overview of vcom’s community health initiatives and research w. eryn perry ma administrative...
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Overview of VCOM’s Community Health Initiatives and Research
W. Eryn Perry MA
Administrative Director for Research
Research Department
“The success or failure of any government in the final analysis
must be measured by the well-being of its citizens. Nothing
can be more important to a state than its public health.”
- Franklin D. Roosevelt
What is Community Health Research?
• Collaborative approach to research that equitably involves all partners in the research process and recognizes the unique strengths that each brings.
• Begins with a research topic of importance to the community and has the aim of combining knowledge with action and achieving social change to improve health outcomes and eliminate health disparities.
WK Kellogg Foundation Community Health Scholars Program
What is Community Health Research?
The NIH further defines community health research as that which: • Addresses diseases and conditions disproportionately
affecting the community's health (NIMHD).• Promotes collaborations between health care scientists
and community leaders to foster sustainable efforts to facilitate the translation of research advances into improved health for all (NINR).
What is Community Health Research?
• Intervention for common diseases and symptoms, delivered at the community level by an interdisciplinary team.
• Increasing the delivery of healthcare to underserved areas.• Engaging in comparative effectiveness research in the
treatment of common diseases and symptoms.• Studying the impact of decisions made by patients about
health care and health practices for themselves, their families and their communities.
What is Community Health Research?
Primary Care:• “The provision of integrated, accessible health
care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustainable partnership with patients, and practicing in the context of family and community.”
National Academy of Medicine (formally Institute of Medicine)
How is it Different?
Israel BA, Schultz AJ, Parker EA, Becker AB. Review of community-based research: assessing partnership approaches to improve public health. Annu Rev Public Health. 1998;19:173-202 [PMID: 9611617].
Recognizes community as a unit of identityBuilds on strengths and resources within the community
Facilitates collaborative partnerships in all phases of the researchIntegrates knowledge and action for mutual benefit of all partnersPromotes a co-learning and empowering process that attends to social inequalities Involves a cyclical and iterative process
Addresses health from both positive and ecological perspectives
Disseminates findings and knowledge gained to all partners
VCOM’s Community Health Initiatives
VCOM’s initiatives are closely matched with our mission:• To prepare globally-minded, community-focused
physicians to meet the needs of rural and medically underserved populations and promote research to improve human health.
• And that of the Research Department: to conduct multidisciplinary biomedical, clinical and community-based research.
VCOM’s Community Health Initiatives
• Global Health Research– Collaborative foundation of local medical schools, hospitals
and clinics, government officials and community/village leaders
– Public heath, community health and social determinants of poor health
– Community health research focus: infectious diseases, women’s and children’s health, sanitation, access to healthcare
VCOM’s Community Health Initiatives
• Appalachian/Underserved Populations Health Research– VCOM network of hospitals, area free clinics,
ambulatory clinics and local community groups– Health disparities and local health issues – Many times traditional research efforts not
successful
VCOM’s Community Health Initiatives
• OMM Techniques and Approach to Patient Care– A principle within the AOA’s Strategic Plan is to enable a
culture of osteopathic research within the osteopathic family.– The AOA mission statement - to advance the distinctive
philosophy and practice of osteopathic medicine - focuses the profession on a common goal: to emphasize research that investigates and demonstrates its distinctive philosophy and practice.
VCOM’s Community Health Initiatives
Our goals for community health research:• Increase the evidence base for the practice of medicine.• Improve health care delivery and infrastructure in
underserved communities.• Reduce prevalence of chronic diseases.• Increase partnerships with community groups in the areas
we serve.
Who Funds Community Health Research?
