Cargill Stephanie Solomon, Shore Nancy, Olech Rachel, Friesen Phoebe, Rowe Jessica, Khoury-Shakour Sana, Anderson Emily E
Saint Louis University, St Louis, MO, USA.
University of New England, Portland, ME, USA.
J Clin Transl Sci. 2025 Jan 6;9(1):e27. doi: 10.1017/cts.2024.1165. eCollection 2025.
Over the last couple of decades, there has been a growing awareness of the value of community-engaged research (CEnR). Simultaneously, many academic institutions have established centralized support for CEnR. For example, dozens of academic medical centers in the United States receive National Institutes of Health (NIH)-funded Clinical and Translational Science Awards (CTSAs) and have embedded community engagement programs (CE) whose primary expertise and mission is to advance CEnR at their institutions.
As part of a larger interview study aiming to learn more about how institutional CE programs and HRPPs work together, we analyzed interviews with CE program leaders at academic medical centers that receive funding from the NIH CTSA program to identify barriers and strategies to conducting CEnR at their institutions, primarily focusing on the relationships with Institutional Review Boards (IRBs).
We identified three categories in the interviews: barriers and strategies vis-à-vis IRBs to address 1) CE/IRB relationships; 2) Understanding issues; and 3) Structural and resource issues.
CTSA CE program leaders have experience implementing solutions to common barriers to IRB review faced by CEnR researchers. The barriers they face in these three categories and the strategies they use to overcome them can provide helpful insights to others who hope to facilitate CEnR research at their institutions.
在过去几十年里,人们越来越意识到社区参与研究(CEnR)的价值。与此同时,许多学术机构已为社区参与研究建立了集中支持。例如,美国数十家学术医疗中心获得了美国国立卫生研究院(NIH)资助的临床和转化科学奖(CTSA),并设有社区参与项目(CE),其主要专业知识和使命是在其机构推进社区参与研究。
作为一项更大规模访谈研究的一部分,旨在更多地了解机构社区参与项目和人类研究保护项目(HRPP)如何协同工作,我们分析了对接受NIH CTSA项目资助的学术医疗中心社区参与项目负责人的访谈,以确定在其机构开展社区参与研究的障碍和策略,主要关注与机构审查委员会(IRB)的关系。
我们在访谈中确定了三类:与机构审查委员会相关的障碍和策略,以解决1)社区参与项目/机构审查委员会的关系;2)理解问题;以及3)结构和资源问题。
CTSA社区参与项目负责人在实施解决方案以应对社区参与研究人员在机构审查委员会审查中常见障碍方面有经验。他们在这三类中面临的障碍以及用于克服这些障碍的策略可为其他希望在其机构促进社区参与研究的人提供有益的见解。