Community Engagement & Research Donald Nease, Jr, MD Director of Community Engagement

CCTSI Organizational Structure

CE&R Specific Aims 2018-2023 Aim 1: Expand our community stakeholders to include an array of healthcare organizations and “payers” to expand the potential for implementation and dissemination. 1.1. Reach new stakeholder partners through a new Stakeholder Advisory Board 1.2. Bridge Community Health Information with “Payer” data Aim 2: Further infuse Community Engagement throughout the translational spectrum within all CCTSI programs and operations. 2.1. Integrate with the CCTSI Regulatory Knowledge & Support and Administrative Cores to remove barriers to effective community engagement in research. 2.2. Further integrate community engagement into the CCTSI Workforce Development (TWD), Bioethics, and Informatics Cores and in RIC and TIC activities.

CE&R Specific Aims 2018-2023 Aim 3: Increase capacity for bi-directional engagement between researchers and community stakeholders to enhance the science of community engaged translational research. 3.1. Build investigator capacity in community-engaged research through education, training and CE&R Pilot Grant programs. 3.2. Expand our education and training programs to increase community capacity to engage researchers in equitable research partnerships. 3.2.1. Building upon the training programs detailed above, we will develop a program for certifying community organizations and members as being “research ready” by having completed specific translational research training. 3.2.2. Create opportunities for engaging community members in active, basic translational research endeavors.

Accomplishments Aim 1: Expand our community stakeholders to include an array of healthcare organizations and “payers” to expand the potential for implementation and dissemination. City of Longmont Working with the City of Longmont and more than 50 community organizations and health system partners, co-creating a shared, locally governed data infrastructure that links healthcare and community data. Community Consults Our 13-member Community Engagement Consults & Ethics Committee conducts community engaged research and ethical consultations for those looking to move along the translational research spectrum. We have made efforts to more closely connect to the CCTSI Studio program, which is referring appropriate protocols to Community Engagement. In 2017-2018 we performed four community consults for a variety of projects.

Accomplishments Aim 2: Further infuse Community Engagement throughout the translational spectrum within all CCTSI programs and operations. Transforming the Institutional Environment CE Representation on the Education and Training Leadership Committee Working closely with the CCTSI Regulatory Core to develop policies and training that make it easier for community members to participate as full partners in our research. Worked with our grants and contracts office to promote and normalize administrative structures, such as our partnership with Trailhead Inst., that allow us to more efficiently engage our community partners. We are working to identify the organizational infrastructure needed to create fertile environments for community engaged research. (Nease, D., Burton, D., Cutrona, S., Edmundson, L., Krist, A., Laws, M., & Tamez, M. (2018). “Our lab is the community”: Defining essential supporting infrastructure in engagement research. Journal of Clinical and Translational Science, 2(4), 228-233. doi:10.1017/cts.2018.325)

Accomplishments Aim 3: Increase capacity for bi-directional engagement between researchers and community stakeholders to enhance the science of community engaged translational research. Research Readiness Certification for Community Based Organizations CE&R Core trainings are being combined into a comprehensive “Research Readiness” certification program to equip CBOs with the knowledge and tools to design their own organizational strategies and policies related to research and to effectively and equitably partner with researchers in all phases of the research process. Research Readiness goes beyond research fundamentals to encompass the principals of CBPR, partnership development, trust, equity, data use and ownership, and the development of organizational plans, policies and procedures to guide strategic research efforts.

Accomplishments Aim 3: Increase capacity for bi-directional engagement between researchers and community stakeholders to enhance the science of community engaged translational research. Research Readiness Certification for Community Based Organizations CE&R Core completed more than 20 key informant interviews with academic investigators and CBOs to assess the need and potential value of formal “Research Readiness” training for CBOs. Academic researchers are enthusiastic about the possibility of being able to access a network of formally trained CBOs that are ready and willing to partner on research projects. CBOs want a more strategic, intentional and informed approach to participating as full partners in research that aligns with their organizational priorities, as opposed to participating in one-off projects in which they are primarily engaged in data collection or recruitment, but excluded from the rest of the research process.

Accomplishments Aim 3: Increase capacity for bi-directional engagement between researchers and community stakeholders to enhance the science of community engaged translational research. Colorado Immersion Training in Community Engagement (CIT): CIT focused on two tracks in 2018: Rural Native American and our first Urban LGBTQI track. We had 20 applicants to the 2018 program and were able to accept 8 participants from a variety of research disciplines. To date, more than 100 researchers have participated in CIT. Two former CIT participants elected to serve on the PACT Council and many others have participated as pilot grant reviewers.

Accomplishments Aim 3: Increase capacity for bi-directional engagement between researchers and community stakeholders to enhance the science of community engaged translational research. CE Pilot Grant Program To date, the CE&R Core has received 316 pilot grant applications, and invested more than $2 Million in 102 funded projects. Many of our funded pilots have national implications for evidence-based or informed practice. Consistent with previous cohorts, recent projects have focused on designing and testing a variety of prevention and intervention models, engaged diverse and primarily under-served populations, and spanned much of the life course. Reductions in funding have prompted the PACT Council Pilot Grants Workgroup to re-evaluate the program structure and funding model. This process is ongoing.

