scholarly journals Analytic Training for Junior Investigators in Minority Aging Research: The Michigan Model

2020 ◽  
Vol 60 (8) ◽  
pp. 1392-1402
Author(s):  
Briana Mezuk ◽  
Wassim Tarraf ◽  
Vicki Johnson-Lawrence ◽  
Joan Ilardo ◽  
Peter A Lichtenberg ◽  
...  
Keyword(s):  
African American ◽  
Health Disparities ◽  
Research Program ◽  
Lessons Learned ◽  
Aging Research ◽  
The Past ◽  
Aging And Health ◽  
Minority Aging ◽  
Analytic Training ◽  
American Aging

Abstract Since 1997, the Resource Centers for Minority Aging Research Program at the National Institute on Aging has been the model for training social and behavioral scientists in minority aging and health disparities research. The latest cycle of these Centers implemented a new structure for the analytic training of junior investigators and for advancing methodologic work relevant to improving the rigor of minority aging research. In this article, we describe the conceptual framework, logistical approaches, challenges, and lessons learned from our experience training junior investigators in methodology through the Michigan Center for Urban African American Aging Research over the past 20 years, with the goal of informing future analytic training efforts for the next generation of scholars focused on minority aging issues.

scholarly journals Responding to the Call: Building a Training Program to Diversify the Academy in Alzheimer's Disease Research

2021 ◽  
Vol 9 ◽  
Author(s):  
Lucy Annang Ingram ◽  
Marvella E. Ford ◽  
Christiana L. Johnson ◽  
Brianna Ashford-Carroll ◽  
Quentin McCollum ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Health Disparities ◽  
Financial Burden ◽  
Research Capacity ◽  
The United States ◽  
Lessons Learned ◽  
Underrepresented Minority ◽  
Aging Research ◽  
Research Education

Alzheimer's disease and related dementias (ADRD) are at the forefront of the United States (US) public health agenda due to their tremendous human and financial burden. Further, disproportionately high ADRD rates among racial/ethnic minorities require incorporating the unique perspectives of racially and ethnically diverse scientists, which will necessitate diversifying the scientific workforce that investigates disparities in aging. The purpose of this paper is to describe the training and mentorship initiatives of the National Institute on Aging (NIA)-funded Carolina Center on Alzheimer's Disease and Minority Research, emphasizing lessons learned from our engagement with underrepresented minority and minoritized (URM) Scientists. We highlight three aims of the Center's training and mentorship component: (1) Fund pilot projects for URM Scientists conducting research on sociocultural, behavioral, and environmental factors that influence ADRD-related health disparities; (2) Provide mentorship to build the research capacity of Center Scientists; and (3) Offer research education in Health Disparities and Minority Aging Research to Center Scientists and interested researchers at all partner institutions. Our experience may be a practical resource for others developing interdisciplinary training programs to increase the pipeline of URM Scientists conducting ADRD research.

Building a successful geriatric oncology research program: Lessons learned from Dr. Arti Hurria's cancer and aging research team

2020 ◽  
Vol 11 (2) ◽  
pp. 171-174 ◽  
Author(s):  
Vani Katheria ◽  
Ty Lee ◽  
Kemberly Charles ◽  
Elsa Roberts ◽  
Jessica Vazquez ◽  
...  
Keyword(s):  
Research Program ◽  
Research Team ◽  
Geriatric Oncology ◽  
Lessons Learned ◽  
Aging Research ◽  
Oncology Research

Social determinants of health affecting treatment of pediatric brain tumors

2019 ◽  
Vol 24 (2) ◽  
pp. 159-165
Author(s):  
Jillian M. Berkman ◽  
Jonathan Dallas ◽  
Jaims Lim ◽  
Ritwik Bhatia ◽  
Amber Gaulden ◽  
...  
Keyword(s):  
African American ◽  
Health Disparities ◽  
Brain Tumors ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Determinants Of Health ◽  
Cns Tumor ◽  
Initial Symptoms ◽  
Caucasian Patients

