Represents Grant table in the DB

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            "type": "Grant",
            "id": "11787",
            "attributes": {
                "award_id": "5R01AG075002-02",
                "title": "The effects of the Covid-19 pandemic on formal and informal care among adults with dementia",
                "funder": {
                    "id": 4,
                    "ror": "https://ror.org/01cwqze88",
                    "name": "National Institutes of Health",
                    "approved": true
                },
                "funder_divisions": [
                    "National Institute on Aging (NIA)"
                ],
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                    {
                        "id": 26416,
                        "first_name": "EMERALD THAI HAN",
                        "last_name": "Nguyen",
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                ],
                "start_date": "2022-09-15",
                "end_date": "2027-05-31",
                "award_amount": 530192,
                "principal_investigator": {
                    "id": 9026,
                    "first_name": "HwaJung",
                    "last_name": "Choi",
                    "orcid": null,
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                        {
                            "id": 770,
                            "ror": "",
                            "name": "UNIVERSITY OF MICHIGAN AT ANN ARBOR",
                            "address": "",
                            "city": "",
                            "state": "MI",
                            "zip": "",
                            "country": "United States",
                            "approved": true
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                    "id": 770,
                    "ror": "",
                    "name": "UNIVERSITY OF MICHIGAN AT ANN ARBOR",
                    "address": "",
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                    "state": "MI",
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                    "country": "United States",
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                "abstract": "Adults with Alzheimer’s diseases and related dementia (ADRD) are among the most vulnerable individuals from the pandemic. Both formal and informal care for adults with ADRD has been profoundly affected by the Covid-19 pandemic. Despite the need of frequent hands-on care for these adults due to their limitations in physical and cognitive functioning, in-home care services are limited and nursing home care has been risky during the pandemic. The social and economic circumstances of many families also have been changed due to the pandemic and hence their resources to care for a family member with ADRD. Disrupted care for adults with ADRD may have adverse health consequences that may last beyond the pandemic period. A better understanding of the effects of the pandemic on the dynamics between formal and informal care is critically important to address unmet care needs for adults with ADRD during and after the pandemic. We will first create a contextual measure of exposure to the pandemic (pre-, low-, high-, post-exposure) by taking into account the infection risks of the virus in the local area and develop a tailored geographic boundary for each individual that encompasses health and healthcare implications more directly relevant to the individual. We will then examine differences in healthcare utilization associated with the level of exposure to the pandemic. We will also assess the mediating and moderating role of formal and informal care resources (e.g., hospital capacity, family availability) in the pandemic’s effects on healthcare utilization. It will then examine the extent to which health, mortality, and healthcare costs of adults with ADRD were affected by the exposure to the pandemic, including potential differential effects across demographic (gender, racial/ethnic) and economic groups. The proposed study uses an innovative, comprehensive approach to assess the Covid-19 pandemic effects. It will develop a fine-grained contextual measure of exposure to the pandemic by using a daily infection risk in a local area (tract, ZIP code, county) where an adult with ADRD lives and addressing spillover effects of neighboring areas. It provides a nuanced understanding of the pandemic’s effect on healthcare utilization by incorporating information on the time-course of dementia (exposure at the onset vs. exposure during the subsequent years of dementia). The study will provide important data on the underlying mechanisms of the pandemic’s effect on healthcare utilization and health, and will identify sociodemographic and economic groups that are the most affected. Therefore, it will inform health policies and intervention programs aimed at improving healthcare systems to mitigate adverse effects of the pandemic and to reduce disparities in healthcare and health outcomes. 1",
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            "type": "Grant",
            "id": "11788",
            "attributes": {
                "award_id": "5R01NR020482-02",
                "title": "Leveraging community-based behavioral health to increase vaccine uptake in Latinx adults with mental illness",
                "funder": {
                    "id": 4,
                    "ror": "https://ror.org/01cwqze88",
                    "name": "National Institutes of Health",
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                        "id": 6234,
                        "first_name": "Dionne",
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                "start_date": "2022-09-26",
                "end_date": "2027-06-30",
                "award_amount": 548734,
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                    "id": 26545,
                    "first_name": "Rocio",
                    "last_name": "Calvo",
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                    {
                        "id": 26546,
                        "first_name": "Kirsten",
                        "last_name": "Davison",
                        "orcid": null,
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                        "id": 26547,
                        "first_name": "SEBASTIEN",
