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

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...

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Autores principales: Carter-Edwards, Lori, Grewe, Mary E., Fair, Alecia M., Jenkins, Carolyn, Ray, Natasha J., Bilheimer, Alicia, Dave, Gaurav, Nunez-Smith, Marcella, Richmond, Alan, Wilkins, Consuelo H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7996237/
https://www.ncbi.nlm.nih.gov/pubmed/33332904
http://dx.doi.org/10.1097/ACM.0000000000003893
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author Carter-Edwards, Lori
Grewe, Mary E.
Fair, Alecia M.
Jenkins, Carolyn
Ray, Natasha J.
Bilheimer, Alicia
Dave, Gaurav
Nunez-Smith, Marcella
Richmond, Alan
Wilkins, Consuelo H.
author_facet Carter-Edwards, Lori
Grewe, Mary E.
Fair, Alecia M.
Jenkins, Carolyn
Ray, Natasha J.
Bilheimer, Alicia
Dave, Gaurav
Nunez-Smith, Marcella
Richmond, Alan
Wilkins, Consuelo H.
author_sort Carter-Edwards, Lori
collection PubMed
description 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.
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spelling pubmed-79962372021-04-02 Recognizing Cross-Institutional Fiscal and Administrative Barriers and Facilitators to Conducting Community-Engaged Clinical and Translational Research Carter-Edwards, Lori Grewe, Mary E. Fair, Alecia M. Jenkins, Carolyn Ray, Natasha J. Bilheimer, Alicia Dave, Gaurav Nunez-Smith, Marcella Richmond, Alan Wilkins, Consuelo H. Acad Med Research Reports 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. Lippincott Williams & Wilkins 2021-03-30 2021-04 /pmc/articles/PMC7996237/ /pubmed/33332904 http://dx.doi.org/10.1097/ACM.0000000000003893 Text en Copyright © 2020 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the Association of American Medical Colleges. This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Reports
Carter-Edwards, Lori
Grewe, Mary E.
Fair, Alecia M.
Jenkins, Carolyn
Ray, Natasha J.
Bilheimer, Alicia
Dave, Gaurav
Nunez-Smith, Marcella
Richmond, Alan
Wilkins, Consuelo H.
Recognizing Cross-Institutional Fiscal and Administrative Barriers and Facilitators to Conducting Community-Engaged Clinical and Translational Research
title Recognizing Cross-Institutional Fiscal and Administrative Barriers and Facilitators to Conducting Community-Engaged Clinical and Translational Research
title_full Recognizing Cross-Institutional Fiscal and Administrative Barriers and Facilitators to Conducting Community-Engaged Clinical and Translational Research
title_fullStr Recognizing Cross-Institutional Fiscal and Administrative Barriers and Facilitators to Conducting Community-Engaged Clinical and Translational Research
title_full_unstemmed Recognizing Cross-Institutional Fiscal and Administrative Barriers and Facilitators to Conducting Community-Engaged Clinical and Translational Research
title_short Recognizing Cross-Institutional Fiscal and Administrative Barriers and Facilitators to Conducting Community-Engaged Clinical and Translational Research
title_sort recognizing cross-institutional fiscal and administrative barriers and facilitators to conducting community-engaged clinical and translational research
topic Research Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7996237/
https://www.ncbi.nlm.nih.gov/pubmed/33332904
http://dx.doi.org/10.1097/ACM.0000000000003893
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