Purpose
Clinical and Translational Science Awards (CTSAs) and Practice-based Research Networks (PBRNs) have complementary missions. We replicated a 2008 survey of CTSA-PBRN leaders to understand how organizational relationships have evolved.
Methods
We surveyed 60 CTSA community engagement (CE) Directors and 135 PBRN Directors and analyzed data using between and within-group comparisons.
Results
Forty-three percent of CTSA CE Directors (26/60) and forty-two percent of PBRN Directors (57/135) responded. Quantitative responses revealed growing alignment between CTSA/PBRN perceptions, with a few areas of discordance. CE Directors noted declining financial support for PBRNs. PBRN Directors identified greater CTSA effectiveness in PBRN engagement, consultation, and collaborative grant submissions. Qualitative data revealed divergent experiences across CTSA/PBRN programs.
Conclusions
Relationships between CTSAs and PBRNs are maturing; for some that means strengthening and for others a growing vulnerability. Findings suggest a mutual opportunity for PBRNs and CTSAs around applied research. Studies to characterize exemplar CTSA-PBRN collaborations are needed.
A cross-national sample of 622 internationally adopted children from India with White parents in The Netherlands (n = 409), Norway (n = 146), and the United States (n = 67) was used to contrast country-specific bicultural socialization (BCS) practices among families of transracial intercountry adoption. The 3 countries vary in their degrees of minority (US > Netherlands > Norway) and Indian populations (US > Norway > Netherlands). The current study examined parental survey trends among BCS practices, children's negative encounters about adoption, racial and positive discrimination, and parental worry about these issues. Country-specific differences were revealed: The United States and Norway (greatest Indian populations) reported the greatest similarity in BCS practices, classmates being a source of negative reactions/racial discrimination, and parental worry. The American sample encountered greater negative reactions to adoption from others; Dutch children experienced the least negative reactions from others overall, yet as in the United States (samples with the greatest minority heterogeneity) they still noted significant experiences of racial discrimination. Country-specific sociopolitical perceptions about adoption, ethnicity/race, and immigration are considered as factors that may have been used to inform parenting practices that facilitate children's biculturalism into family life (i.e., adoptive family stigma, percentages of Indian/minority populations, immigration policy trends). Concluding, cross-national research such as the current study may help intercountry adoption policymakers and practitioners to better understand and inform BCS practices in adoptive families.
Objectives: All 50 states have implemented a Prescription Drug Monitoring Program (PDMP) in efforts to control prescription drug abuse. Many now mandate PDMP checks before clinicians prescribe controlled substances. The aim of this study was to characterize the associations between patient characteristics, red flags found on PDMP reports, and prescriber behavior at community mental health agencies. Methods: Prescribers at 9 practice sites, in five regional community mental health centers, were recruited by a practice-based research network (PBRN) to participate in a Card Study. Prescribers completed a PDMP attitudes survey, and cards were completed for patients who had PDMP reports checked. Data were analyzed using descriptive and inferential statistics. Results: Thirty nine providers completed cards for n=249 unique patient encounters. Over 1/3 of all patients reported an addiction disorder (38%) or a diagnosis of chronic pain (34%). Twenty percent of PDMP reports were found to have red flags, most commonly multiple prescribers or multiple pharmacies. Red flags were associated with race (p<.0.05), presence of chronic pain (p<0.01), presence of an addiction diagnosis (p<0.05), use of opioids (p<0.001), and nonadherence with treatment (p<0.006). Among prescribers, red flags were associated with lower prescribing rates (p<0.01), and decisions to decrease dosage (p<0.002).
This study explores how parents’ intentions regarding vaccination prior to their children’s visit were associated with actual vaccine acceptance. A convenience sample of parents accompanying 6-week-old to 17-year-old children completed a written survey at 2 pediatric practices. Using hierarchical logistic regression, for hospital-based participants (n = 216), vaccine refusal history (P < .01) and vaccine decision made before the visit (P < .05) explained 87% of vaccine refusals. In community-based participants (n = 100), vaccine refusal history (P < .01) explained 81% of refusals. Over 1 in 5 parents changed their minds about vaccination during the visit. Thirty parents who were previous vaccine refusers accepted current vaccines, and 37 who had intended not to vaccinate choose vaccination. Twenty-nine parents without a refusal history declined vaccines, and 32 who did not intend to refuse before the visit declined vaccination. Future research should identify key factors to nudge parent decision making in favor of vaccination.
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