Dr. Arya is an Assistant Professor of Medicine at the Baylor College of Medicine (BCM). She is a HIV clinician who cares for predominantly racial minority patients in the county's public healthcare system. She also is a health services researcher at the BCM-Houston Veterans Affairs Center of Excellence in Health Services Research where she focuses on addressing racial disparities in the HIV epidemic. Her long-term goal is to become a successful independent investigator focused on the development of health communication strategies that will mitigate health disparities. Her immediate goal is to pursue HIV health disparities research under the mentorship of successful independently funded investigators and to receive formal didactic training in research methods. Since HIV testing is a proven HIV prevention strategy, the U.S. Centers for Disease Control and Prevention recommended that all patients be tested for HIV routinely in healthcare settings. Many African- Americans remain untested and preliminary research suggests that barriers to testing exist from both the patient and physician side. Using quantitative and qualitative research methods, the Specific Aims of this research proposal are to (1) use behavior change models to assess HIV testing determinants of patients and physicians, (2) use these determinants to develop messages for a health communications campaign that will increase HIV testing in health centers, and (3) pilot test these campaign messages with the intended audiences. The research will be conducted at publically funded health centers serving predominantly African- Americans. The research will be guided by cross-disciplinary mentors and simultaneous formal didactic training. Dr. Arya's mentorship team has the requisite experience in mentorship and funded independent research, and is unequivocally committed to guiding her to research independence. She will be mentored by Dr. Thomas Giordano, a health services researcher with expertise in improving access to care for racial and ethnic minority patients with HIV;Dr. Kasisomayajula Viswanath, a health communications scientist with expertise in the design and study of media campaigns for promoting health in underserved communities;and Dr. Richard Street, a health communications scientist with expertise in the study of physician-patient communication behaviors and its impact on behavior change and health outcomes. To strengthen her skill set in performing health communications research, Dr. Arya will enroll in BCM and affiliated local university coursework for quantitative and qualitative research methods, health communication theory and research methods, and responsible conduct of research. Dr. Arya's proposal will lead to the development of a health center campaign that will improve HIV testing for African-American communities disproportionately impacted by the HIV epidemic and will provide her with a skill set and knowledge base for conducting independent research in the fields of health communications and health disparities.

Public Health Relevance

African-Americans continue to be disproportionately affected by HIV/AIDS and late HIV testing is one reason for the ongoing disparity in the epidemic. This research will help understand the ongoing barriers to HIV testing faced by both patients and physicians in health care settings serving predominantly African-American communities. The research will guide development of a health center media campaign that will improve physician intent to offer and patient intent to accept HIV testing in community health centers serving predominantly African-American communities.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Mentored Patient-Oriented Research Career Development Award (K23)
Project #
1K23MH094235-01A1
Application #
8262440
Study Section
Behavioral and Social Science Approaches to Preventing HIV/AIDS Study Section (BSPH)
Program Officer
Grossman, Cynthia I
Project Start
2012-04-01
Project End
2017-03-31
Budget Start
2012-04-01
Budget End
2013-03-31
Support Year
1
Fiscal Year
2012
Total Cost
$170,407
Indirect Cost
$12,623
Name
Baylor College of Medicine
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
051113330
City
Houston
State
TX
Country
United States
Zip Code
77030
Phillips, Ashley L; Kumar, Disha; Patel, Sajani et al. (2014) Using text messages to improve patient-doctor communication among racial and ethnic minority adults: an innovative solution to increase influenza vaccinations. Prev Med 69:117-9
Zheng, Micha Yin; Suneja, Amit; Chou, Ann Love et al. (2014) Physician barriers to successful implementation of US Preventive Services Task Force routine HIV testing recommendations. J Int Assoc Provid AIDS Care 13:200-5
Arya, Monisha; Patel, Sajani; Kumar, Disha et al. (2014) Why Physicians Don't Ask: Interpersonal and Intrapersonal Barriers to HIV Testing-Making a Case for a Patient-Initiated Campaign. J Int Assoc Provid AIDS Care :
Arya, Monisha; Kumar, Disha; Patel, Sajani et al. (2014) Mitigating HIV health disparities: the promise of mobile health for a patient-initiated solution. Am J Public Health 104:2251-5
Arya, Monisha; Zheng, Micha Yin; Amspoker, Amber Bush et al. (2014) In the routine HIV testing era, primary care physicians in community health centers remain unaware of HIV testing recommendations. J Int Assoc Provid AIDS Care 13:296-9
Arya, Monisha; Zheng, Micha Yin; Amspoker, Amber Bush et al. (2014) In the routine HIV testing era, primary care physicians in community health centers remain unaware of HIV testing recommendations. J Int Assoc Provid AIDS Care 13:296-9
Arya, Monisha; Kallen, Michael A; Street Jr, Richard L et al. (2014) African-American patients' preferences for a health center campaign promoting HIV testing: an exploratory study and future directions. J Int Assoc Provid AIDS Care 13:488-91
Arya, Monisha; Bush, Amber L; Kallen, Michael A et al. (2013) Are VA primary care providers aware of HIV testing recommendations for Veterans? Findings at an urban VA primary care clinic. Mil Med 178:e483-8