Effective community engagement involves at least three functional components, 1) longitudinal """"""""pushpull"""""""" relationships between the research community and communities of practice (clinicians, public health workers, policy makers, etc.), 2) community test sites where innovations and solutions can be developed, tested, and refined, and 3) a dissemination/implementation infrastructure to facilitate the spread and uptake of effective innovations. When these components are functioning well, the need for """"""""translation"""""""" is substantially reduced. Productive interactions between researchers and communities are built upon longitudinal respectful relationships. As discussed in the Oversight and Management Core, these relationships are strengthened by a common mission and rules of engagement. They also require facilitative organizational structures and functions. Productive interactions between researchers and communities include four types of activities. Communities (including clinicians, public health officials, and policy-makers) """"""""push"""""""" problems, observations, innovations, and unanswered questions to researchers and """"""""pull"""""""" expertise, solutions, and answers from them in return. Researchers """"""""push"""""""" discoveries, innovations, and solutions to communities and """"""""pull"""""""" practical knowledge and expertise from communities. Before solutions and innovations are disseminated, implemented, and diffused throughout community delivery systems, they should be tested in a few carefully selected sites. Practice-based research networks, for example, serve as community test sites for practices. Once innovations are ready for widespread use, there must be a system wide infrastructure through which dissemination, implementation, and diffusion can be facilitated. Perhaps the best example of such an infrastructure is Cooperative Extension, in which county extension agents maintain channels of communication and personal relationships between local farm families, experimental farm stations (the PBRNs of agriculture), and land grant colleges. If an important innovation occurs in agriculture, virtually every farmer in the country is likely to hear about it within a few months and have someone locally to help them to implement it.

National Institute of Health (NIH)
National Institute of General Medical Sciences (NIGMS)
Specialized Center--Cooperative Agreements (U54)
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Munroe, Melissa E; Young, Kendra A; Kamen, Diane L et al. (2016) Soluble Mediators and Clinical Features Discern Risk of Transitioning to Classified Disease in Relatives of Systemic Lupus Erythematosus Patients. Arthritis Rheumatol :
Rostaminia, Ghazaleh; Peck, Jennifer D; Quiroz, Lieschen H et al. (2016) Characteristics associated with pelvic organ prolapse in women with significant levator ani muscle deficiency. Int Urogynecol J 27:261-7
Rabadi, Meheroz H; Aston, Christopher E (2016) Compare serum creatinine versus Renal (99m)Tc-DTPA scan determined glomerular filtration rates in veterans with traumatic spinal cord injury and meurogenic bladder. J Spinal Cord Med 39:638-644
Sandhya, Pulukool; Kurien, Biji Theyilamannil; Danda, Debashish et al. (2016) Update on Pathogenesis of Sjögren's syndrome. Curr Rheumatol Rev :
Hannafon, Bethany N; Trigoso, Yvonne D; Calloway, Cameron L et al. (2016) Plasma exosome microRNAs are indicative of breast cancer. Breast Cancer Res 18:90
Young, Kendra A; Munroe, Melissa E; Guthridge, Joel M et al. (2016) Combined role of vitamin D status and CYP24A1 in the transition to systemic lupus erythematosus. Ann Rheum Dis :
Wolska, Nina; Rybakowska, Paulina; Rasmussen, Astrid et al. (2016) Brief Report: Patients With Primary Sjögren's Syndrome Who Are Positive for Autoantibodies to Tripartite Motif-Containing Protein 38 Show Greater Disease Severity. Arthritis Rheumatol 68:724-9
Heu, May Kou; Welborn, Toney; Nagykaldi, Zsolt (2016) Clinical Question: In adult patients on warfarin, does-home-self-testing of prothrombin time and/or international normalized ratio provide the same outcomes compared to testing by a home health nurse or in a clinical setting? J Okla State Med Assoc 109:99-100
Bonney, Phillip A; Maurer, Adrian J; Cheema, Ahmed A et al. (2016) Clinical significance of changes in pB-C2 distance in patients with Chiari Type I malformations following posterior fossa decompression: a single-institution experience. J Neurosurg Pediatr 17:336-42
Lu, Rufei; Munroe, Melissa E; Guthridge, Joel M et al. (2016) Dysregulation of innate and adaptive serum mediators precedes systemic lupus erythematosus classification and improves prognostic accuracy of autoantibodies. J Autoimmun 74:182-193

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