Advancing Implementation Research Capacity in Vietnam (ARC)

提高越南的实施研究能力（ARC）

• 批准号: 10688691
• 负责人: Bich Ngoc Nguyen
• 金额: $ 30.38万
• 依托单位: NEW YORK UNIVERSITY
• 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/10688691
• 关键词: Academia; Acceleration; Active Learning; Career Mobility; Caring; Collaborations; Data; Disease; Educational Curriculum; Enrollment; Equity; Evidence based intervention; Foundations; Funding; Future; Goals; HIV; HIV Infections; HIV/AIDS; Health; Health Policy; Health Professional; Health Sciences; Health system; Healthcare Systems; High Prevalence; Individual; Institution; Institutionalization; Intervention; Investments; Knowledge; Laos; Learning; Mentors; Mentorship; Methods; Modeling; Morbidity - disease rate; New York; Outcome; Policies; Policy Maker; Public Health; Research; Research Methodology; Research Personnel; Risk Factors; Schools; System; Tobacco use; Training; Training Programs; Translational Research; Translations; United States National Institutes of Health; Universities; Vietnam; antiretroviral therapy; attributable mortality; career; experience; forging; global health; graduate student; health disparity; implementation research; implementation science; improved; low and middle-income countries; mortality; multidisciplinary; population health; prevent; programs; research faculty; scale up; skills

ABSTRACT. With enhanced access to antiretroviral therapy, a higher prevalence of risk factors (e.g., tobacco use) for noncommunicable diseases (NCD) and direct effects of HIV infection, the burden of NCD-related morbidity and mortality among PWH is growing in low-and middle-income countries (LMICs), including Vietnam. This increase presents a significant threat to the progress achieved in reducing global mortality attributable to HIV in LMICs. Despite strong evidence for WHO-endorsed interventions that can prevent and effectively treat NCDs, implementation of NCD-related evidence-based interventions (EBI) in HIV care has lagged. There is an opportunity to leverage the substantial investments in HIV health systems in Vietnam to deliver NCD-related EBIs. Achieving this goal will require building capacity to conduct research that can generate actionable data to inform implementation and scale-up of EBIs in the context of HIV care. Implementation Science (IS) provides a set of methods that can accelerate the translation of research into policy and practice to improve population health outcomes. This application builds on well-established relationships between the PIs in at New York University’s School of Global Public Health and Vietnam’s Hanoi University of Public Health (HUPH), forged through over a decade of collaboration on NIH-funded implementation research. The “Advancing Implementation Research Capacity in Vietnam” (ARC) training program will establish a sustainable HUPH Implementation Science Program that will offer didactic training and practical research experiences with established HIV/AIDS, NCD and IS investigators to prepare individuals from diverse professional backgrounds to contribute to implementation research teams. Our aims are to: (1) Provide training to 48 graduate students, early career research faculty, policymakers and health care system leaders that equips trainees with implementation research methods skills and knowledge through coursework, mentoring, and experiential learning in global health implementation science. We will also enroll trainees from the University of Health Sciences in Laos to build the foundation for regional IS collaboration. (2) Build a network of multidisciplinary mentors from the global north and south to promote equitable bi-directional learning and collaboration, and implement a culturally-informed mentor training program to optimize mentor and mentee relationships and enhance career advancement for promising investigators and public health professionals committed to reversing the growing burden of NCD-related health disparities among PWH. (3) Evaluate multilevel short-and long-term outcomes and explore factors that can inform effective mentorship and training. The project aims to institutionalize model curriculum for IS training focused on priorities relevant to advancing health outcomes among PWH at a leading institution in Vietnam. Engaging both academia, public health professionals and policymakers in IS training enhances the potential for immediate and future translation of EBIs into policies and practices system wide to reduce the burden of NCDs among PWH.

摘要。随着获得抗逆转录病毒疗法的机会增加，烟草 非传染性疾病（NCD）和艾滋病毒感染的直接影响，非传染性疾病相关的负担 在低收入和中等收入国家，PWH的发病率和死亡率正在上升， 越南这一增加对在降低全球死亡率方面取得的进展构成了重大威胁 艾滋病毒在中低收入国家尽管有强有力的证据表明世卫组织认可的干预措施可以预防和 为了有效治疗非传染性疾病，在艾滋病毒护理中实施非传染性疾病相关循证干预措施， 落后了有机会利用对越南艾滋病毒卫生系统的大量投资， 提供非传染性疾病相关的EBI。要实现这一目标，就需要建设开展研究的能力， 生成可操作的数据，为在艾滋病毒护理方面实施和扩大EBI提供信息。 实施科学（IS）提供了一套方法，可以加速将研究转化为 改善人口健康成果的政策和做法。该应用程序建立在完善的 纽约大学全球公共卫生学院和越南河内的PI之间的关系 公共卫生大学（HUPH），通过十多年的合作，在NIH资助的 实施研究。“提高越南实施研究能力”（ARC）培训 该计划将建立一个可持续的HUPH实施科学计划，该计划将提供教学培训， 与艾滋病毒/艾滋病、非传染性疾病和信息系统调查人员一起开展实际研究， 来自不同专业背景的人为实施研究团队做出贡献。我们的目标是：（1） 向48名研究生、早期职业研究人员、决策者和保健系统提供培训 领导者，通过课程为学员提供实施研究方法的技能和知识， 指导和全球卫生实施科学的体验式学习。我们也会招收来自 老挝卫生科学大学，为区域信息系统合作奠定基础。(2)建立一个 来自全球南北方的多学科导师网络，以促进公平的双向交流 学习和协作，并实施文化知情的导师培训计划，以优化导师 和学员关系，并加强有前途的研究人员和公共卫生的职业发展 在这方面，我们呼吁所有专业人员致力于扭转非传染性疾病相关的健康差距在威尔斯亲王医院中日益加重的负担。（三） 评估多层次的短期和长期结果，并探索可以为有效的指导提供信息的因素， 训练该项目的目的是使体制建设培训的示范课程制度化，重点是与下列方面有关的优先事项： 在越南的一家领先机构提高威尔斯亲王医院的健康成果。让学术界、公众 卫生专业人员和决策者在信息系统培训中提高了当前和未来的潜力， 将EBI转化为全系统的政策和实践，以减轻PWH中的非传染性疾病负担。