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Feasibility and acceptability of Enhanced Patient Care (EPC) for adult HIV patients with unsuppressed viral loads in western Kenya

Award Number: K43TW010684
ORGANIZATION: FOGARTY INTERNATIONAL CENTER
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/15/2018
PERIOD OF PERFORMANCE END DATE: 01/31/2024

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Feasibility and acceptability of Enhanced Patient Care (EPC) for adult HIV patients with unsuppressed viral loads in western Kenya - PROJECT SUMMARY Sub-Saharan Africa (SSA) has made tremendous strides in the provision and uptake of antiretroviral therapy (ART) among HIV-infected persons. Despite these advancements, the region continues to experience low rates of adherence and retention along the cascade of HIV care. Initiating effective ART adherence dialogue with patients while incorporating patient-specific interventions along the continuum of care is key to improving patient engagement in HIV care. Unfortunately, system-level factors such as long waiting times, staff shortages, lack of continuity in provider- patient relationship, poor provider communication skills, and inconvenient clinic hours create barriers to ART adherence. Addressing these system-level barriers is fundamental to provide a conducive patient-centered care system that help patients adhere to ART and overcome other interpersonal and individual barriers to care. My long-term goal is to become an independent implementation science researcher who successfully develops, implements and evaluates multilevel interventions to address system-level barriers to patient engagement in HIV care. This K43 will provide me with the additional training and preliminary data necessary to achieve these research goals. My training will focus on: 1. Implementation science, 2. Advanced quantitative research methods, and 3. Economic evaluation of health interventions. To accomplish this, I will draw from the expertise of my mentorship team lead by primary mentors Drs. Ira Wilson (Brown University, USA) and Abraham Siika (Moi University, Kenya), both of whom have a wealth of experience mentoring junior investigators. My mentorship team is comprised of health professionals who have expertise in clinical research, implementation science, patient-centered care, epidemiology, biostatistics, and economic evaluation of interventions in HIV care settings. The award and completion of this K43 grant will provide me with a strong foundation to compete for an R01 in collaboration with other experienced investigators to extend my research to focus on multi- level approaches to promote patient engagement in care within a patient-centered framework that incorporates other chronic diseases. My prior training, research experience, and mentorship team, places me in a strategic position to achieve my research goals.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2024 ( Subtotal = $0 )
2024	2022	MOI UNIVERSITY COLLEGE OF HEALTH SCIENCES	NANDI ROAD	ELDORET				KEN	International Research and Research Training	000	5	8/15/2024	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2022 ( Subtotal = $110,641 )
2022	2022	MOI UNIVERSITY COLLEGE OF HEALTH SCIENCES	NANDI ROAD	ELDORET				KEN	International Research and Research Training	000	5	1/10/2022	NON-COMPETING CONTINUATION	$110,641
														Subtotal = $110,641

Issue Date FY: 2021 ( Subtotal = $110,641 )
2021	2021	MOI UNIVERSITY COLLEGE OF HEALTH SCIENCES	NANDI ROAD	ELDORET				KEN	International Research and Research Training	000	4	12/6/2020	NON-COMPETING CONTINUATION	$110,641
														Subtotal = $110,641

Issue Date FY: 2020 ( Subtotal = $110,641 )
2020	2020	MOI UNIVERSITY COLLEGE OF HEAL TH SCIENCES	NANDI ROAD	ELDORET				KEN	International Research and Research Training	000	3	1/8/2020	NON-COMPETING CONTINUATION	$110,641
														Subtotal = $110,641

Issue Date FY: 2019 ( Subtotal = $110,641 )
2019	2019	MOI UNIVERSITY COLLEGE OF HEAL TH SCIENCES	NANDI ROAD	ELDORET				KEN	International Research and Research Training	000	2	5/16/2019	NON-COMPETING CONTINUATION	$110,641
														Subtotal = $110,641

Issue Date FY: 2018 ( Subtotal = $110,642 )
2018	2018	MOI UNIVERSITY COLLEGE OF HEAL TH SCIENCES	NANDI ROAD	ELDORET				KEN	International Research and Research Training	000	1	9/12/2018	NEW	$110,642
2018	2018	MOI UNIVERSITY COLLEGE OF HEAL TH SCIENCES	NANDI ROAD	ELDORET				KEN	International Research and Research Training	001	1	9/21/2018	NEW	$0
														Subtotal = $110,642

Grand Total All Awards = $553,206

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Feasibility and acceptability of Enhanced Patient Care (EPC) for adult HIV patients with unsuppressed viral loads in western Kenya

Award Number: K43TW010684

ORGANIZATION: FOGARTY INTERNATIONAL CENTER

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 09/15/2018

PERIOD OF PERFORMANCE END DATE: 01/31/2024

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