                        "last_name": "HANEUSE",
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                "awardee_organization": {
                    "id": 425,
                    "ror": "https://ror.org/02n2fzt79",
                    "name": "Boston College",
                    "address": "",
                    "city": "",
                    "state": "MA",
                    "zip": "",
                    "country": "United States",
                    "approved": true
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                "abstract": "Latinxs, particularly those with mental illness, are at higher risk of COVID-19 infection, and associated morbidity and mortality, and yet have lower rates of vaccination, than non-Latinx whites. This pattern is not unique to COVID-19; it has been observed for other infectious diseases, including seasonal influenza. Vaccine hesitancy, understood as a delay in the acceptance of vaccination despite availability of vaccination services, is the primary roadblock for COVID-19 and influenza vaccination among Latinxs. Theoretical frameworks endorsed by the SAGE working group on vaccine hesitancy, and prior research, illustrate that interventions to reduce vaccine hesitancy and increase vaccine uptake in Latinxs should adopt strategies that: increase vaccine confidence and convenience; reduce vaccine complacency; and respond to contextual, individual and vaccine-related factors driving hesitancy, which include but are not limited to the social determinants of health and structural racism. While a variety of strategies have been developed to address vaccine hesitancy in priority populations, the potential role of behavioral health in community-based integrated health care settings has been overlooked. Yet behavioral health, particularly within federally qualified health centers (FQHCs) which target social determinants of health, may be an ideal setting to reach Latinxs, and other priority populations with mental illness, to address vaccine hesitancy and promote vaccine uptake. In collaboration with East Boston Neighborhood Health Center (EBNHC), the largest FQHC of Massachusetts, the proposed study will evaluate a novel Motivational Interviewing (MI) behavioral intervention to reduce vaccine hesitancy and increase COVID-19 and influenza vaccine uptake in Latinx adults with mental illness. Key to the intervention is that the proposed MI protocol explicitly acknowledges cultural values that are central to the Latinx population and that impact their interactions with health care providers. Additionally, the intervention has been specifically designed to be feasible and readily implemented in community-based settings, and to be sustainable in the long-term regardless of how the rapidly changing COVID-19 vaccination landscape evolves. To rigorously evaluate the intervention, we will conduct a pragmatic multiple-period cluster-randomized crossover trial within four BH programs at EBNHC; key to this design is that each program serves as its own control and that the multiple switches enhance statistical power. To our knowledge, this will be the first study to rigorously examine the potential role of BH providers in increasing vaccine uptake among Latinx adults with mental illness, a particularly vulnerable population. Key to the anticipated impact is the partnership between the academia-based research team and colleagues at EBNHC which, in turn, will support the rapid translation of evidence into practice together with a model for sustainable collaboration and national scaleup.",
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        },
        {
            "type": "Grant",
            "id": "11789",
            "attributes": {
                "award_id": "5R01DA054910-02",
                "title": "Life Stress Pathways and Resilience to Substance Misuse in Black and White Youth",
                "funder": {
                    "id": 4,
                    "ror": "https://ror.org/01cwqze88",
                    "name": "National Institutes of Health",
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                "funder_divisions": [
                    "National Institute on Drug Abuse (NIDA)"
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                    {
                        "id": 10174,
                        "first_name": "Sheba King",
                        "last_name": "Dunston",
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                        "approved": true,
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                ],
                "start_date": "2022-09-01",
                "end_date": "2027-06-30",
                "award_amount": 641851,
                "principal_investigator": {
                    "id": 26297,
                    "first_name": "Karen J",
                    "last_name": "Derefinko",
                    "orcid": null,
                    "emails": "",
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                    "keywords": null,
                    "approved": true,
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                },
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                "awardee_organization": {
                    "id": 847,
                    "ror": "",
                    "name": "UNIVERSITY OF TENNESSEE HEALTH SCI CTR",
                    "address": "",
                    "city": "",
                    "state": "TN",
                    "zip": "",
                    "country": "United States",
                    "approved": true
