title: Values in translation: how asking the right questions can move translational science toward greater health impact.
abstract: The speed and effectiveness of current approaches to research translation are widely viewed as disappointing given small gains in real population health outcomes despite huge investments in basic and translational science. We identify critical value questions-ethical, social, economic, and cultural-that arise at moments throughout the research pathway. By making these questions visible, and promoting discussion of them with diverse stakeholders, we can facilitate handoffs along the translational pathway and increase uptake of effective interventions. Who is involved with those discussions will determine which research projects, populations, and methods get prioritized. We argue that some upfront investment in community and interdisciplinary engagement, shaped by familiar questions in ethics, social justice, and cultural knowledge, can save time and resources in the long run because interventions and strategies will be aimed in the right direction, that is, toward health improvements for all.
authors.affiliation: Treuman Katz Center for Pediatric Bioethics, Seattle Children's Hospital, Washington, USA. mckelley@u.washington.edu
authors.forename: Maureen
authors.initials: M
authors.lastname: Kelley
authors.forename: Kelly
authors.initials: K
authors.lastname: Edwards
authors.forename: Helene
authors.initials: H
authors.lastname: Starks
authors.forename: Stephanie M
authors.initials: SM
authors.lastname: Fullerton
authors.forename: Rosalina
authors.initials: R
authors.lastname: James
authors.forename: Sara
authors.initials: S
authors.lastname: Goering
authors.forename: Suzanne
authors.initials: S
authors.lastname: Holland
authors.forename: Mary L
authors.initials: ML
authors.lastname: Disis
authors.forename: Wylie
authors.initials: W
authors.lastname: Burke
mesh_terms: D006262:Health; D006801:Humans; D007600:Judgment; D057170:Translational Research, Biomedical