Community Advisory Boards and Their Role in CTSA Community Engagement
To incorporate engagement with communities in regions served by CTSA awards, CABs or community advisory committees often provide a systems-l evel infrastructure for academic-community partnerships and promote institutionalization and sustainability of the partnerships and their products.13 Many of the local CTSAs mention CABs or committees as contributors to their research activities; however, membership and recruitment of membership are not discussed. Two frameworks14-15 identified potential organizations or systems that could contribute to research networks. Concannon et al.14 report that no common taxonomy exists to guide researchers and stakeholders in stakeholder-engaged research. Thus, the researchers proposed the 7Ps Framework to Identify Stakeholders and recommend that this framework be used as a guide, but not a strict formula.14 The 7Ps include (1) the public and patients; (2) providers such as nurses, physicians, mental health counselors, pharmacists, and other providers of care such as EMS agencies, nursing homes, and so forth, that provide care to patients and populations; (3) purchasers such as employers or others underwriting costs of healthcare; (4) payers such as insurers; (5) policy makers; (6) product makers such as drug and device manufacturers; and (7) principal investigators and other researchers. The Stroke Investigative Research and Education Network (SIREN) uses a Community Systems Wheel, which places the community of individuals at the center of the wheel and as spokes includes systems that can contribute to the research process, including health and social services, politics and government, safety and transportation, education, physical environment, faith-based organizations, recreation, economics, and communication. The Community Systems Wheel also provides a guiding framework for CABs, and selection of members is based on each research community.
Best practices for CABs were identified by Newman et al.13 based on previously published articles and analyses by the authors. These are summarized in Table 16.1.