• National Institutes of Health: Health disparities research, health education programs
• Health Resources Services Administration & Agency for Healthcare Research and Quality: Healthcare delivery methods and access to care
• Patient Centered Outcomes Research Institute: Comparative effectiveness research, methods and infrastructure
• American Osteopathic Association and American Osteopathic Foundation: Osteopathic-centered research
Examples of VCOM’s Community Health Research
“Prevalence rates of chronic diseases in coal dependent communities in southwest VA”• Research on the health status of people in coal mining communities • Community well-being and how coal mining influences it• Objective is to compare the rates of the chronic health conditions with
comparison regions in Virginia• Data on heart disease, diabetes and cancer were compared to
comparison regions in the state• Community partners include hospitals in region and local health
departmentsSusan Meacham, PhD
Examples of VCOM’s Community Health Research
“The Other 45”• Goal to increase access to care and lessen the burden on medical
services by reducing the readmission rate• Average medical visit does not always leave time to ensure the patient
understands condition and management• Allows patient additional time to discuss diagnosis and treatment• Focus is on addressing management for the most common chronic
diseases prevalent in Spartanburg• Involves the healthcare community: clinician, pharmacist, nutrition
counselor and other members of healthcare teamMatt Cannon, DO and Alexis Stoner, MPH
Examples of VCOM’s Community Health Research
“Does participation in the PLAY Program (Promoting Lifelong Activity in Youth) influence BMI, self-esteem and health related quality of life (HRQOL) of children?”• Meeting Street Academy, VCOM, local task force on obesity and
Spartanburg PHD• Provide children with knowledge to understand health benefits of
exercise and cultivate a positive self-image that will empower them to commit to lifelong wellness
• Goals to improve mental, physical and emotional health• At-home goal tracking involves parents
Hanna Sahhar, MD
Resources at VCOMResearch Department/Office of Research Administration• Identifying funding opportunities • Proposal preparation • Budget development • Application submission and processing• Developing community partnerships and collaborations
with other institutions/outside groups.
Resources at VCOM
Find funding sources/Review Guidelines
Develop Partnerships
Develop Proposal and Budget
Review and edit
Match your idea with sponsor priorities
Have an Idea? Research Department can help!
Help find partners; Liaise with community groups and others
Help with sponsor guidelines; Build budget
Help with formatting, editing and proofing; Internal approvals
Resources at VCOMBiomedical Researchers and Labs• Abundant equipment and techniques to aid in primary care
research• Relatively quick assays can be done on blood or urine• Allows for the incorporation of hard data into work to support
your hypothesis • Remember: these are not certified clinical labs, so results
cannot be used to diagnose – for research purposes only!
Resources at VCOM
– Measurement of parameters of oxidative stress, such as total antioxidant potential
– Levels of antioxidant enzymes– Damaging compounds
caused by oxidative stress
• Assays for oxidative stress
Resources at VCOM• Disease markers in plasma or urine
– Erythropoietin– Adiponectin– Growth factors, – Vascular angiogenic factors
• Inflammatory markers in plasma or urine– Interleukins– Cytokines– Interferons– Prostaglandins
• These biomarkers are all measureable and quantifiable biological parameters that serve as indicators of disease-related processes.
Resources at VCOMBiostatistics Assistance• Help is available for questions on:
– Research study design– Hypothesis definition– Refining study variables– Sample size calculation and power analysis – Statistical analysis and interpretation of results– Data collection methods and forms
• Support and assistance is also available for data collection and survey tools such as Qualtrics and REDCap.
• In the process of hiring a full-time biostatistician who will collaborate with and assist faculty in developing research protocols and statistical approaches.
Resources at VCOM
Institutional Review Board• All projects involving human subjects or
data will need to be reviewed by IRB.• Assistance is available in understanding
the requirements, completing the forms and navigating the application process.
Contact us!P. Gunnar Brolinson, DOVice Provost for Researchpbrolins@vcom.edu
W. Eryn Perry, MAAdministrative Director for Researcheperry@vcom.edu 540-231-1465
Greg ReavesORA Directorgreaves@vcom.edu 540-231-8239
Stephanie HurtIRB Coordinatorshurt@vcom.edu 540-231-5280
Coming Soon – I promise!Research Statistician
Thank you!• Thanks to Dr. Hanna Sahhar, Dr. Susan Meacham and
Dr. Matt Cannon and Alexis Stoner for allowing me to highlight their community health projects.
• Thanks to Dr. Beverly Rzigalinski for the excellent information on biomedical lab resources.
• And thank you for listening!
Questions?
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