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基因组医学研究中从开发到传播阶段的利益相关者参与整合:CSER 联盟的方法和结果。

Integration of stakeholder engagement from development to dissemination in genomic medicine research: Approaches and outcomes from the CSER Consortium.

机构信息

Department of Genetics, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC.

Department of Social & Behavioral Sciences, School of Nursing, University of California San Francisco, San Francisco, CA.

出版信息

Genet Med. 2022 May;24(5):1108-1119. doi: 10.1016/j.gim.2022.01.008. Epub 2022 Feb 25.

Abstract

PURPOSE

There is a critical need for genomic medicine research that reflects and benefits socioeconomically and ancestrally diverse populations. However, disparities in research populations persist, highlighting that traditional study designs and materials may be insufficient or inaccessible to all groups. New approaches can be gained through collaborations with patient/community stakeholders. Although some benefits of stakeholder engagement are recognized, routine incorporation into the design and implementation of genomics research has yet to be realized.

METHODS

The National Institutes of Health-funded Clinical Sequencing Evidence-Generating Research (CSER) consortium required stakeholder engagement as a dedicated project component. Each CSER project planned and carried out stakeholder engagement activities with differing goals and expected outcomes. Examples were curated from each project to highlight engagement strategies and outcomes throughout the research lifecycle from development through dissemination.

RESULTS

Projects tailored strategies to individual study needs, logistical constraints, and other challenges. Lessons learned include starting early with engagement efforts across project stakeholder groups and planned flexibility to enable adaptations throughout the project lifecycle.

CONCLUSION

Each CSER project used more than 1 approach to engage with relevant stakeholders, resulting in numerous adaptations and tremendous value added throughout the full research lifecycle. Incorporation of community stakeholder insight improves the outcomes and relevance of genomic medicine research.

摘要

目的

迫切需要开展反映社会经济和祖先多样性人群情况并使这些人群受益的基因组医学研究。然而,研究人群中仍存在差异,这突出表明传统的研究设计和材料可能对所有人群来说不够充分或无法获得。可以通过与患者/社区利益相关者合作来获得新方法。尽管已经认识到利益相关者参与的一些好处,但尚未将其常规纳入基因组学研究的设计和实施中。

方法

美国国立卫生研究院资助的临床测序证据生成研究(CSER)联盟将利益相关者参与作为专门的项目组成部分。每个 CSER 项目都计划并开展了具有不同目标和预期结果的利益相关者参与活动。从每个项目中精选了一些示例,以突出在整个研究生命周期(从开发到传播)中采用的参与策略和结果。

结果

项目根据个别研究需求、后勤限制和其他挑战来调整策略。总结的经验教训包括:尽早在整个项目利益相关者群体中开展参与工作,并在整个项目生命周期中保持灵活性以实现适应。

结论

每个 CSER 项目都使用了多种方法与相关利益相关者进行接触,从而在整个研究生命周期中实现了许多调整并增加了巨大的附加值。纳入社区利益相关者的意见可提高基因组医学研究的结果和相关性。

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