Community Advisory Council of the High Plains Research Network, Department of Family Medicine, University of Colorado Denver School of Medicine, Aurora, CO 80045-0508, USA.
J Am Board Fam Med. 2013 May-Jun;26(3):254-63. doi: 10.3122/jabfm.2013.03.120253.
A crucial yet currently insufficient step in biomedical research is the translation of scientific, evidence-based guidelines and recommendations into constructs and language accessible to every-day patients. By building a community of solution that integrates primary care with public health and community-based organizations, evidence-based medical care can be translated into language and constructs accessible to community members and readily implemented to improve health.
Using a community-based participatory research approach, the High Plains Research Network (HPRN) and its Community Advisory Council developed a process to translate evidence into messages and dissemination methods to improve health in rural Colorado. This process, called Boot Camp Translation, has brought together various community members, organizations, and primary care practices to build a community of solution to address local health problems.
The HPRN has conducted 4 Boot Camp Translations on topics including colon cancer prevention, asthma diagnosis and management, hypertension, and the patient-centered medical home. Thus far, the HPRN has used Boot Camp Translations to engage more than 1000 rural community members and providers. Dissemination of boot camp messaging through the community of solution has led to increased colon cancer screening, improved care for asthma, and increased rates of controlled blood pressure.
Boot Camp Translation successfully engages community members in a process to translate evidence-based medical care into locally relevant and culturally appropriate language and constructs. Boot Camp Translation is an appropriate method for engaging community members in patient-centered outcomes research and may be an appropriate first step in building a local or regional community of solution.
在生物医学研究中,一个至关重要但目前仍不充分的步骤是将基于科学的指导方针和建议转化为日常患者能够理解的结构和语言。通过建立一个将初级保健与公共卫生和社区组织相结合的解决方案社区,可以将基于证据的医疗服务转化为社区成员能够理解的语言和结构,并加以实施以改善健康状况。
使用基于社区的参与式研究方法,高平原研究网络(HPRN)及其社区咨询委员会制定了一个将证据转化为信息和传播方法的过程,以改善科罗拉多州农村地区的健康状况。这个过程称为“训练营转化”,它汇集了各种社区成员、组织和初级保健实践,以建立一个解决方案社区,解决当地的健康问题。
HPRN 已经就结肠癌预防、哮喘诊断和管理、高血压和以患者为中心的医疗之家等主题进行了 4 次“训练营转化”。到目前为止,HPRN 已经通过解决方案社区吸引了超过 1000 名农村社区成员和提供者。通过解决方案社区传播训练营信息,导致结肠癌筛查增加,哮喘治疗改善,以及血压控制率提高。
“训练营转化”成功地让社区成员参与到将基于证据的医疗服务转化为具有地方相关性和文化适宜性的语言和结构的过程中。“训练营转化”是让社区成员参与以患者为中心的结果研究的合适方法,并且可能是建立本地或区域解决方案社区的合适第一步。