Deliberative Engagement of Communities in Decisions about Research Spending

描述(由申请人提供)：越来越多的研究人员让社区参与关于研究目的和方法的决策，并作为参与者，但社区对研究优先事项的影响仍然有限，这是公正资源分配的一个关键方面。我们建议开发和评估一种创新的工具，让少数群体和服务不足的社区参与设定临床和转化性研究资金的优先顺序。在开发和使用Chat(一起选择医疗计划)审议练习的经验基础上，并利用社区调查人员、关键线人和指导委员会，我们将开发与健康研究优先事项(ReCHAT)相关的聊天内容。为了评估这一工具，我们将召集50个小组，由9-15名社区成员组成，这些成员主要来自少数族裔和服务不足的社区。评估将审查个人和群体对这项工作的看法，包括群体决策和过程的公正性。我们还将检查审议的质量，以及参与是否会影响知识、对研究人员的信任或参与研究的意愿。我们得到了决策者的承诺，将使用结果来影响决策，我们将研究这种情况是否发生以及如何发生。成功地开发一种让社区参与确定卫生研究优先事项的方法可能会产生巨大的影响，并可能使研究资金决策更公正，更符合社区的需求和价值观。

DESCRIPTION (provided by applicant): Increasingly, researchers involve communities in decisions about research aims and methods, and as participants, but community influence on research priorities, a key aspect of just resource allocation, remains limited. We propose development and evaluation of an innovative tool to engage minority and underserved communities in setting clinical and translational research funding priorities. Building on experience developing and using the CHAT (Choosing Healthplans All Together) deliberation exercise, and drawing on community investigators, key informants, and a Steering committee, we will develop CHAT content relevant for health research priorities (ReCHAT). To evaluate the tool, we will convene 50 groups of 9-15 community members from predominantly minority and underserved communities. Evaluation will examine individual and group views of the exercise, including fairness of group decisions and processes. We will also examine the quality of deliberations, and whether participation affects knowledge, trust in researchers or willingness to participate in research. We have commitments from decision makers to use results to influence decisions, and we will examine whether and how this occurs. Successful development of a method to engage communities in health research priority setting has the potential for enormous impact and could make research funding decisions more just and more aligned with community needs and values.