Boot Camp Translation for Patient Centered Outcomes
Boot Camp Translation addresses the core concepts of the Patient Centered Outcomes Research Institute by providing an approach to advance the quality of care in the United States that maintains the scientific integrity of the robust evidence base in healthcare while honoring the local and cultural aspects of community and health. Boot Camp Translation alters the conceptual framework that patients and community members hold for medical conditions and preventive care they consider a high priority for themselves and their community by translating those evidence-based recommendations into language and constructs accessible to diverse communities and patients. We will mobilize broad campus-community partnerships developed through the Partnership of Academicians and Communities for Translation (PACT), and the Community Engagement Core of the Colorado Clinical Translational Science Institute, which includes seven core staff and 11 Community Research Liaisons dedicated to community-engaged research. We will engage our partnerships to identify patient-centered health and healthcare related issues prominent in each community. Using a Delphi approach, our partners will activate personal relationships to bring together community members, clinical practices, patients, providers, and researchers to identify the important health issues they each face. Over a three-month period these groups will meet several times to combine and connect and focus these topics into a priority list for further work.
The second step will be to identify the evidence-based recommendations for care related to these issues. The PACT Council will assist the Community Engagement Core staff in identifying all A and B level evidence-based recommendations for each topic and present them back to the community members and patients for further prioritization. The third step involves translating those evidence-based guidelines into language and programs accessible to diverse communities and patients. Based on local and community priorities, each group will choose a topic with evidence-based recommendations to move on to Boot Camp Translation. Boot Camp Translation is an innovative approach used successfully multiple times in the High Plains Research Network to translate evidence-based medical recommendations into language and concepts accessible to rural communities and patients. Boot Camp translation consists of a one-day retreat followed by additional one-hour sessions and short, focused phone conferences. Each of these community Boot Camp Translations will identify key elements of the chosen topic and develop language and concepts that are more accessible for local community members and patients. Based on the prior success of Boot Camp Translation in rural eastern Colorado, we will be able to test this approach in a variety of settings that can be used by local and regional communities throughout the United States. By engaging the local community in the process it is assured of local and cultural relevance and increases the chance of uptake and implementation.
We propose to use a pilot-tested approach we call 'Boot Camp Translation' to translate evidence-based recommendations into language and conceptual frameworks accessible by the diverse communities in Colorado to increase the uptake and implementation of evidence-based recommendations and improve patient outcomes. This proposal specifically addresses three of the stated Areas of Interest in the PFA: identifying priorities; bringing together key stakeholders; and developing and refining evidence-based care in a manner that respects local and individual patient preference.
^ John Westfall, MD was the original principal investigator for this project. Larry Green, MD was the second principal investigator for this project.
Westfall JM, Zittleman L, Felzien M, Norman N, Tamez M, Backlund-Jarquin P, et al. Reinventing The Wheel Of Medical Evidence: How The Boot Camp Translation Process Is Making Gains. HealthAffairs 2016 April 01;35(4):613-618.
Westfall JM, Zittleman L, Sutter C, Emsermann CB, Staton EW, Van Vorst R, Dickinson LM; Community Advisory Council. Testing to prevent colon cancer: results from a rural community intervention. Ann Fam Med. 2013 Nov-Dec;11(6):500-7. doi: 10.1370/afm.1582. PubMed PMID: 24218373; PubMed Central PMCID: PMC3823720.
Norman N, Cowart S, Felzien M, Haynes C, Hernandez M, Rodriquez MP, Sanchez N, Sanchez S, Winkelman K, Winkelman S, Van Vorst R, Zittleman L, Westfall JM. Testing to prevent colon cancer: how rural community members took on a community-based intervention. Ann Fam Med. 2013 Nov-Dec;11(6):568-70. doi: 10.1370/afm.1586. PubMed PMID: 24218381; PubMed Central PMCID: PMC3823728.
Norman N, Bennett C, Cowart S, Felzien M, Flores M, Flores R, Haynes C, Hernandez M, Rodriquez MP, Sanchez N, Sanchez S, Winkelman K, Winkelman S, Zittleman L, Westfall JM. Boot camp translation: a method for building a community of solution. J Am Board Fam Med. 2013 May-Jun;26(3):254-63. doi: 10.3122/jabfm.2013.03.120253. PubMed PMID: 23657693; PubMed Central PMCID: PMC3828080.
Transforming Community-Based Research on the High Plains - A narrative about a "Boot Camp Translation" project in Colorado that makes evidence-based recommendations accessible for diverse communities.
VIDEO: High Plains Research Network
Maret Felzein and her husband Ned Norman, discuss a campaign aimed at lowering blood pressure in Colorado.