icrc-s community of practice: planning a collaborative...
TRANSCRIPT
ICRC-S Community of Practice: Planning a Collaborative Research Project
Meeting 1: Friday, September 18th, 2015, 2:00-3:00 p.m. ET
Moderator: Yeates Conwell, MDPresenters: Yeates Conwell, MD; Bekah Hunt, MPA; Ann Marie White, Ed.D.; Catherine Cerulli, JD, PhD
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Agenda
• Introduction to and overview of:– The ICRC-S
– The Research Training Institute (RTI)
– The Community of Practice
• Overview of 3 Collaborative Research Projects– Addressing Mental Health Promotion in Neighborhoods
– The Senior Connection
– Exploring Suicide and Domestic Violence Risk Factors Across Disciplines
• Description of the Next webinar
• Question & Answer
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Planning a Collaborative Research Project
About the ICRC-S & RTI
Presenter: Yeates Conwell, MD
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Injury Control Research Center on Suicide Prevention (ICRC-S)
• CDC-funded (R49 CE002093) “Center without walls”
• Eric Caine (PI); 08/01/12-07/30/17
• Partnership of CDC, UR, EDC and other
• Mission: The ICRC-S works with states, territories, and national organizations to promote a public health approach to suicide prevention.
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ICRC-S: Approach
• To draw suicide prevention directly into the domain of public health and injury prevention.
• We emphasize the connections between injury prevention practitioners, community stakeholders, and researchers to advance an inclusive approach to suicide prevention through:
– Fostering and conducting research
– Webinars
– Communities of practice
– Annual Research Training Institute (RTI)
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• Engage researchers in the public health oriented study of suicide prevention
• Provide violence and injury prevention professionals (VIPPs) with knowledge of suicide, suicide prevention science, and relevant research methods.
• Foster collaboration between VIPPs and researchers
….. so that the perspectives, knowledge, and skills of each inform the work of the other.
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RTI -- Objectives
• Intensive 5-day workshop held in Rochester
• Skill building presentations
• Mentored project development
– Large and small group exercises
– Presentation of study proposal– Team- and group-based discussions with mentors
– Feedback– Team- and group-based discussions with mentors
– Revision
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RTI -- Design
Planning a Collaborative Research Project
About the Community of Practice
Presenter: Bekah Hunt, MPA
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Goals of the CoP
Promote research collaboration
between researchers and
practitioners
Create a shared body of
knowledge and skills
Generate project ideas
Support team formation
Spur momentum
Assist in the development
of competitive applications to the 2016 ICRC-
S RTI
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Monthly Webinars
3rd Friday of every month
September 18th
October 16th
November 20th
December 18th
January 15th
February 19th
2pm ET; 1pm CT; 12pm MT; 11am
PT
Content Exploration
Collaboration Principles
Research Principles
3 Real World Case Studies
Group TARTI
applicationQ&A Discussion
Structure the CoP
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Benefits of Participating
Generate and refine project ideas
Learn from others and share experience
Make connections with potential teammates, and interested researcher/practitioners in your area and beyond
Receive technical assistance
Learn about specific steps in the research design process
Get in-depth information about successful collaborative research projects
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CoP website: http://suicideprevention-icrc-s.org/cop/planning
• Archived Webinars
• Registration for Upcoming Meetings
• Research & Tools
Planning a Collaborative Research Project
Examples of Collaboration
Presenters: Ann Marie White, Ed.D.; YeatesConwell, MD; Catherine Cerulli, JD, PhD
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Example 1
Addressing Mental Health Promotion in Neighborhoods: The Natural Helpers
Learning Collaborative (NHLC)
Presenter: Ann Marie White, Ed.D.
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Case 1: Addressing Mental Health Promotion in Neighborhoods: The Natural Helpers Learning
Collaborative (NHLC)
• Investigators Ann Marie White, Ed.D. & Melanie Funchess (co-PIs)
• Funding sources –NIMH Suicide Prevention Research Center (P20 MH071897, PI=Caine)
–Pilot grant (PI=White; $20K over 1 year)
–Additional in-kind resources applied (Department of Psychiatry’s Office of Mental Health Promotion)
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Case 1: Natural Helpers (NH) Learning Collaborative
• This community-based participatory research project was conducted with diverse residents of a small city.
