Infections remain a major cause of morbidity and mortality despite decades of advances in diagnosis, therapeutics and delivery of health care. Many of the traditional treatments for common infections are no longer effective because of the emergence of new infections (e.g. SARS, norovirus) and the fast-growing problem of antimicrobial resistance. Although the prevention of many community and healthcare-associated infections is theoretically within our reach, progress is often slow because of the multi-factorial nature of the problem. The origins of this widespread problem of infection stem from issues in such diverse areas as microbial genetics, health care policy, economics, and human behavior. This level of complexity mandates a new generation of scholars ready to begin their careers from an interdisciplinary perspective. Therefore, through this program, Training in Interdisciplinary Research to Prevent Infections (TIRI), we propose to prepare pre- and post-doctoral scholars for participation and leadership in interdisciplinary research to prevent infections. Building on a highly productive T90, the aims of TIRI are to (a) expand an interdisciplinary research curriculum, (b) recruit and train a qualified diverse cadre of interdisciplinary pre-doctoral and post-doctoral fellows to conduct research focused on the prevention of infections across the continuum of care, (c) expand and assess collaborative research activities between nursing faculty and trainees and those from other disciplines, and (d) evaluate the training program structures, processes, and outcomes on an ongoing and annual basis. Based on preliminary work to define competencies essential to successful interdisciplinary research, the training program includes three key activities for trainees: 1) a didactic course, """"""""Building Interdisciplinary Research Models"""""""", 2) an Interdisciplinary Research Seminar, and 3) Supervised Field Experience. Each programmatic element will be coordinated by an interdisciplinary Faculty Leadership Team, and each trainee will be mentored by an interdisciplinary team of senior researchers. We will support 2 predoctoral and 2 postdoctoral trainees for 2 years each. Predoctoral trainees will be selected from among students who have successfully completed one year of doctoral education in any school or department. Recruitment strategies for both include our well-established Center website and, because of our particular commitment to assuring a diverse cadre of trainees, we have collaborative recruitment plans with established outreach programs, as well as the City University of New York and Hunter-Bellevue School of Nursing, both of which have a high proportion of Hispanic and African-American graduate students. The training program will be evaluated at several levels, including individual courses, dissertations, post-doctoral field projects, and career trajectory of trainees. These evaluations will be a focal point of discussion within the Faculty Leadership Team, and suitable program modifications will be implemented by the Leadership Team.

Public Health Relevance

Infections remain a major cause of morbidity and mortality despite decades of advances in diagnosis, therapeutics and delivery of health care. Although the prevention of many community and healthcare- associated infections is theoretically within our reach, progress is often slow because of the multi-factorial nature of the problem and a failure to integrate knowledge across fields such as epidemiology, genetics, and behavioral science. This training program will prepare a cadre of highly productive interdisciplinary scientists to discover and translate new infection prevention strategies.

Agency
National Institute of Health (NIH)
Institute
National Institute of Nursing Research (NINR)
Type
Institutional National Research Service Award (T32)
Project #
5T32NR013454-03
Application #
8660234
Study Section
Special Emphasis Panel (ZNR1)
Program Officer
Banks, David
Project Start
2012-07-01
Project End
2017-06-30
Budget Start
2014-07-01
Budget End
2015-06-30
Support Year
3
Fiscal Year
2014
Total Cost
Indirect Cost
Name
Columbia University (N.Y.)
Department
Other Health Professions
Type
Schools of Nursing
DUNS #
City
New York
State
NY
Country
United States
Zip Code
10032
Stonbraker, Samantha; Befus, Montina; Nadal, Leonel Lerebours et al. (2017) Evaluating the utility of provider-recorded clinical status in the medical records of HIV-positive adults in a limited-resource setting. Int J STD AIDS 28:685-692
Kelly, Ana M; D'Agostino, John F; Andrada, Lilibeth V et al. (2017) Delayed tuberculosis diagnosis and costs of contact investigations for hospital exposure: New York City, 2010-2014. Am J Infect Control 45:483-486
Agarwal, Mansi; Shiau, Stephanie; Larson, Elaine L (2017) Repeat gram-negative hospital-acquired infections and antibiotic susceptibility: A systematic review. J Infect Public Health :
Hessels, Amanda J; Murray, Meghan; Cohen, Bevin et al. (2017) Patient Safety Culture Survey in Pediatric Complex Care Settings: A Factor Analysis. J Patient Saf :
Kelly, Ana M; Mathema, Barun; Larson, Elaine L (2017) Carbapenem-resistant Enterobacteriaceae in the community: a scoping review. Int J Antimicrob Agents 50:127-134
Stonbraker, Samantha; Smaldone, Arlene; Luft, Heidi et al. (2017) Associations between health literacy, HIV-related knowledge, and information behavior among persons living with HIV in the Dominican Republic. Public Health Nurs :
Cort├ęs, Yamnia I; Arcia, Adriana; Kearney, Joan et al. (2017) Urban-Dwelling Community Members' Views on Biomedical Research Engagement. Qual Health Res 27:130-137
Hessels, Amanda J; Agarwal, Mansi; Saiman, Lisa et al. (2017) Measuring patient safety culture in pediatric long-term care. J Pediatr Rehabil Med 10:81-87
Stonbraker, Samantha; Befus, Montina; Lerebours Nadal, Leonel et al. (2017) Factors Associated with Health Information Seeking, Processing, and Use Among HIV Positive Adults in the Dominican Republic. AIDS Behav 21:1588-1600
Osakwe, Zainab Toteh; Larson, Elaine; Agrawal, Mansi et al. (2017) Assessment of Activity of Daily Living Among Older Adult Patients in Home Healthcare and Skilled Nursing Facilities: An Integrative Review. Home Healthc Now 35:258-267

Showing the most recent 10 out of 69 publications