Preventing the Voltage Drop: Keeping Practice-based Research Network (PBRN) Practices Engaged in Studies

Yawn, Barbara P.; Dietrich, Allen J.; Graham, Deborah; Bertram, Susan; Kurland, Marge; Madison, Suzanne; Littlefield, Dawn; Manning, Brian; Smail, Craig; Pace, Wilson D.

doi:10.3122/jabfm.2014.01.130026

Cited by 16 publications

(15 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…2 A number of PBRNs have conducted PCTs in community-based primary care practices to evaluate treatment effectiveness and behavioral interventions for chronic conditions. 3–5 However, many investigators have not had experience working with PBRNs.…”

mentioning

confidence: 99%

Guidance for Researchers Developing and Conducting Clinical Trials in Practice-based Research Networks (PBRNs)

Dolor

Schmit

Graham³

et al. 2014

The Journal of the American Board of Family Medicine

View full text Add to dashboard Cite

Background There is increased interest nationally in multicenter clinical trials to answer questions about clinical effectiveness, comparative effectiveness, and safety in real-world community settings. Primary care practice-based research networks (PBRNs), comprising community- and/or academically affiliated practices committed to improving medical care for a range of health problems, offer ideal settings for these trials, especially pragmatic clinical trials. However, many researchers are not familiar with working with PBRNs. Methods Experts in practice-based research identified solutions to challenges that researchers and PBRN personnel experience when collaborating on clinical trials in PBRNs. These were organized as frequently asked questions in a draft document presented at a 2013 Agency for Health care Research and Quality PBRN conference workshop, revised based on participant feedback, then shared with additional experts from the DARTNet Institute, Clinical Translational Science Award PBRN, and North American Primary Care Research Group PBRN workgroups for further input and modification. Results The “Toolkit for Developing and Conducting Multi-site Clinical Trials in Practice-Based Research Networks” offers guidance in the areas of recruiting and engaging practices, budgeting, project management, and communication, as well as templates and examples of tools important in developing and conducting clinical trials. Conclusion Ensuring the successful development and conduct of clinical trials in PBRNs requires a highly collaborative approach between academic research and PBRN teams.

show abstract

mentioning

confidence: 99%

Guidance for Researchers Developing and Conducting Clinical Trials in Practice-based Research Networks (PBRNs)

Dolor

Schmit

Graham³

et al. 2014

The Journal of the American Board of Family Medicine

View full text Add to dashboard Cite

show abstract

“…Often, the lack of uptake of evidence‐based practices is due to misalignment of stakeholder agendas in the real‐world setting and failure to elicit feedback on the barriers of successful real‐world execution . This lack of adoption of evidence‐based strategies into real‐world practice is also called “voltage drop” whereby interventions yield decreased benefit and a decline in participation as they move from a research setting into real‐world practice . In this study, we examined the perspectives of three stakeholder groups—pediatric providers, families, and school staff—essential to the application and sustainability of our school‐supervised asthma therapy program to prevent “voltage drops” of this intervention in the future.…”

Section: Discussionmentioning

confidence: 99%

Alignment of stakeholder agendas to facilitate the adoption of school‐supervised asthma therapy

Trivedi

Patel

Hoque

et al. 2019

Pediatric Pulmonology

View full text Add to dashboard Cite

Background School‐supervised inhaled corticosteroid (ICS) therapy improves pediatric asthma medication adherence, outcomes, and morbidity. However, school‐supervised ICS therapy has not been widely adopted into practice. We developed Asthma Link™ as a sustainable, low‐cost model of school‐supervised asthma therapy, designed for real‐world adoption. Initial outcomes of Asthma Link™ demonstrated a significant improvement in health outcomes. Objective In this study, we examined the perspectives of Asthma Link™ participants to identify systems‐level barriers and facilitators to refine the Asthma Link™ protocol and facilitate real‐world uptake of school‐supervised asthma therapy. Methods Using qualitative research methods, we interviewed 29 participants in Asthma Link™ from 2016 to 2018. Semi‐structured interviews were conducted over the phone. Interviews were transcribed and the transcripts were coded to identify major themes within and across stakeholder groups. Results Stakeholders agreed on many facilitators for successful Asthma Link™ execution including the brief and easy to follow procedures and the perceived beneficial health impacts for children involved. Some of the barriers identified were deviations from the protocol and insurance companies denying coverage for two inhalers. However, the participants did propose solutions to address these barriers. Conclusion Asthma Link™ is a low‐cost, sustainable model of school‐supervised asthma therapy that leverages the established infrastructure and collaboration of medical providers, school staff, and families. In this study, we elicited the perspectives from these stakeholder groups and identified an agreement in several facilitators, barriers, and proposed solutions that will ultimately inform refinement of the program protocol and support real‐world adoption of Asthma Link™ and other similar models.

show abstract

“…13 Establishing a PBRN includes the specific task of persuading what may be a busy, task-oriented, and "research-distant" practitioner population of the need to participate both initially and on an ongoing basis. 14 Unfortunately, although a small number of authors have begun to discuss the experience and challenges of establishing PBRNs, 8,15 the vast majority of literature around this topic is focused on either maintaining the PBRN membership 16 or successfully launching and implementing studies once a network has been established. 2,12 The promotion and recruitment strategies employed in the ACORN PBRN are by their very nature, and in line with good design, tailored to the circumstances of the profession and its practitioner base.…”

Section: Introductionmentioning

confidence: 99%

Establishing the ACORN National Practitioner Database: Strategies to Recruit Practitioners to a National Practice-Based Research Network

Adams¹,

Steel

Moore³

et al. 2016

Journal of Manipulative and Physiological Therapeutics

View full text Add to dashboard Cite

It does appear that a number of key promotional and recruitment features of the ACORN project may have helped establish the high response rate for the PBRN, which constitutes an important sustainable resource for future national and international efforts to grow the chiropractic evidence base and research capacity. Further rigorous enquiry is needed to help evaluate the direct contribution of specific promotional and recruitment strategies in attaining high response rates from practitioner populations who may be invited to participate in future PBRNs.

show abstract

Preventing the Voltage Drop: Keeping Practice-based Research Network (PBRN) Practices Engaged in Studies

Cited by 16 publications

References 32 publications

Guidance for Researchers Developing and Conducting Clinical Trials in Practice-based Research Networks (PBRNs)

Guidance for Researchers Developing and Conducting Clinical Trials in Practice-based Research Networks (PBRNs)

Alignment of stakeholder agendas to facilitate the adoption of school‐supervised asthma therapy

Establishing the ACORN National Practitioner Database: Strategies to Recruit Practitioners to a National Practice-Based Research Network

Contact Info

Product

Resources

About