Boot camp translation: a method for building a community of solution

Ned Norman, Chris Bennett, Shirley Cowart, Maret Felzien, Martha Flores, Rafael Flores, Connie Haynes, Mike Hernandez, Mary Petra Rodriquez, Norah Sanchez, Sergio Sanchez, Kathy Winkelman, Steve Winkelman, Linda Zittleman, John M Westfall, Ned Norman, Chris Bennett, Shirley Cowart, Maret Felzien, Martha Flores, Rafael Flores, Connie Haynes, Mike Hernandez, Mary Petra Rodriquez, Norah Sanchez, Sergio Sanchez, Kathy Winkelman, Steve Winkelman, Linda Zittleman, John M Westfall

Abstract

Objective: A crucial yet currently insufficient step in biomedical research is the translation of scientific, evidence-based guidelines and recommendations into constructs and language accessible to every-day patients. By building a community of solution that integrates primary care with public health and community-based organizations, evidence-based medical care can be translated into language and constructs accessible to community members and readily implemented to improve health.

Methods: Using a community-based participatory research approach, the High Plains Research Network (HPRN) and its Community Advisory Council developed a process to translate evidence into messages and dissemination methods to improve health in rural Colorado. This process, called Boot Camp Translation, has brought together various community members, organizations, and primary care practices to build a community of solution to address local health problems.

Results: The HPRN has conducted 4 Boot Camp Translations on topics including colon cancer prevention, asthma diagnosis and management, hypertension, and the patient-centered medical home. Thus far, the HPRN has used Boot Camp Translations to engage more than 1000 rural community members and providers. Dissemination of boot camp messaging through the community of solution has led to increased colon cancer screening, improved care for asthma, and increased rates of controlled blood pressure.

Conclusions: Boot Camp Translation successfully engages community members in a process to translate evidence-based medical care into locally relevant and culturally appropriate language and constructs. Boot Camp Translation is an appropriate method for engaging community members in patient-centered outcomes research and may be an appropriate first step in building a local or regional community of solution.

Keywords: Asthma; Cancer Screening; Colorectal Cancer; Community-Based Participatory Research; Practice-based Research; Rural Health.

Figures

Figure 1
Figure 1
High Plains Research Network

References

    1. Zerhouni EA. Translational and clinical science--time for a new vision. New England Journal of Medicine. 2005 Oct 13;383(15):1621–1623. 2005.
    1. Westfall JM, Mold J, Fagnan L. Practice-based research—"Blue Highways" on the NIH roadmap. JAMA. 2007;297(4):403–406. 2007 Jan 2024.
    1. Woolf SH, Johnson RE. The break-even point: when medical advances are less important than improving the fidelity with which they are delivered.[see comment] Annals of Family Medicine. 2005 Nov-Dec;3(6):545–552. 2005.
    1. McGlynn EA, Asch SM, Adams J, et al. The Quality of Health Care Delivered to Adults in the United States. N Engl J Med. 2003;348(26):2635–2645. 2003/6/26.
    1. Genel M, Dobs A. Translating clinical research into practice: practice-based research networks--a promising solution. [Review] [41 refs] Journal of Investigative Medicine. 1951;51(2):64–71. 2003 Mar.
    1. Sung NS, Crowley WFJ, Genel M, et al. Central challenges facing the national clinical research enterprise.[see comment] JAMA. 2003;289(10):1278–1287. Mar 1212.
    1. Graham RP, James PA, Cowan TM. Are clinical practice guidelines valid for primary care? Journal of Clinical Epidemiology. 2000 Sep;53(9):949–954. 2000.
    1. Betancourt JR, Green AR, Carrillo JE, Ananeh-Firempong O., 2nd Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and health care. Public Health Rep. 2003 Jul-Aug;118(4):293–302.
    1. Minkler M. Community-based research partnerships: challenges and opportunities. J Urban Health. 2005 Jun;82(2) Suppl 2:ii3–ii12.
    1. Israel BA, Parker EA, Rowe Z, et al. Community-based participatory research: lessons learned from the Centers for Children's Environmental Health and Disease Prevention Research. Environ Health Perspect. 2005 Oct;113(10):1463–1471.
    1. Metzler MM, Higgins DL, Beeker CG, et al. Addressing urban health in Detroit, New York City, and Seattle through community-based participatory research partnerships. American Journal of Public Health. 2003;93(5):803–811. 2003.
    1. Israel BA, Lichtenstein R, Lantz P, et al. The Detroit Community-Academic Urban Research Center: Development, implementation, and evaluation. J Public Health Manag Pract. 2001 Sep;7(5):1–19. 2001.
    1. Wallerstein NB, Duran B. Using community-based participatory research to address health disparities. Health Promot Pract. 2006 Jul;7(3):312–323.
    1. Communities of solution: the Folsom Report revisited. Ann Fam Med. May-Jun;10(3):250–260.
    1. Westfall JM, Van Vorst RF, McGloin J, Selker HP. Triage and diagnosis of chest pain in rural hospitals: Implementation of the ACI-TIPI in the High Plains Research Network. Annals of Family Medicine. 2006 Mar-Apr;4(2):153–158. 2006.
    1. Westfall JM, VanVorst RF, Main DS, Herbert C. Community-based participatory research in practice-based research networks. Ann Fam Med. 2006;4(1):8–14. 2006.
    1. Van Vorst RF, Crane LA, Barton PL, Kutner JS, Kallail KJ, Westfall JM. Barriers to quality care for dying patients in rural communities. Journal of Rural Health. 2006;22(3):248–253. 2006.
    1. Westfall JM, Zittleman L, Staton EW, et al. Card studies for observational research in practice. Ann Fam Med. 2011 Jan-Feb;9(1):63–68.
    1. Van Vorst RF, Araya-Guerra R, Felzien M, et al. Rural Community Members' Perceptions of Harm from Medical Mistakes: A High Plains Research Network (HPRN) Study. J Am Board Fam Med. 2007;20(2):135–143. 2007/3/1.
    1. Overholser L, Zittleman L, Kempe A, et al. Use of colon cancer testing in rural Colorado primary care practices. J Gen Intern Med. 2009 Oct;24(10):1095–1100.
    1. Rim SH, Zittleman L, Westfall JM, Overholser L, Froshaug D, Coughlin SS. Knowledge, attitudes, beliefs, and personal practices regarding colorectal cancer screening among health care professionals in rural Colorado: a pilot survey. The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association. 2009 Summer;25(3):303–308.
    1. Coughlin SS, Costanza ME, Fernandez ME, et al. CDC-funded intervention research aimed at promoting colorectal cancer screening in communities. Cancer. 2006 Sep 1;107(5 Suppl):1196–1204. 2006.
    1. Zittleman L, Emsermann C, Dickinson M, et al. Increasing colon cancer testing in rural Colorado: evaluation of the exposure to a community-based awareness campaign. BMC Public Health. 2009;9:288.
    1. Bender BG, Dickinson P, Rankin A, Wamboldt FS, Zittleman L, Westfall JM. The Colorado Asthma Toolkit Program: a practice coaching intervention from the High Plains Research Network. J Am Board Fam Med. May-Jun;24(3):240–248.
    1. Young WF, McGloin J, Zittleman L, West DR, Westfall JM. Predictors of colorectal screening in rural Colorado: testing to prevent colon cancer in the high plains research network. The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association. 2007 Summer;23(3):238–245.

Source: PubMed

3
S'abonner