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Training information from the Institute for Policy Solutions at the Johns Hopkins School of Nursing.
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Designing Multilevel Interventions to Eliminate the Impact of Harmful Social Determinants of Health
NIH Methods: Mind The Gap Webinar Series
Provided by: Vincent Guilamo-Ramos, PhD, MSN, Johns Hopkins School of Nursing
[Program information and resources]
There is consensus about the importance of developing a strong cadre of effective multilevel interventions to address and mitigate the impacts of unjust social processes, such as structural racism and other social determinants of health (SDOH), on health inequities in the United States. However, the available cadre of rigorously evaluated evidence-based interventions for SDOH mitigation remains underdeveloped.
To help address this gap, this presentation (1) introduces a heuristic framework to inform decisions in multilevel intervention development, study design, and selection of analytic methods; and (2) provides a road map for future applications of the framework in multilevel intervention research through an exemplar application using the NIH-funded evaluation study of the Nurse-Community-Family Partnership (NCFP) intervention. NCFP leverages individual, family, institutional, and systems factors to shape COVID-19 mitigation outcomes at the individual and household levels. Dr. Guilamo-Ramos discusses the application of a two-arm parallel explanatory group-randomized trial to evaluate the efficacy of NCFP in improving COVID-19 testing uptake at the individual and household levels. The analysis approach relies on random intercepts models, and Dr. Guilamo-Ramos calculates the variance partitioning coefficient to estimate the extent to which household- and individual-level variables contribute to the outcome, allowing examination of NCFP effects at multiple levels.
Calling Nurse Scientists and Scientists in Aligned Fields Committed to Ending Health Inequities
The Nursing Science Incubator for Social Determinants of Health (SDOH) Solutions Needs You
The Institute for Policy Solutions (IPS) at Johns Hopkins School of Nursing (JHSON) is launching a new incubator to advance the design and implementation of innovative research to eliminate health and health care inequities in the U.S. The Nursing Science Incubator for Social Determinants of Health (SDOH) Solutions (N-SISS) will be comprised of a cohort of nurse scientists and scientists in aligned fields from across the country. N-SISS is inviting applications for its first 10 innovators. The N-SISS program is co-directed by Drs. Vincent Guilamo-Ramos and Jason Farley.
“The N-SISS is about hurrying history,” said Guilamo-Ramos, who is executive director of the Institute for Policy Solutions. “We are creating an environment where new talent, thinking, and research can figure out the innovative evidence-based approaches to fully eliminate health inequities — all through the lens of the social determinants of health (SDOH). Join us to collectively make breakthroughs.”
The N-SISS has four components that make it unique:
- Innovative: There’s plenty of compelling evidence that the harmful SDOH are a major driver of health inequities, but the main approaches to end them haven’t produced a comprehensive and impactful scalable breakthrough. The incubator’s mission is to get there more quickly.
- Intensive: Over three years, a total of 30 innovators will be chosen to participate in a 12-month fellowship featuring: a mix of virtual and on-campus didactic courses and guided self-study; on-campus applied research experience; and, individualized and team mentoring — all of which leads to each participant’s development of a SDOH-focused grant proposal to NINR or to another NIH institute/federal agency.
- Inclusive: Applications are strongly encouraged from:
- Early career investigators initiating innovative SDOH research at the intersection of biomedical, social/behavioral, and clinical science.
- Mid or senior level investigators without prior experience in the field of SDOH research but pursuing new research that aims to eliminate health and health care inequities.
- Expansive: N-SISS educational materials will also be shared with a national audience of SDOH researchers and nursing-aligned professionals for self-directed learning. In addition, all self-directed educational materials will be made available to pre- and post-doctoral researchers at JHSON.
To learn more about N-SISS and its background, you are encouraged to read this article published in Nursing Outlook.
To be a competitive applicant, you must have:
- A doctoral degree in nursing, nursing science, or another aligned discipline (e.g. public health, social work/social welfare, social and behavioral sciences, etc.)
- A program of research focused on:
- The social determinants of health (SDOH);
- The development of integrated models of clinical and social care delivery;
- Population(s) facing disproportionate health and health care inequities
- A firm commitment to participating in all mandatory N-SISS events and activities
- A clear plan to submit an NINR or other NIH institute/federal agency grant
- A proven track record of publishing in peer-reviewed scientific journal
A completed, N-SISS application includes:
- Contact Information and Demographics
- Full CV/Resume
- Two (2) Letters of Recommendation
- a. One (1) letter from a department chair, dean, or supervisor at your home institution/university confirming their support and time commitment release for your participation in the N-SISS program
- b. One (1) letter from a research mentor who can attest to your research capacity and experience
- Brief Description of Research
- Agreement of Commitment
| Event | Date |
|---|---|
| Application Opens | Week of October 7th, 2024 |
| Application Deadline | Friday, November 8th, 2024 |
| Notification of Admission Status | Week of December 9th, 2024 |
| Deadline for Accepted Applicants to Confirm Participation | December 20th, 2024 |
| Program Starts: Intensive in-person N-SISS kick-off at the Institute for Policy Solutions in D.C. (2 weeks) | February 2025 |
| Phase 2: Distance-based Methodological Workshops, Research Strategy, and Asynchronous Assignments (Monthly lecture for 10 months) | February 2025 – November 2025 |
| Phase 3: Intensive in-person summer institute Grant Review/Submission Preparation (1 week) | November 2025 |
| Official Conclusion of N-SISS 2025 Cohort and Grant Submission | January 2026 |
Accepted applicants to N-SISS will receive up to $9,000 to offset costs of participation in the program and to support the development of a competitive grant application to NINR or to another NIH institute/federal agency
* Application Deadline: Friday, November 8th, 2024 by 11:59PM