出建议，并将审查对我的指导的年度正式评估。 我和我的学员们感兴趣的是，个人和社区层面的种族和体重标记 歧视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）健康教练体重管理干预研究的参与者和207 一项减肥手术队列研究的参与者评估了社区和个人水平的影响， SDOH（包括歧视标志物）对体重管理结果的影响。我们将与相关 患者和社区利益相关者在研究的各个方面进行合作。研究目的是 通过与我目前的每一位学员进行广泛讨论， 他们的个人研究和改善脆弱的肥胖患者的护理。