Primary Care Practice-Based Research Networks: Working at the Interface Between Research and Quality Improvement

Mold, James W.

doi:10.1370/afm.303

Cited by 221 publications

(213 citation statements)

References 56 publications

Supporting

Mentioning

204

Contrasting

Unclassified

Order By: Relevance

“…[19][20][21][22] Research networks that design feasible, clinically relevant studies may be more likely to succeed in recruiting physicians. 20,23 Appealing studies should combine minimal burden with real-time improvements to patient care.…”

Section: Discussionmentioning

confidence: 99%

“…20,23 Appealing studies should combine minimal burden with real-time improvements to patient care. 21,22 One way to accomplish this is to merge traditional research methods with QI initiatives. 19,21,22 The addition of QI activities meeting standards for MOC Part 4 Credit increases the valueofa researchprojectin 2 ways: (1) it trains practitioners in a clinically valuable skill (QI), and (2) it providespediatricianswithanopportunity to earn credit hours toward board certification.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Maintenance of Certification Part 4 Credit and Recruitment for Practice-Based Research

Gorzkowski¹,

Klein²,

Harris

et al. 2014

Pediatrics

View full text Add to dashboard Cite

BACKGROUND: Competing priorities in pediatric practice have created challenges for practice-based research. To increase recruitment success, researchers must design studies that provide added value to participants. This study evaluates recruitment of pediatricians into a study, before and after the development and addition of a quality improvement (QI) curriculum approved for American Board of Pediatrics Maintenance of Certification (MOC) Part 4 Credit as an enrollment incentive. METHODS: Researchers implemented multiple outreach methods to enroll pediatric practices over 28 months. Field note review revealed that many physicians declined enrollment, stating that they prioritized MOC Part 4 projects over research studies. A QI curriculum meeting standards for MOC Part 4 Credit was developed and added to the study protocol as an enrollment incentive. Enrollment rates and characteristics of practitioners enrolled pre- and post-MOC were compared. RESULTS: Pre-MOC enrollment contributed 48% of practices in 22 months; post-MOC enrollment contributed 49% of practices in 6 months. An average of 3.5 practices enrolled per month pre-MOC, compared with 13.1 per month post-MOC (P < .001). Clinicians in pre- and post-MOC groups were similar in age, gender, race, and time spent on patient care; practices enrolled post-MOC were more likely to be located in federally designated Medically Underserved Areas than those enrolled pre-MOC (28.6% vs 12%, P = .03). CONCLUSIONS: Addition of MOC Part 4 Credit increased recruitment success and increased enrollment of pediatricians working in underserved areas. Including QI initiatives meeting MOC Part 4 criteria in practice-based research protocols may enhance participation and aid in recruiting diverse practice and patient populations.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Maintenance of Certification Part 4 Credit and Recruitment for Practice-Based Research

Gorzkowski¹,

Klein²,

Harris

et al. 2014

Pediatrics

View full text Add to dashboard Cite

show abstract

“…We then assembled a clinician expert advisory group by recruiting clinicians who were part of the Dartmouth Primary Care Cooperative Research Network (CO-OP), one of the oldest primary care research networks in the United States. 43 Fifteen community-based clinicians representing primary care and cardiology agreed to participate in either an in-person or a web-based small group interview moderated by the study project coordinator (LJ). The semistructured interview guide explored clinicians' personal definition of ''palliative care;'' characteristics of HF patients appropriate for PC; clinicians' approach to advanced stage (versus early stage) HF patients; PC referral triggers; and feedback regarding the proposed intervention design, materials, and outcome measures.…”

Section: Methodsmentioning

confidence: 99%

Translating and Testing the ENABLE: CHF-PC Concurrent Palliative Care Model for Older Adults with Heart Failure and Their Family Caregivers

