Mentoring the next generation of trainees in patient-oriented, community engaged research in obesity and health equity

项目摘要/摘要 超过42%的成年人患有肥胖症，这在代表性不足的少数族裔(URM)人群中更为普遍。 虽然即使适度(3%-5%)的体重减轻也会改善这种风险，但黑人和西班牙裔患者减少的可能性更小 干预计划中的体重，我们和其他人发现，黑人患者使用 减肥手术。为了解决这些差距，促进卫生公平，我的重点是以病人为本 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 我目前正在进行4项由美国国立卫生研究院和退伍军人事务部资助的行为临床试验和一项纵向试验 减肥手术队列研究。到目前为止，这些研究已经登记了大约1700名患者， 支持了几名学生、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。纽约大学朗格尼大学 健康为各级学员提供了丰富的培训环境，促进了他们的研究生涯。这 K24奖将为我提供额外的资源和受保护的时间，以增加我的学员的影响力 和我的研究。在我的K24咨询委员会和社区咨询的协作和指导下 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名城市管理初级教师或研究员；2)提高我指导城市管理的技能 受训人员；3)增加我在健康的社会决定因素(SDOH)、健康公平、 和社区参与；4)培养卫生公平方面的领导技能；5)获得另外2个 R01级或更高级别的赠款，用于测试和实施解决肥胖相关健康差距的干预措施。 通过正式的课程、会议和实践经验培训，我将提高我的技能和 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 研究。由这些领域的高级领导人和合作者组成的K24咨询委员会将 对我的研究和培训目标提供建议，并将审查对我的指导的年度正式评估。 我和我的受训者感兴趣的是个人和社区水平的种族和体重标志 歧视影响弱势人群的体重管理结果。为了我们的研究目标，我们将 使用现有数据集(n=768)参与健康指导体重管理干预研究的参与者和207人 一项减肥手术队列研究的参与者，以评估邻居和个人水平的影响 体重管理结果的SDOH(包括歧视标记物)。我们将与相关人员接洽 患者和社区利益相关者就研究的各个方面进行协作。研究的目的是 通过与我目前的每一位学员进行广泛讨论来加强他们的培训、支持 他们的个人研究和改善对肥胖弱势患者的护理。

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.