OBJECTIVELittle is understood about the role that health disparities play in the treatment and management of brain tumors in children. The purpose of this study was to determine if health disparities impact the timing of initial and follow-up care of patients, as well as overall survival.METHODSThe authors conducted a retrospective study of pediatric patients (< 18 years of age) previously diagnosed with, and initially treated for, a primary CNS tumor between 2005 and 2012 at Monroe Carell Jr. Children’s Hospital at Vanderbilt. Primary outcomes included time from symptom presentation to initial neurosurgery consultation and percentage of missed follow-up visits for ancillary or core services (defined as no-show visits). Core services were defined as healthcare interactions directly involved with CNS tumor management, whereas ancillary services were appointments that might be related to overall care of the patient but not directly focused on treatment of the tumor. Statistical analysis included Pearson’s chi-square test, nonparametric univariable tests, and multivariable linear regression. Statistical significance was set a priori at p < 0.05.RESULTSThe analysis included 198 patients. The median time from symptom onset to initial presentation was 30.0 days. A mean of 7.45% of all core visits were missed. When comparing African American and Caucasian patients, there was no significant difference in age at diagnosis, timing of initial symptoms, or tumor grade. African American patients missed significantly more core visits than Caucasian patients (p = 0.007); this became even more significant when controlling for other factors in the multivariable analysis (p < 0.001). African American patients were more likely to have public insurance, while Caucasian patients were more likely to have private insurance (p = 0.025). When evaluating survival, no health disparities were identified.CONCLUSIONSNo significant health disparities were identified when evaluating the timing of presentation and survival. A racial disparity was noted when evaluating missed follow-up visits. Future work should focus on identifying reasons for differences and whether social determinants of health affect other aspects of treatment.

Dissemination and Implementation in Social Service Settings

2017 ◽  
Author(s):  
J. Curtis McMillen ◽  
Danielle R. Adams
Keyword(s):  
Health Disparities ◽  
Social Services ◽  
Social Service ◽  
Careful Consideration ◽  
Lessons Learned ◽  
Health Interventions ◽  
Dissemination And Implementation ◽  
The Social ◽  
Implementation Models ◽  
Complex Settings

Social service settings offer numerous complexities in their staffing, consumers, and payer mix that require careful consideration in designing dissemination and implementation efforts. However, social services’ unique access to vulnerable populations with health problems may prove vital in efforts to improve the health status of many of our citizens and reduce health disparities. While a number of well-developed, blended dissemination and implementation models are being used in social service settings, they all require additional documentation, research, and field experience. Nonetheless, the lessons learned in the social services may help organizations in other sectors better implement health interventions with complex consumers in complex settings.

Driving in the Dust: Challenges and Lessons Learned from Field Testing in Degraded Visual Environments

2020 ◽  
Vol 64 (1) ◽  
pp. 1916-1920
Author(s):  
Kayla L. Riegner ◽  
Kelly S. Steelman
Keyword(s):  
Research Program ◽  
Field Tests ◽  
Field Testing ◽  
Driving Performance ◽  
Lessons Learned ◽  
Current Paper ◽  
Ground Vehicle ◽  
Significant Safety ◽  
Dust Clouds

Degraded visual environments (DVEs) pose significant safety and efficiency problems in military ground vehicle operations. As part of a larger research program, two field tests were conducted to evaluate driving aids while indirect driving in DVEs. The current paper presents the results of one of these field tests, and focuses on the challenges and lessons learned in designing a challenging test course and producing consistent dust clouds for assessing Soldier driving performance and workload in degraded visual environments.

scholarly journals Epidemiology of childhood tuberculosis after ceasing universal Bacillus Calmette–Guérin vaccination

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Sayori Kobayashi ◽  
Takashi Yoshiyama ◽  
Kazuhiro Uchimura ◽  
Yuko Hamaguchi ◽  
Seiya Kato
Keyword(s):  
Policy Change ◽  
Vaccine Coverage ◽  
Lessons Learned ◽  
Public Health Authority ◽  
Bacillus Calmette Guerin ◽  
Notification Rate ◽  
Bcg Vaccination ◽  
The Past ◽  
Childhood Tb ◽  
Selective Vaccination

AbstractUniversal Bacillus Calmette–Guérin (BCG) vaccination is recommended in countries with high tuberculosis (TB) burden. Nevertheless, several countries have ceased universal BCG vaccination over the past 40 years, with scarce comparative epidemiological analyses regarding childhood TB after the policy change. We analysed data on childhood TB in countries that ceased universal BCG vaccination. Data sources included national/international databases, published papers, annual TB reports, and public health authority websites. Childhood TB notification rate increased in one of seven countries with available data. Pulmonary TB and TB lymphadenitis were the main causes of increasing childhood cases, while changes in severe forms of TB cases were minor. Maintaining high vaccine coverage for the target group was a common challenge after shifting selective vaccination. In some countries showing no increase in childhood TB after a BCG policy change, the majority of childhood TB cases were patients from abroad or those with overseas parents; these countries had changed immigration policies during the same period. Heterogeneity in childhood TB epidemiology was observed after ceasing universal BCG vaccination; several factors might obscure the influence of vaccination policy change. Lessons learned from these countries may aid in the development of better BCG vaccination strategies.

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