Laying the groundwork to make diversity, equity, and inclusion front and center in clinical and translational research

Egede, Leonard E.; Ruiz, Raquel; Mosley-Johnson, Elise; Gaxiola, Sergio Aguilar; Corbie, Giselle; Wilkins, Consuelo H.; Vitale, Alfred; Boulware, L. Ebony

doi:10.1017/cts.2023.524

Cited by 2 publications

(2 citation statements)

References 32 publications

(34 reference statements)

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“…Increased opportunities to participate in translational science E&T will help to achieve this goal. 23 , 77 , 78 …”

Section: Discussionmentioning

confidence: 99%

“…Increased opportunities to participate in translational science E&T will help to achieve this goal. 23,77,78 Findings on the modalities used in the included translational science E&T opportunities indicate that educational institutions are leveraging a range of approaches to convey content to learners with a variety of learning styles, across a range of training and career stages. The most reported modalities were typical of graduate education and postgraduate training, namely experiential learning, courses, and mentoring.…”

Section: Summary and Analysis Of Key Findingsmentioning

confidence: 99%

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Areas of strength and opportunities for growth in translational science education and training: Results of a scoping review from the NCATS Education Branch

Vogel

Haynes

Hussain

et al. 2023

Clinical Translational Sci

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Translational science education and training (E&T) aims to prepare the translational workforce to accelerate progress along the translational pipeline toward solutions that improve human health. In 2020–2021, the National Center for Advancing Translational Sciences (NCATS) Education Branch conducted a scoping review of the E&T literature with this focus. The review used the methodological framework proposed by Arksey and O'Malley. PubMed, Education Resources Information Center (ERIC), and Embase were searched, and forward citations conducted. Screening of titles, abstracts, and full text identified 44 included articles. Data extraction facilitated analysis of E&T content, audiences, modalities, evaluations, and recommendations. The NCATS Translational Science Principles were used to identity described or recommended E&T content. Twenty‐nine articles described a translational science E&T opportunity or its evaluation, and another 15 articles offered recommendations for translational science E&T. The most prevalent NCATS Translational Science Principles were boundary‐crossing partnerships (77%) and cross‐disciplinary team science (75%). Among publications describing E&T opportunities, the most reported modalities were experiential learning (64%) and courses (61%) and the most reported participants were graduate students (68%) and postdoctoral fellows (54%). About half of these articles (n = 15) reported an evaluation, covering a range of proximal to distal outcomes. Recommendations emphasized the value of translational science E&T across training and career stages and the use of varied modalities to reach diverse audiences. This review highlights strengths and opportunities for growth in translational science E&T. Enhancements to content, expansion of participants and modalities, and rigorous evaluations will contribute to building a highly qualified, diverse translational science workforce.

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“…Increased opportunities to participate in translational science E&T will help to achieve this goal. 23 , 77 , 78 …”

Section: Discussionmentioning

confidence: 99%

Section: Summary and Analysis Of Key Findingsmentioning

confidence: 99%

Areas of strength and opportunities for growth in translational science education and training: Results of a scoping review from the NCATS Education Branch

Vogel

Haynes

Hussain

et al. 2023

Clinical Translational Sci

View full text Add to dashboard Cite

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Equity in Digital Mental Health Interventions in the United States: Where to Next?

Robinson,

Flom,

Forman-Hoffman

et al. 2024

J Med Internet Res

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Health care technologies have the ability to bridge or hinder equitable care. Advocates of digital mental health interventions (DMHIs) report that such technologies are poised to reduce the documented gross health care inequities that have plagued generations of people seeking care in the United States. This is due to a multitude of factors such as their potential to revolutionize access; mitigate logistical barriers to in-person mental health care; and leverage patient inputs to formulate tailored, responsive, and personalized experiences. Although we agree with the potential of DMHIs to advance health equity, we articulate several steps essential to mobilize and sustain meaningful forward progression in this endeavor, reflecting on decades of research and learnings drawn from multiple fields of expertise and real-world experience. First, DMHI manufacturers must build diversity, equity, inclusion, and belonging (DEIB) processes into the full spectrum of product evolution itself (eg, product design, evidence generation) as well as into the fabric of internal company practices (eg, talent recruitment, communication principles, and advisory boards). Second, awareness of the DEIB efforts—or lack thereof—in DMHI research trials is needed to refine and optimize future study design for inclusivity as well as proactively address potential barriers to doing so. Trials should incorporate thoughtful, inclusive, and creative approaches to recruitment, enrollment, and measurement of social determinants of health and self-identity, as well as a prioritization of planned and exploratory analyses examining outcomes across various groups of people. Third, mental health care advocacy, research funding policies, and local and federal legislation can advance these pursuits, with directives from the US Preventive Services Taskforce, National Institutes of Health, and Food and Drug Administration applied as poignant examples. For products with artificial intelligence/machine learning, maintaining a “human in the loop” as well as prespecified and adaptive analytic frameworks to monitor and remediate potential algorithmic bias can reduce the risk of increasing inequity. Last, but certainly not least, is a call for partnership and transparency within and across ecosystems (academic, industry, payer, provider, regulatory agencies, and value-based care organizations) to reliably build health equity into real-world DMHI product deployments and evidence-generation strategies. All these considerations should also extend into the context of an equity-informed commercial strategy for DMHI manufacturers and health care organizations alike. The potential to advance health equity in innovation with DMHI is apparent. We advocate the field’s thoughtful and evergreen advancement in inclusivity, thereby redefining the mental health care experience for this generation and those to come.

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Laying the groundwork to make diversity, equity, and inclusion front and center in clinical and translational research

Cited by 2 publications

References 32 publications

Areas of strength and opportunities for growth in translational science education and training: Results of a scoping review from the NCATS Education Branch

Areas of strength and opportunities for growth in translational science education and training: Results of a scoping review from the NCATS Education Branch

Equity in Digital Mental Health Interventions in the United States: Where to Next?

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