“…Effective leadership, a strong predictor of partnership synergy, facilitates this type of communication (140). Building mutual respect and trust takes time and patience and, even once established, can never be taken for granted (77,83,134). Despite commitment to a shared purpose, partners often have different educational, cultural, racial, ethnic, and social backgrounds and areas of expertise, and they represent organizations, institutions, and agencies with diverse agendas, mandates, and reward structures (14,66,117,135,146).…”