This paper is the first in a five-part series on the clinical and translational science educational pipeline and presents strategies to support recruitment and retention to create diverse pathways into clinical and translational research (CTR). The strategies address multiple levels or contexts of persistence decisions and include: 1) creating a seamless pipeline by forming strategic partnerships to achieve continuity of support for scholars and collective impact; 2) providing meaningful research opportunities to support identity formation as a scientist and sustain motivation to pursue and persist in CTR careers; 3) fostering an environment for effective mentorship and peer support to promote academic and social integration; 4) advocating for institutional policies to alleviate environmental pull factors; and, 5) supporting program evaluation – particularly, the examination of longitudinal outcomes. By combining institutional policies that promote a culture and climate for diversity with quality, evidence-based programs and integrated networks of support, we can create the environment necessary for diverse scholars to progress successfully and efficiently through the pipeline to achieve NIH’s vision of a robust CTR workforce.
This dialogue is focused on community-based participatory research (CBPR) part¬nerships that can shape public health research in RHM and health communica¬tion. The dialogue is based on a roundtable discussion that was held at the 2019 meeting of the Central States Communication Association in Omaha, Nebraska. Based on our experiences conducting CBPR across different areas of communica¬tion and public health, we oriented our dialogue around four key themes that seemed central to understanding CBPR in rhetoric of health and medicine (RHM): 1) defining community and CBPR; 2) discussing research methods and engaging community stakeholders; 3) considering ethics, and; 4) assessing out¬comes of CBPR. Based on this dialogue, we conclude with implications and applications, as well as further references for interested RHM and health com¬munication scholars.
Movements designed to engage youth in tobacco control have been an important part of tobacco prevention for decades. Today, young people are increasingly diverse, and their primary issues of concern are gun control, racism, mental health, and climate change. To engage today’s young people, tobacco control programs need to draw connections between youth’s identities, top issues, and tobacco. UpRISE is a social justice youth tobacco control movement that engages diverse youth in identifying the root causes of youth nicotine use. In 2018–2019, 21 youth-serving organizations and schools hosted youth coalitions. Coalitions engaged in a six-session workbook called “Getting to the root cause,” and adults were provided training and reflective supervision. Pre/post surveys with youth participants (n = 180) and end-of-year interviews with adult facilitators (n = 22) were used to assess outcomes. The primary outcomes were supportive adult relationships, youth voice in decision-making, anti-tobacco industry attitudes and beliefs, psychological empowerment, critical consciousness, and global belief in a just world. Quantitative measures of supportive adult relationships, youth voice in decision-making, psychological empowerment, and anti-tobacco industry attitudes and beliefs all increased significantly over time (p < .0001, p < .0001, p < .0001, p = .0034, respectively). Critical consciousness and global belief in a just world did not change significantly. During interviews, adults reported learning how: to engage in youth–adult partnerships, the tobacco industry abused its power, to engage in critical reflection about power. Adults also felt empowered. UpRISE may be a promising approach to increase racially diverse youth’s engagement in social justice-oriented tobacco control efforts that advance equity.
Project TEACH (Teaching Equity to Advance Community Health) is a capacity-building training program to empower community-based organizations and regional public health agencies to develop data-driven, evidence-based, outcomes-focused public health interventions. TEACH delivers training modules on topics such as logic models, health data, social determinants of health, evidence-based interventions, and program evaluation. Cohorts of 7 to 12 community-based organizations and regional public health agencies in each of the 6 Colorado Area Health Education Centers service areas participate in a 2-day training program tailored to their specific needs. From July 2008 to December 2011, TEACH trained 94 organizations and agencies across Colorado. Training modules were well received and resulted in significant improvement in knowledge in core content areas, as well as accomplishment of self-proposed organizational goals, grant applications/awards, and several community-academic partnerships.
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