Dionne‐Odom

KonoAlan

FrostJennifer

et al. 2014

Journal of Palliative Medicine

View full text Add to dashboard Cite

Background: Heart failure (HF) and palliative care (PC) organizations recommend early PC to improve the quality of life of patients living with HF. Objective: We conducted a two-phase formative evaluation study to translate a cancer-focused concurrent PC intervention into one that would be appropriate for rural-dwelling adults with New York Heart Association Class III-IV HF and their primary caregivers. Methods: Phase I: We tailored the intervention for an HF population via literature review, expert consultation, and clinician (N = 15) small group interviews. Phase II: We enrolled 11 patient/caregiver dyads to assess intervention feasibility and satisfaction. We assessed participants' experiences and satisfaction after session/ week three and session/week six via digitally recorded interviews. Clinician and participant interviews were transcribed and content analyzed. Outcome measures were evaluated for completion rates and effect sizes. Results: Phase I: Clinicians described barriers to initiating PC in HF, triggers for initiating PC, and suggestions for intervention improvement. Phase II: Participants were able to complete the majority of study sessions, measures, and interviews. Satisfaction interviews revealed the content to be relevant and comprehensive in addressing HF patient and caregiver primary concerns; however, participants unanimously suggested making the intervention available earlier in the illness trajectory. Efficacy measures demonstrated small to medium effect sizes. Conclusions:We tailored and demonstrated feasibility of providing an early, concurrent palliative care intervention to patients with advanced HF and their caregivers. Based on this experience we are now conducting an efficacy trial in a racially diverse sample.

show abstract

“…The themes that arose from the literature indicated that PBRNs serve a variety of objectives and can be developed using frameworks such as knowledge translation ((Armstrong and Kendall 2010;Tapp and Dulin 2010), quality assurance (Mold and Peterson 2005;Brouwer et al 2006), research capacity building (Del Mar and Askew 2004;Green et al 2005) and CoPs (Wenger et al 2002;Agrawal and Joshi 2011). The literature suggested that the evolution of CoPs can be intentionally fostered if appropriate seeding conditions are present (Agrawal and Joshi 2011).…”

Section: Establishing the Illawarra And Southern Practice Research Nementioning

confidence: 99%

“…Comparably, practicebased research networks (PBRNs) are collaborative learning communities that identify, disseminate and integrate new knowledge to improve primary care processes and patient outcomes (Mold and Peterson 2005). When PBRNs are constructed to facilitate non-hierarchical relationships based on trust and co-operation (Griffiths et al 2000), they reflect the components of a community of practice.…”

Section: Introductionmentioning

confidence: 99%

Development of an Australian practice-based research network as a community of practice

Dijkmans-Hadley¹,

Bonney²,

Barnett³

2015

Aust. J. Prim. Health

View full text Add to dashboard Cite

There are many aspects of the communities of practice (CoP) framework that are applicable to the development of a practice-based research network (PBRN), where the focus is upon building primary healthcare workers' research capacity and research questions. However, there is limited literature focussed on the application of CoP principles applied to research capacity building in Australia. The purpose of this paper is to demonstrate, through a case study, how a developing PBRN, the Illawarra and Southern Practice Research Network, successfully applied the theoretical foundation of CoP to develop a PBRN in a time-and resourcelimited context. What is known about the topic?• The communities of practice theoretical framework is well established; however, there is limited description of its application to practice-based research networks or research regarding relevant outcomes. What does this paper add?• This paper demonstrates relevant outcomes from the successful application of a community of practice theoretical framework to the development of a practice-based research network in a time-and resourcelimited context.

show abstract

Primary Care Practice-Based Research Networks: Working at the Interface Between Research and Quality Improvement

Abstract: PBRNs appear to be evolving from clinical laboratories into learning communities, proving grounds for generalizable solutions to clinical problems, and engines for improvement of primary care delivery systems.

Cited by 221 publications

References 56 publications

Maintenance of Certification Part 4 Credit and Recruitment for Practice-Based Research

Maintenance of Certification Part 4 Credit and Recruitment for Practice-Based Research

Translating and Testing the ENABLE: CHF-PC Concurrent Palliative Care Model for Older Adults with Heart Failure and Their Family Caregivers

Development of an Australian practice-based research network as a community of practice

Contact Info

Product

Resources

About