• Together, we researched, developed and disseminated residents’ approaches to infusing mental health wellness and reducing violence as one actively cares for the blocks where they live.
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Are There Connections Among Formal and
Informal Adult Helping Networks?:
Identify, Foster & Map Information Flow
Natural
Helper
Relevant & Formal
Prevention or Promotion
Program/Organization/
Provider
Individuals/
Family
Members
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Pilot Project Aims (Phases 1-2):
Feasible & Acceptable to…?
A) Identify neighborhood natural helpers, how they help enhance/build coping skills, and how they change norms emerging from exposure to community violence to enhance neighborhood cohesion and prosocial behavior.
B) Convene natural helpers in a learning collaborative to strengthen their activities and assess impact - in ways defined as meaningful to all of them.
C) Develop common research methods, congruent with neighborhood cultures, for accomplishing the above.
D) Coalesce the diverse “people power” into collaborative action research teams in ways aligned with neighborhood cultures.
Overview of Approach
and What it Led to
12 Month Goals to Expand a new CBPR Partnership
•ID Neighborhood Agencies (June)
•Develop common tool together
•Interview nominees from tool application in neighborhood
•Implement and evaluate the collaborative
•Grow CBPR team for resulting action plan (June 2010 thru present…)
Example 2
The Senior Connection
Presenter: Yeates Conwell, MD
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Case 2: The Senior Connection
Investigators:
URMC: Y. Conwell, K. Van Orden, Xin Tu
CDC: D. Stone, W. McIntosh
Lifespan: Jody Rowe, and colleagues
Funding source:
CDC -- U01 CE001942-01
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TSC: Problem Statement
• Suicide in later life is an issue of public health concern worldwide.
• Social disconnectedness is an established correlate of older adult suicide and target for selective preventive interventions.
• Aging service agencies are the experts in social connections for older adults.
• How can we leverage their experience and resources to reduce the burden of suicide in later life?
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The Senior Connection (TSC)
Principal objective: To examine whether linking socially
disconnected seniors with peer supports is effective in
reducing risk for suicide.
Contemporary Clinical Trials 35: 117-126, 2013
Aim 1: To compare the impact of TSC and CAU on social connectedness of older adult primary care patients.
Aim 2: To compare the effectiveness of TSC and CAU in reducing factors associated with proximal risk for suicidal ideation and behavior in older primary care patients.
Aim 3: To determine if changes in older adults’ perceptions of thwarted belongingness and perceived burdensomeness mediate the relationship between social connectedness and suicide risk.
Aim 4: To examine whether responsiveness to the intervention differs by gender. We expect no differences for men and women.
TSC Aims
TSC Intervention
Subjects randomized to TSC are assigned to a
Senior Companion on characteristics, preferences,
and shared interests.
The Senior Companion and subject establish a
consistent schedule of contacts on which the subject
can depend - in person and/or by telephone at least
once per week.
Peer companions are trained per routine RSVP
protocol.
TSC Design
• N = >360 randomized; new subject recruitment ends in Oct. 2015; f/U ends in April 2015
• Challenges/Lessons Learned
– Partners and the partnership process
– Developing the research question
– Obtaining funding
– Subject recruitment and retention
• Next steps
TSC Status
Example 3
Changing Paradigms – Exploring Suicide and Domestic Violence Risk Factors
Across Disciplines
Presenter: Catherine Cerulli, JD, PhD
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Investigators:
URMC: C. Cerulli, J. & Rhodes, K.
Team: J. Thompson-Stone, C. Nichols-Hadeed
Evelyn Brandon: S. Rousseu
Funding Source:
CDC -- U01 CE001942-01
Case 3: Creating and Testing a Suicide Prevention
Curriculum for A Community Mental Health Center
Why Consider IPV and Suicide?
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• Findings are consistent – there is an undeniable association between IPV and suicide.
• This finding is robust, and consistently found even in international studies.
