Recognizing Cross-Institutional Fiscal and Administrative Barriers and Facilitators to Conducting Community-Engaged Clinical and Translational Research

Datos Bibliográficos

ID21615134
AutoresLori Carter-Edwards (L. Carter-Edwardsis associate professor, Public Health Leadership Program, adjunct faculty in epidemiology and health behavior, Gillings School of Global Public Health, and director, Community and Stakeholder Engagement (CaSE) Program, North Carolina Translational and Clinical Sciences Institute (NC TraCS), University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; ORCID), Lori Carter‐Edwards (0000-0002-5552-136X, University of North Carolina at Chapel Hill, autor de correspondencia), Mary E Grewe (0000-0002-9979-4394, M.E. Greweis project manager/qualitative research specialist, CaSE Program, NC TraCS, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; ORCID:.), Alecia M Fair (0000-0003-0144-1425, A.M. Fairis research assistant professor of medicine, Division of Geriatric Medicine, Vanderbilt University Medical Center, Nashville, Tennessee; ORCID:.), Carolyn Jenkins (0000-0001-5506-7657, C. Jenkinsis professor and Ann Darlington Edwards Endowed Chair, College of Nursing, and community engagement codirector, South Carolina Clinical & Translational Research Institute, Medical University of South Carolina, Charleston, South Carolina; ORCID:.), Natasha Ray (Community Foundation), Natasha J Ray (N.J. Rayis core services manager, New Haven Healthy Start, The Community Foundation for Greater New Haven, New Haven, Connecticut.), Alicia Bilheimer (0009-0006-1758-3902, University of North Carolina at Chapel Hill), Gaurav Dave (0000-0003-0825-1595, G. Daveis associate professor of medicine (social medicine), School of Medicine, and associate director, Center for Health Equity Research, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; ORCID:.), Marcella Nunez-Smith (0000-0003-2797-4756, Center for Health and Gender Equity), Alan Richmond (A. Richmondis executive director, Community-Campus Partnerships for Health, Raleigh, North Carolina.), Consuelo H Wilkins (0000-0002-8043-513X, C.H. Wilkinsis professor of medicine, Division of Geriatric Medicine, and vice president of health equity and associate dean for health equity, Vanderbilt University Medical Center, Nashville, Tennessee; ORCID:.)
Año2021
Volumen96
Número4
Páginas558-567
Fecha de publicación2021-04-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaAcademic Medicine (JOURNAL)
Identificadores de la revistaISSN: 1040-2446 • E-ISSN: 1938-808X
EditorialOxford University Press (OUP) (PUBLISHER)
DOI10.1097/acm.0000000000003893
PMID33332904
OpenAlexW3112530756
IdiomaEN
Citas recibidas10
Referencias citadas28

PURPOSE: This qualitative study examined fiscal and administrative (i.e., pre- and post-award grants process) barriers and facilitators to community-engaged research among stakeholders across 4 Clinical and Translational Science Awards (CTSA) institutions. METHOD: A purposive sample of 24 key informants from 3 stakeholder groups-community partners, academic researchers, and research administrators-from the CTSA institutions at the University of North Carolina at Chapel Hill, Medical University of South Carolina, Vanderbilt University Medical Center, and Yale University participated. Semistructured interviews were conducted in March-July 2018, including questions about perceived challenges and best practices in fiscal and administrative processes in community-engaged research. Transcribed interviews were independently reviewed and analyzed using the Rapid Assessment Process to facilitate key theme and quote identification. RESULTS: Community partners were predominantly Black, academic researchers and research administrators were predominantly White, and women made up two-thirds of the overall sample. Five key themes were identified: level of partnership equity, partnership collaboration and communication, institutional policies and procedures, level of familiarity with varying fiscal and administrative processes, and financial management expectations. No stakeholders reported best practices for the institutional policies and procedures theme. Cross-cutting challenges included communication gaps between stakeholder groups; lack of or limits in supporting community partners' fiscal capacity; and lack of collective awareness of each stakeholder group's processes, procedures, and needs. Cross-cutting best practices centered on shared decision making and early and timely communication between all stakeholder groups in both pre- and post-award processes. CONCLUSIONS: Findings highlight the importance of equitable processes, triangulated communication, transparency, and recognizing and respecting different financial management cultures within community-engaged research. This work can be a springboard used by CTSA institutions to build on available resources that facilitate co-learning and discussions between community partners, academic researchers, and research administrators on fiscal readiness and administrative processes for improved community-engaged research partnerships

Business · General partnership · Political science · Public relations · Qualitative research · Sociology · Stakeholder · Health and Medical Research Impacts · Health Policy Implementation Science · Mental Health and Patient Involvement