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Overview of VCOM’s Community Health Initiatives and Research W. Eryn Perry MA Administrative Director for Research Research Department

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Page 1: Overview of VCOM’s Community Health Initiatives and Research W. Eryn Perry MA Administrative Director for Research Research Department

Overview of VCOM’s Community Health Initiatives and Research

W. Eryn Perry MA

Administrative Director for Research

Research Department

Page 2: 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

Page 3: Overview of VCOM’s Community Health Initiatives and Research W. Eryn Perry MA Administrative Director for Research Research Department

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

Page 4: Overview of VCOM’s Community Health Initiatives and Research W. Eryn Perry MA Administrative Director for Research Research Department

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).

Page 5: Overview of VCOM’s Community Health Initiatives and Research W. Eryn Perry MA Administrative Director for Research Research Department

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.

Page 6: Overview of VCOM’s Community Health Initiatives and Research W. Eryn Perry MA Administrative Director for Research Research Department

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)

Page 7: Overview of VCOM’s Community Health Initiatives and Research W. Eryn Perry MA Administrative Director for Research Research Department

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

Page 8: Overview of VCOM’s Community Health Initiatives and Research W. Eryn Perry MA Administrative Director for Research Research Department

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.

Page 9: Overview of VCOM’s Community Health Initiatives and Research W. Eryn Perry MA Administrative Director for Research Research Department

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

Page 10: Overview of VCOM’s Community Health Initiatives and Research W. Eryn Perry MA Administrative Director for Research Research Department

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

Page 11: Overview of VCOM’s Community Health Initiatives and Research W. Eryn Perry MA Administrative Director for Research Research Department

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.

Page 12: Overview of VCOM’s Community Health Initiatives and Research W. Eryn Perry MA Administrative Director for Research Research Department

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.

Page 13: Overview of VCOM’s Community Health Initiatives and Research W. Eryn Perry MA Administrative Director for Research Research Department

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

Page 14: Overview of VCOM’s Community Health Initiatives and Research W. Eryn Perry MA Administrative Director for Research Research Department

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

Page 15: Overview of VCOM’s Community Health Initiatives and Research W. Eryn Perry MA Administrative Director for Research Research Department

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

Page 16: Overview of VCOM’s Community Health Initiatives and Research W. Eryn Perry MA Administrative Director for Research Research Department

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

Page 17: Overview of VCOM’s Community Health Initiatives and Research W. Eryn Perry MA Administrative Director for Research Research Department

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.

Page 18: Overview of VCOM’s Community Health Initiatives and Research W. Eryn Perry MA Administrative Director for Research Research Department

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

Page 19: Overview of VCOM’s Community Health Initiatives and Research W. Eryn Perry MA Administrative Director for Research Research Department

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!

Page 20: Overview of VCOM’s Community Health Initiatives and Research W. Eryn Perry MA Administrative Director for Research Research Department

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

Page 21: Overview of VCOM’s Community Health Initiatives and Research W. Eryn Perry MA Administrative Director for Research Research Department

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.

Page 22: Overview of VCOM’s Community Health Initiatives and Research W. Eryn Perry MA Administrative Director for Research Research Department

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.

Page 23: Overview of VCOM’s Community Health Initiatives and Research W. Eryn Perry MA Administrative Director for Research Research Department

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.

Page 24: Overview of VCOM’s Community Health Initiatives and Research W. Eryn Perry MA Administrative Director for Research Research Department

Contact us!P. Gunnar Brolinson, DOVice Provost for [email protected]

W. Eryn Perry, MAAdministrative Director for [email protected] 540-231-1465

Greg ReavesORA [email protected] 540-231-8239

Stephanie HurtIRB [email protected] 540-231-5280

Coming Soon – I promise!Research Statistician

Page 25: Overview of VCOM’s Community Health Initiatives and Research W. Eryn Perry MA Administrative Director for Research Research Department

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?