Fostering diversity in the next generation of HIV researchers to improve the HIV continuum of care

项目摘要。意义在实现联合国艾滋病规划署90-90-90目标方面取得了巨大进展 新的预防艾滋病毒的方法开始减少流行病的规模。 然而，在艾滋病毒连续护理方面仍有许多工作要做。艾滋病毒感染者的种族和族裔多样性 研究人员将在开发新方法以解决目前尚未解决的“10-10-10”差距方面发挥关键作用 最好的行为科学。然而，在医疗/公共部门任职人数不足的人的供资率 健康（URM）研究人员远低于白色研究人员（约15%对25%），只有6%的K 职业发展奖的申请人都是城市资源管理的受训人员。Approach.在目标1中，拟议的促进 艾滋病研究项目的多样性将遵循社会认知职业理论和跨学科指导 差异框架，以培训导师的关键技能，成功地支持URM学员。讲习班将 每年举行一次会议，每季度增加一次会议。在目标2中，该计划将提供结构化研究 专门为城市资源管理学员提供辅导，以解决艾滋病毒持续护理问题。将确定受训人员 通过住院医师和博士后奖学金计划在马萨诸塞州总医院（部门 医学，传染病，精神病学，妇产科）和硕士学位和博士课程， 哈佛T. H. Chan公共卫生学院（行为与社会科学系，全球健康 人口学、流行病学、免疫学和传染病）;征聘工作还将包括积极参与 外联工作。受训人员将接受关于艾滋病毒护理和职业发展连续性的正式教学， 重点关注与城市资源管理学员特别相关的问题（例如，隐式偏差）。导师将支持URM 培训学员获得有关行为艾滋病毒研究的知识，以及提供实际操作的技术和 发展成功的研究事业所需的专业技能。所有活动都将根据以下方面的需要进行调整： URM和每个人的培训阶段。研究将涉及艾滋病毒连续体的以下领域 国内和全球的护理：PrEP的提供和坚持;艾滋病毒检测和推广;联系， 继续接受护理和坚持抗逆转录病毒疗法;长期护理和艾滋病毒治疗后的并发症;孕产妇保健和 围产期传播该计划的主要成果将是艾滋病毒研究导师与必要的 指导能力，以成功地支持URM学员，以及高质量，令人满意， 对具有核心研究能力的URM学员进行有影响力的指导。其他成果包括 实习生奖学金（即，手稿和赠款），学员通过学术研究的进展 流水线和程序实现的保真度。创新促进艾滋病研究项目的多样性 创新之处在于：1）有针对性地培训导师，以有效支持URM学员，2）专注于过渡 许多学员离开学术研究的时期，3）创建一个基础广泛的实践社区 4）跨学科的重点，促进交叉合作和团队科学。

PROJECT SUMMARY. Significance. Great progress has been made toward the UNAIDS 90-90-90 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 “10-10-10” gap that currently eludes the best behavioral science conducted to date. Yet, funding rates for underrepresented in medicine/public health (URM) researchers are well below those of white researchers (~15% versus 25%) and only 6% of K career development award applicants have been URM trainees. Approach. In Aim 1, the proposed Fostering Diversity in HIV Research Program will follow Social Cognitive Career Theory and the Mentoring Across Difference framework to train mentors in key skills to successfully support URM trainees. Workshops will be held annually with additional quarterly sessions. In Aim 2, the program will provide structured research mentorship exclusively to URM trainees to address the HIV continuum of care. Trainees will be identified through residency and post-doctoral fellowship programs at Massachusetts General Hospital (Departments of Medicine, Infectious Disease, Psychiatry, Obstetrics/Gynecology) and master’s degree and PhD programs at the Harvard T. H. Chan School of Public Health (Departments of Behavioral and Social Science, Global Health and Population, Epidemiology, Immunology and Infectious Diseases); recruitment will also involve active outreach efforts. Trainees will receive formal didactics on the HIV continuum of care and career development, focusing on issues particularly relevant for URM trainees (e.g., implicit bias). Mentors will support URM 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 will be tailored to the needs of URMs and each individual’s stage of training. Research will address 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; maternal health and perinatal transmission. Primary outcomes of the program will be HIV research mentors with the necessary mentoring competencies to successfully support URM trainees, as well as high quality, satisfying, and impactful mentorship of URM 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. The Fostering Diversity in HIV Research Program is innovative in its 1) targeted training of mentors to effective support URM trainees, 2) focus on the transition periods when many trainees leave academic research, 3) creation of a broad-based Community of Practice among URM trainees, and 4) interdisciplinary focus, fostering cross-collaboration and team science.