Engaging Students in Transdisciplinary Health Care Research: Building Research Partnerships and Mentoring for Graduate, Undergraduate and High School Students in Charlotte, North Carolina Ms.Claire Schuch1, Ms. Mary Espinosa1, Ms.Aidan Smith2, Ms.Brisa Urquieta de Hernandez2, Dr. Heather Smith1, Dr.Owen Furuseth3, Dr. Maren Coffman4, Dr. Janni Sorensen1, Dr.Hazel Tapp2,Dr. Andrew McWilliams2, Dr.Yhenneko Taylor5, Ms. Laura Simmons7, Ms. Patricia Avraham2, Ms. Miriam Espaillat2, Ms. Vanessa Pasquier1, Dr. Michael Dulin5 1UNC Charlotte, Dept. Geography; 2 Carolinas Healthcare System, Family Medicine, 3UNC Charlotte Metropolitan Studies, 4UNC Charlotte School of Nursing, 5 CHS Dickson Advanced Analytics, 6 UNCC Urban Institute MAPPR Background Project Descriptions Student Involvement The Mecklenburg Area Partnership for Primary-Care Research (MAPPR) is a Practice Based Research Network (PBRN) designed to study healthcare access for the underserved and vulnerable populations in Charlotte and surrounding areas. 1) Improving Health Care Access for a Transitioning Community using geographic research. Employ field-based qualitative and quantitative spatial tools to target neighborhoods and community groups. 2) A Community Participatory Approach to Improving Health in a Hispanic Population. Use CBPR to identify a disease/condition of concern to the Hispanic community, design and implement an intervention, evaluate CBPR effectiveness, disseminate findings to community and provider partners - all in an effort to reduce health disparities in the community. 3) A Transdisciplinary Approach to the Evaluation of Social Determinants of Health Examine multiple social determinants that can cause disparities and use CBPR to develop interventions with the goal of improving health outcomes for the community. Since the establishment of MAPPR in 2006, students have been involved as members of the research team. Students come from a range of levels (PhD, MD, MA, MS, BA, BS, and even high school) and fields of study (e.g. Geography, Nursing, Social Work, Public Health). Some students are key volunteers while others are hired as research assistants through the University of North Carolina at Charlotte or Carolinas Healthcare System. In addition to providing research experience and in line with the principles and philosophy of CBPR, MAPPR allows students to transition into roles with more responsibilities and leadership. Students enjoy the same status as community members and are considered partners in the research process; their voices and the strengths they bring are recognized. Through capacity building and mentorship by the core team members, students develop new skills that support their success as they continue their studies and careers. Vision and Goal To bring together health, academic, and community partners to facilitate CBPR projects that improve the health and quality of life of our community. Community-Based Participatory Research (CBPR ) CBPR is “a collaborative approach to research that equitably involves all partners in the research process and recognizes the unique strengths that each brings.” - W.K. Kellogg Foundation A unique feature of MAPPR's CBPR approach is our commitment to transdisciplinary student involvement and mentoring. In the same way that CBPR offers structure to collaboration and community capacity building, it also provides a framework for partnership, skill building and professional development among students. In MAPPR's case, students across the educational and disciplinary spectrum interact and learn from professional researchers and medical staff, community members, study participants and each other. Figure 1: Cycle of Action and Reflection involving Community Advisory Board (CAB), the MAPPR Team, the Hispanic Community, and the Mecklenburg Health Care/Social Service System Research Team Funding The projects described were supported by Award Numbers R01MD006127 and 1R24MD004930-01 from the National Center On Minority Health And Health Disparities as well as Award Number 65236 from the Robert Wood Johnson Physician Faculty Scholar Program. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Center On Minority Health And Health Disparities, the National Institutes of Health or the Robert Wood Johnson Foundation. Name Project/Initial Roles Where are they now? Brisa Hernandez 1, 2, 3 - CHS MAPPR Research Coordinator 2nd year PhD Student in Geography and Urban Regional Analysis at UNC Charlotte, CHS MAPPR Research Director Tom Ludden 1, 2, 3 - GIS Consultant PhD in Geography and Urban Regional Analysis from UNC Charlotte, Research Scientist at CHS Dickson Advanced Analytics Aidan Smith 1, 2, 3 - Volunteer Cannon School Graduate, MAPPR intern, NC State Freshman, College of Sciences Joshua Blackwell MAPCATS MA in Geography from UNC Charlotte, Environmental Scientist at Waratah Corporation Kendra Harris 1, 2 - Undergraduate RA BS in Public Health from UNC Charlotte Taja Allen 1, 2 - Undergraduate RA BS in Public Health from UNC Charlotte Thad Dixon 1, 2 - Graduate RA, MAP ABD, PhD Candidate in Geography and Urban Regional Analysis at UNC Development Team Charlotte Heather Manos 1 - Foundational MAPPR development MD from UNC Chapel Hill, Critical care doctor at CMC-Huntersville Urgent Care Jenna Thomas (Searcy) 1 - Undergraduate RA MD from UNC School of Medicine, Resident at Cabarrus Family Medicine James “Curt” White 2 - Community Liaison MA Candidate in Public Administration at UNC Charlotte, District Supervisor at the City of Charlotte Paul McDaniel 2 - Graduate RA PhD in Geography in Urban Regional Analysis from UNC Charlotte, Research Fellow with the Immigration Policy Center at the American Immigration Council Ramon Concepcion 2 - Graduate RA Torres RA for Juntos Center for Advancing Latino Health, University of Kansas Medical Center and RA for IRIS Educational Media, Eugene Oregon Silva Mathema 2 - Graduate RA PhD in Public Policy from UNC Charlotte, Research Fellow at the Poverty & Race Research Action Council Yhenneko Taylor 3 - Statistician PhD in Health Services Research from UNC Charlotte, Research scientist at CHS Dickson’s Advanced Analytics Group Koshilie Gunadasa 3 - Medical student RA MD from St. Matthew’s University School of Medicine, Related Practice Provider at Mayo Clinic Health System Blackshear Family Practice Maritza Garcia 3 - Undergraduate RA UNC Chapel Hill Accelerated Nursing program Sasha Lara 3 - Undergraduate RA 3rd year UNC Charlotte student, Business Major Maria Davila 3 - Graduate RA MS Nursing student at UNC Charlotte, Registered Nurse at CHS Mary Espinosa 3 - Photovoice participant 2nd year UNC Charlotte student, Social Work Major, MAPPR community representative, coordinator of women’s group Miriam Espaillat 3 - Graduate RA MS in Social Work from UNC Charlotte, CHS Research Analyst/Patient Navigator Claire Schuch 3 - Graduate RA 3rd year PhD student in Geography in Urban Regional Analysis at UNC Charlotte Brisa Urquieta de Hernandez MAPPR Research Coordinator PhD Student in Geography and Urban Regional Analysis at UNC Charlotte CHS MAPPR Research Director , overseeing all MAPPR projects and mentoring students Mary Espinosa High school student, founder of United 4 the Dream Participant in MAPPR’s Photovoice project MAPPR Summer Intern Research assistant, community representative, women’s group coordinator UNC Charlotte student, Social Work major Aidan Smith Claire Schuch Geography PhD Student, MAPPR Research Assistant Qualitative Data Collection Photovoice Coordinator Qualitative Data Analysis Volunteer Coordinator Health Fair intervention Research Findings Dissemination