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                "abstract": "Exposure to life stressors across development is known to increase the likelihood of adolescent substance misuse, but the few available comparisons of Black and White youth have revealed a paradox. Whereas Black youth are more likely than White youth to experience stressors in the form of socioeconomic disadvantage, traumatic events, and discrimination, often within a context of structural racism, studies show they have lower rates of nearly all types of substance misuse. This paradox could have health consequences, for example, by contributing to stigma among Black individuals who do struggle with substance misuse, because the adverse consequences of substance misuse, once initiated, are more severe for Blacks than Whites. However, significant gaps in knowledge exist and will be addressed in the proposed study. Little is known about how the different types, timing, and trajectories of stress exposures, including those associated with the ongoing COVID-19 pandemic, may differentially predict substance misuse for Black and White youth (Aim 1), and potentially through different mediating mechanisms (Aim 2), including parenting, neurocognitive functioning, and psychopathology. Also, it is important to understand the resilience-promoting protective factors that may be stronger buffers against stressor-related risk for substance misuse for Blacks than Whites (Aim 3). This application proposes to extend the ongoing CANDLE (Conditions Affecting Neurocognitive Development and Learning in Early Childhood) study. CANDLE is a longitudinal cohort study involving 1,136 women recruited from 2006-2011 in Shelby County/Memphis, TN during their second trimesters of pregnancy, and has followed them and their children upon birth throughout childhood. The sample is 60% Black and 34% White, with the small balance reflecting other racial/ethnic minority groups. Extensive multi-method data have been collected during the prenatal period and through childhood up to age 8 years. A clinic visit with dyads at child age 10 is nearing completion and another funded clinic visit at age 12 is underway. The proposed research will collect new data in adolescence at ages 14, 15, and 16 years to examine life stressors in relation to the onset and progression of substance misuse for Black compared to White youth, with tests of differences as well as similarities in mediating pathways and resilience factors. Sex differences also will be explored. A local advisory board of Black community members and advocates has already been formed and will help guide this study. Guided by the minority stress model and stress-coping theories of addiction, the central hypotheses are that, despite a Black-White paradox, different patterns of life stress exposures will predict substance misuse for both Black and White youth, operating through selected group-specific mediating mechanisms; based on resiliency theory, Black youth also are expected to display certain unique patterns of resilience against substance misuse. CANDLE is one-of-a-kind, and the current aims hold promise for informing tailored preventive efforts.",
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            "type": "Grant",
            "id": "11790",
            "attributes": {
                "award_id": "5R01NR020854-02",
                "title": "Housing Policies and their Impact on Engagement in Substance Use Treatment and Overdose Risk during the COVID-19 Pandemic",
                "funder": {
                    "id": 4,
                    "ror": "https://ror.org/01cwqze88",
                    "name": "National Institutes of Health",
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                        "first_name": "Dionne",
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                "start_date": "2022-09-26",
                "end_date": "2026-06-30",
                "award_amount": 758283,
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                    "id": 24388,
                    "first_name": "Matthew",
                    "last_name": "Eisenberg",
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                            "id": 344,
                            "ror": "https://ror.org/00za53h95",
                            "name": "Johns Hopkins University",
                            "address": "",
                            "city": "",
                            "state": "MD",
                            "zip": "",
                            "country": "United States",
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                        "id": 22921,
                        "first_name": "Craig Evan",
                        "last_name": "Pollack",
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                    "id": 344,
                    "ror": "https://ror.org/00za53h95",
                    "name": "Johns Hopkins University",
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                "abstract": "Substance use disorder (SUD), overdose risk, and housing insecurity have reached crisis levels in the US. In 2019, over 8 million individuals met criteria for SUD, and nearly 37 million households were spending more than 30% of their income on housing. Since the start of the COVID-19 pandemic, already-high overdose mortality rates soared, and millions of households have fallen behind on their rent. Beyond initiatives focused on people without housing such as housing first, there has been a paucity of research focusing on the intersection of SUD and housing insecurity. Even less is known about whether policy attempts designed to support housing security have the potential to improve engagement in substance use treatment and reduce fatal and non-fatal overdose. Innovative housing policies enacted during the COVID-19 pandemic—including eviction moratoriums, emergency rental assistance, and legal representation to tenants facing eviction (right to counsel)—offer an unprecedented opportunity to fill this vital knowledge gap. Widespread variation across states in whether and how these policies were implemented allow them to be rigorously studied using causal methods with mechanisms and potential mechanisms explored using qualitative approaches. In Aims 1-2, we will conduct a 50-state study using a difference-in-differences approach to examine the effects of the three housing policies of interest on rates of substance use treatment and fatal and non-fatal drug overdose. Data sources for Aims 1-2 will include 50-state administrative databases capturing services delivered in the general medical sector (IQVIA LRx/Dx and HCUP) and specialty addiction treatment sector (TEDS), as well as CDC fatal drug overdose data. In Aim 3, we will conduct in-depth qualitative interviews with people with recent histories of drug use as well as providers and policy officials in urban and rural counties. Our study will yield actionable evidence to inform policy development and implementation at the intersection of housing and SUD designed to enhance engagement in addiction treatment and prevent drug overdose.",
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