Smith Elise M R, Loutrianakis Georgia, Beatty Kimberly, Bohn Krista, Cunningham Kathryn A, Croisant Sharon, Farroni Jeffrey S, Gienger Micheal, Guinn Dominique, Hawkins-Sneed Jometra, Mathur Sondip, McNamara Victoria, Miller Marnina, Molldrem Stephen, Pounds Kimberly, Subrahmanyam Vishnu, Tumilty Emma, Loudd Grace A
School of Public and Population Health, University of Texas Medical Branch, Galveston, Texas, United States of America.
Institute for Translational Sciences, Galveston, Texas, United States of America.
PLoS One. 2025 Jun 9;20(6):e0320956. doi: 10.1371/journal.pone.0320956. eCollection 2025.
Innovation in biomedical research has increased markedly over the last few decades. However, clinical, therapeutic, and public health advances have often not yielded expected improvements in health outcomes nor reduced disparities. Translational science was developed to improve social benefits related to research and development. We propose a practical model for socially responsible translational science that aims to better align research with its expected social benefits. Scientists and community members from the Houston-Galveston region participated in 12 focus groups and a one-day Deliberative Dialogue Summit to examine the expected social benefits of science, establish the factors and practices of social responsibility, and design an empirical model for socially responsible translational science. Researchers and community members discussed three distinct fields of research - HIV, maternal health, and mental health and substance use disorders. We conducted deductive qualitative data analysis based on theoretical social responsibility criteria of translational science, namely: relevance, usability, and sustainability. We then developed inductive codes to capture the factors and practices identified during discussions as necessary for the translation of research to increase social benefit. First, participants explored ways to broaden the scope of biomedical research beyond a narrow emphasis on scientific impact to also consider social impacts and determinants of health; this heightens the relevance of research and underscores its responsibility to address social needs and reduce inequities. Second, to improve usability of translational research, participants suggested increasing access to research products, processes, and participation. They also recommended modifying the research infrastructure to incorporate other systems that can assist with translation including the system of care and the broader community-based systems. Third and finally, for the long-term sustainability of research practices, co-development and co-funding of research was promoted to include local community needs, cultures, knowledges and preferences from project commencement to completion.
在过去几十年中,生物医学研究的创新显著增加。然而,临床、治疗和公共卫生方面的进展往往并未在健康结果上带来预期的改善,也未减少差距。转化科学的发展旨在提高与研发相关的社会效益。我们提出了一个具有社会责任感的转化科学实用模型,旨在使研究与其预期的社会效益更好地契合。来自休斯顿 - 加尔维斯顿地区的科学家和社区成员参与了12个焦点小组和为期一天的审议对话峰会,以审视科学的预期社会效益,确立社会责任的因素和实践,并设计一个具有社会责任感的转化科学实证模型。研究人员和社区成员讨论了三个不同的研究领域——艾滋病毒、孕产妇健康以及心理健康和物质使用障碍。我们基于转化科学的理论社会责任标准进行了演绎定性数据分析,即:相关性、可用性和可持续性。然后,我们开发了归纳编码,以捕捉讨论中确定的、对于将研究转化以增加社会效益而言必要的因素和实践。首先,参与者探索了拓宽生物医学研究范围的方法,从狭隘地强调科学影响扩展到同时考虑社会影响和健康的决定因素;这增强了研究的相关性,并突出了其满足社会需求和减少不平等的责任。其次,为了提高转化研究的可用性,参与者建议增加对研究产品、过程和参与的获取机会。他们还建议修改研究基础设施,纳入其他有助于转化的系统,包括护理系统和更广泛的社区系统。第三也是最后一点,为了实现研究实践的长期可持续性,促进了研究的共同开发和共同资助,使其从项目开始到结束都纳入当地社区的需求、文化、知识和偏好。