Lori Carter-Edwards1, Mary E Grewe2, Alecia M Fair3, Carolyn Jenkins4, Natasha J Ray5, Alicia Bilheimer6, Gaurav Dave7, Marcella Nunez-Smith8, Alan Richmond9, Consuelo H Wilkins10. 1. L. Carter-Edwards is 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: https://orcid.org/0000-0002-5552-136X. 2. M.E. Grewe is project manager/qualitative research specialist, CaSE Program, NC TraCS, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; ORCID: https://orcid.org/0000-0002-9979-4394. 3. A.M. Fair is research assistant professor of medicine, Division of Geriatric Medicine, Vanderbilt University Medical Center, Nashville, Tennessee; ORCID: https://orcid.org/0000-0003-0144-1425. 4. C. Jenkins is 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: https://orcid.org/0000-0001-5506-7657. 5. N.J. Ray is core services manager, New Haven Healthy Start, The Community Foundation for Greater New Haven, New Haven, Connecticut. 6. A. Bilheimer is administrative director, CaSE Program, NC TraCS, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina. 7. G. Dave is 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: https://orcid.org/0000-0003-0825-1595. 8. M. Nunez-Smith is associate professor of medicine (general medicine) and epidemiology (chronic diseases), associate dean, Health Equity Research, director, Equity Research and Innovation Center, director, Center for Research Engagement, core faculty, National Clinician Scholars Program, deputy director of health equity research and workforce development, Yale Center for Clinical Investigation, and director, Yale-Commonwealth Fund Fellowship in Health Equity Leadership, Yale University, New Haven, Connecticut; ORCID: https://orcid.org/0000-0003-2797-4756. 9. A. Richmond is executive director, Community-Campus Partnerships for Health, Raleigh, North Carolina. 10. C.H. Wilkins is 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: https://orcid.org/0000-0002-8043-513X.
Abstract
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.
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.
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