Accomplishments Aim 3: Increase capacity for bi-directional engagement between researchers and community stakeholders to enhance the science of community engaged translational research. Strengthening Partnerships Expanding our partnerships within our own organization and with other CTSA hubs, pursuing multiple grants and other projects with partners in New Mexico, Michigan, Iowa, Oregon, Wisconsin, Kansas and affiliated Practice Based Research Networks. Strengthening our relationship with Diné College, whose public health program has been supported by the CCTSI and who acts as a host site for our Immersion Training program. This year, we hosted three students at our ECER conference who presented on their independent community engaged research projects. We consulted with the University of New Mexico’s CTSA CE Core to explore ways in which we might incorporate their CE Business model within our own CTSA. Strengthened our relationship with Colorado State University’s One Health Institute, exploring potential projects and engaging the Director as a new PACT Council member and an Academic Advisor to the Immersion Training Program.

Accomplishments Aim 3: Increase capacity for bi-directional engagement between researchers and community stakeholders to enhance the science of community engaged translational research. Engaging Communities in Education and Research (ECER) In September 2018, brought together nearly 500 researchers, clinicians, patients, community members and practice based research networks. Engaging Communities in Education and Research (ECER) Research Exchange and Networking Forum In 2018, more than 40 community-academic translational research projects were presented. Much of the research presented at the exchange are the results of projects funded through the CE Core’s pilot grant program

Accomplishments Aim 3: Increase capacity for bi-directional engagement between researchers and community stakeholders to enhance the science of community engaged translational research. Training and Education opportunities offered in 2018 Introduction to CBPR for Community-Academic Partnerships Colorado Immersion Training in Community Engagement Boot Camp Translation for Patient-Centered Outcomes: Facilitator Training Community-Campus Partnership for Health Regional Community Partner Forum Community Research Consultation Service Annual Research Ethics Conference Data Science Mini Course for Community (in partnership with D2V) Community Research Liaison Coaching and Mentoring CBPR and CEnR training for Public Health Agencies

Accomplishments Aim 3: Increase capacity for bi-directional engagement between researchers and community stakeholders to enhance the science of community engaged translational research. Dissemination Activities We have disseminated program and pilot grant results through normal academic channels (i.e. presentations at local, regional and national meetings, publications). We have also supported community-based dissemination efforts for our pilot awardees. We send out a bi-monthly newsletter to our community and academic partners. CRLs have a bi-monthly newsletter as well.

Accomplishments Aim 3: Increase capacity for bi-directional engagement between researchers and community stakeholders to enhance the science of community engaged translational research. Dissemination Activities (Presentations) Association for Clinical and Translational Science PCORI Annual Meeting North American Primary Care Group (NAPCRG) PBRN Conference NAPCRG Annual Meeting Public Health in the Rockies National Network of Public Health Institutes SNOCAP Convocation National CE Conference Colorado Public Health Association Annual Conference National Public Health Association Annual Conference

Governance The Partnership of Academics and Communities for Translation (PACT) Council guides the work and resources of the CE Core. PACT Council members are academic investigators and influential representatives from focus communities, affiliate organizations, and academic research institutions. Community and academic members are represented in equal numbers on the Council and are compensated equally for their time and contributions.

CCTSI CE&R Core Staff DON NEASE DIRECTOR MONTELLE TAMEZ DEPUTY DIRECTOR CE/PBRN PROJECT MANAGER MARY WOLD CE/PBRN PROJECT CRD. DEE SMYTH ADMIN ASSISTANT

Governance

Governance Community Research Liaisons Trailhead Institute CRLs live and/or work in the communities they serve, engaging local partners, patients, and health providers to identify community health priorities and assist investigators in designing locally relevant studies that address real community, partner, patient and health provider needs. Trailhead Institute Serves as a neutral party to house funds for community/academic projects and acts as an administrative and fiscal intermediary for community partners. Enhances community capacity to navigate the administrative and institutional requirements of working with a large university. SNOCAP (Practice Based Research Networks) CE&R Core has been engaged in SNOCAP’s efforts to examine the benefits of community engagement in practice-based research. We have closely linked the infrastructure of the CE&R and PBRN programs, investing in two shared staff positions and submitting many joint grant proposals to AHRQ, NIH, PCORI and other funders.

National CTSA Consortium Involvement Don Nease is on the Collaboration/ Engagement Domain Task Force Submitted U01 application for Collaborative Innovation Award – CU lead with 5 partnering CTSA Hubs (in review) Ongoing partnerships with: Univ. of New Mexico – NCATS U01, AHRQ EvidenceNOW & PRIMENet Collaborative Oregon Health Sciences Univ. – AHRQ MetaLARC Collaborative Univ. of Wisconsin – AHRQ MetaLARC Collaborative UCSF –AHRQ PRIMENet Collaborative Duke –MetaLARC Collaborative Univ of Iowa – NCATS U01, AHRQ MetaLARC Collaborative Univ. of Kansas – NCATS U01

Response to EAC Critiques “The CCTSI’s extensive partnerships provides a unique opportunity to measure health impact. This could possibly be a partnered effort with payors and the health department.” Our community health and social services data sharing design work is engaging County level public health departments and we are in conversation with the State E-Health Commission about this work. “The board felt it would be interesting to see if the CCTSI could combine the traditional health data (EHR) and other sources to track outcomes of improved health. This might be an area of partnership with the Cancer Centers, as NIH has changed its CCSG guidelines in this area, requiring health improvement as outcomes.” We are currently engaged with the Cancer Center on a P50 application that will focus on building capacity to improve cancer prevention and control in rural Colorado.

Response to EAC Critiques “T2 engagement in recruitment and study design seem like a wonderful bidirectional opportunity for the Community Engagement and Research Core.” “Finally, the board felt with the strength of the Community Engagement and Research, the CCTSI had a unique opportunity to define strategies to support trust in science.” Work is ongoing in this area through our Community Consults collaborations with CSU One Health and will advance as we begin to address Specific Aim 3.2