title: Understanding the supports of and challenges to community engagement in the CTSAs.
abstract: BACKGROUND
  The Clinical and Translational Science Award (CTSA) program has raised the profile and the available funding for engagement in biomedical research. Such increased funding and attention may address known barriers to engagement. However, little work has been done to describe experiences across multiple CTSAs, especially how the CTSA structure supports or challenges engagement.
  
  
  OBJECTIVE
  We sought to understand the supports and challenges experienced by multiple CTSAs as they pursued community engagement. This knowledge may help guide future efforts to support and enhance community engagement in biomedical research.
  
  
  METHODS
  We conducted semi-structured, in-depth interviews with CTSA community engagement core leaders and staff from the 2006 cohort of CTSAs (n = 12).
  
  
  RESULTS
  A total of 17 interviews with respondents from nine institutions identified three support themes, including: funding, existing relationships with communities, and leadership and a partnership approach at the institution. Six challenge themes arose: need for capacity development, lack of positive relationships with communities, lack of leadership, funding constraints, time and staff constraints, and unsustainable models.
  
  
  CONCLUSIONS
  The CTSAs have brought much-needed attention to community engagement in research, but more can be done to adequately support engagement. Challenges remain that need to be addressed to achieve the potential benefits of engagement.
authors.affiliation: Department of Health Policy and Management, Yale School of Public Health, New Haven, Connecticut, USA.
authors.forename: Jessica
authors.initials: J
authors.lastname: Holzer
authors.forename: Nancy
authors.initials: N
authors.lastname: Kass
mesh_terms: D035843:Biomedical Research / Q000458:organization & administration; D002986:Clinical Trials as Topic; D015331:Cohort Studies; D003159:Community-Institutional Relations; D007857:Leadership; D009316:National Institutes of Health (U.S.); D016730:Program Development; D015397:Program Evaluation; D012111:Residence Characteristics; D057170:Translational Research, Biomedical / Q000379:methods* / Q000458:organization & administration*; D014481:United States
keywords: challenges; clinical trials; community engagement; supporting factors; translational research