• Preliminary Steps For This Study:
– Building a curriculum with the National Domestic Violence Hotline Staff (Cerulli, Cross, Campbell, Gould, Crean, Mazzei, Jones & Stone)
– Tested it with 3 shifts in Texas and 3 local community groups that serve IPV Victims
Evelyn Study Aims
Aim 1: To examine the feasibility and acceptability of utilizing CASI in the waiting room of a busy CMHC. Aim 2: To examine the prevalence of IPV and co-morbid suicidal thoughts and behavior (STB) among CMHC patients. Aim 3: To examine whether the CASI provider printouts effects patient disclosure of IPV and/or STB to their therapist, and whether that disclosure is moderated by IPV and/or STB status. Aim 4: To examine whether disclosure improves IPV+
patients’ steps for safety post-visit.
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The Design
N=1000
Status
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• Lessons Learned To Date• Next Steps
ICRC-S Community of Practice Webinar
Friday, Oct. 16th, 2:00 – 3:00 p.m ET
You Know a Tree by Its Fruit: Collaborative Research Projects in Suicide Prevention
Presenter: Ann Marie White, Ed.D.Moderator: Bekah Hunt, MPA
Suicide Prevention ResearchActivities &
Priorities
Injury Control
ProgramActivities & Programs
Suicide Prevention Research
Injury Control
Activities&
Priorities
Data + Leadership = What Works
Test Theory In Practice
Implementation: Lessons & Results
Improve Public Health =
Reduce Suicides
Advocate for Change
Quality Improvement
Suicide Prevention ResearchActivities &
Priorities
Injury Control
ProgramActivities & Programs
Suicide Prevention Research
Injury Control
Activities&
Priorities
1. How important is research to success in your work?
•Essential – can’t succeed without it
•Important but can still succeed without it
•Mostly a byproduct of doing other things well
•Not important
2. Do you have a public health research project(s) related to suicide or suicide prevention that you would like to pursue? (Y/N)
POLLS37
Academic-Community Collaboration in Research
IN…. Community-based research• Academic research products the only focus – conducted IN
communities to recruit respondents to research protocols
WITH…. Community-partnered or Community-engaged research• Community Advisory Board• Research Partnerships
Community-Based Participatory Research (CBPR and related others) where mutual, equal ownership occurs. Typically involve 3 goals: Education (co-learning), Research, Action.
- Trickett & Espino, 2004
OF….• Community stakeholders manage and own their own research
Variety of CBPR Frameworks
• AHRQ Evidence Report
Identified 1408 abstracts, fully reviewed 297, analyzed 185 articles as only these met CBPR criteria.
• Essential Elements
– co-learning and reciprocal transfer of expertise by all research partners,
– shared decision-making power,
– mutual ownership of the processes and products of research enterprise.
Viswanathan, A., et al (2004). Community-based Participatory Research: Assessing the Evidence.
AHRQ Publication No. 04-E022-2
Suicide Prevention ResearchActivities &
Priorities
Injury Control
ProgramActivities & Programs
Suicide Prevention Research
Injury Control
Activities&
Priorities
Benefits of Research Collaboration
Community Members & Professionals•Needs- or consumer-driven, “fitted”responses•Promotes Capacity•Promotes Action•Promotes Sustainability
ResearchersImprove research qualityImprove health outcomesEnhance knowledge, intuition, experience
-AHRQ, 2004; Tandon, CCPH; Israel et al, 1998
Collaborative suicide prevention research
1. Has any of your suicide prevention work been done
in collaboration with researchers (faculty, trainees, etc.)
in colleges, universities or research institutes/agencies?
(Y/N)
2. Which of these models do you have a strong
understanding of?(Choose all that apply)(Community-based research (“in”) ; Community-partnered research;
Community-based participatory research; Community agency leading it’s
own research ; None of the above)
POLLS41
Questions
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Research Training Institute Application
• Due: January 11th, 2016
• Download on the CoP Webpage:
http://suicideprevention-icrc-s.org/cop/planning
• Contact us with questions, and stay engaged with the CoP for technical assistance
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Thank you for participating!
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Please complete this evaluation:
https://www.surveymonkey.com/r/RZMH92M
Next Meeting:
You Know a Tree by Its Fruit: Collaborative
Research Projects in Suicide Prevention
October 16th, 2015
Click Here to Register