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Promoting Health through Novel Community-Based Participatory Research Methods: Using Boot Camp Translation to Improve Depression Literacy among an Urban African American Population Nida Ali, PhD, MPH, Ryan Combs, PhD, MA, Baraka Muvuka, MPH

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Promoting Health through Novel Community-Based Participatory Research Methods: Using Boot Camp Translation to Improve Depression Literacy among an Urban African American Population

Nida Ali, PhD, MPH, Ryan Combs, PhD, MA, Baraka Muvuka, MPH

Commonwealth Institute of Kentucky University of Louisville l School of Public Health & Information Sciences

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The following personal financial relationships with commercial interests relevant to this presentation existed during the past 12 months: No relationships to disclose

Presenter Disclosures

Nida Ali

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  • Overview of Boot Camp Translation
  • Background on depression within local

context

  • Study objectives
  • Campaign Development Process
  • Evaluation
  • Lessons learned

Agenda

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  • 1. Image Source: Boot Camp Translation Training PowerPoint, Summer 2015

2.Norman, N., Bennett, C., Cowart, S., Felzien, M., Flores, M., Flores, R., ... & Sanchez, S. (2013). Boot camp translation: a method for building a community of solution. The Journal

  • f the American Board of Family Medicine, 26(3), 254-263.
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What is Boot Camp Translation?

Developed by Dr. Jack Westfall, Linda Zittleman, and

  • thers in rural Colorado

1 2

PROBLEM: Everyday people

  • ften cannot understand

academic/research about health

3

SOLUTION: Translate the jargon into locally relevant, meaningful, and engaging messages that community members can understand

  • 1. Norman, N., Bennett, C., Cowart, S., Felzien, M., Flores, M., Flores, R., ... & Sanchez, S. (2013). Boot camp translation: a method for building a community
  • f solution. The Journal of the American Board of Family Medicine, 26(3), 254-263.
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What are we trying to accomplish through Boot Camp Translation?

DELIVERY: How do we effectively share that information in a locally relevant manner? 2 MESSAGE: What do we want people in the community to know? 1

  • 1. Norman, N., Bennett, C., Cowart, S., Felzien, M., Flores, M., Flores, R., ... & Sanchez, S. (2013). Boot camp translation: a method for building a community
  • f solution. The Journal of the American Board of Family Medicine, 26(3), 254-263.
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Boot Camp Translation Steps

EVIDENCE

Meet and learn about a condition.

RELEVEANCE

What information needs to be passed along to the community?

TARGET

What community members most need the message?

ACTION

What do we want people to do?

CREATE

What are the messages, materials, and dissemination strategies for getting the message into the community?

We partner to:

  • 1. Norman, N., Bennett, C., Cowart, S., Felzien, M., Flores, M., Flores, R., ... & Sanchez, S. (2013). Boot camp translation: a method for building a community
  • f solution. The Journal of the American Board of Family Medicine, 26(3), 254-263.
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Everyone who participates has expertise! Community, personal, and research expertise NOT representatives of your organization

  • r community

No observers, all participate Long term relationship to co-create

Collaborative Process

  • 1. Norman, N., Bennett, C., Cowart, S., Felzien, M., Flores, M., Flores, R., ... & Sanchez, S. (2013). Boot camp translation: a method for building a community
  • f solution. The Journal of the American Board of Family Medicine, 26(3), 254-263.
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Final Products

Freebies, talks, posters, newspaper articles, flyers, radio ads - whatever will work and is within the budget

  • 1. Boot Camp Translation Training PowerPoint, Summer 2015

2.Norman, N., Bennett, C., Cowart, S., Felzien, M., Flores, M., Flores, R., ... & Sanchez, S. (2013). Boot camp translation: a method for building a community of solution. The Journal of the American Board of Family Medicine, 26(3), 254-263.

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West Louisville

WEST LOUISVILLE (WL) POPULATION: 64,555

Nine neighborhoods

  • Algonquin
  • California
  • Chickasaw
  • Park DuValle
  • Park Hill
  • Parkland
  • Portland
  • Russell
  • Shawnee
  • 1. U.S. Census Bureau.
  • 2. Kentucky State Data Center.
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Why Depression Literacy in West Louisville?

  • 1. U.S. Census Bureau, 2011-2015 American Community Survey
  • 2. Kentucky State Data Center.
  • 3. 2011-2015 Kentucky Vital Statistics

Social and health disparities

1 5

Stigmatized condition in African American communities

4

Life expectancy for WL residents is seven years less than Louisville Metro residents overall

3

Poverty rate of the area is 39%, nearly 2.5 times Louisville Metro (16%)

2

Depression literacy is an important determinant of help seeking, as it affects

  • ne’s ability to recognize,

manage, and prevent the condition

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Depression Boot Camp Translation

Funded by Jewish Heritage Fund for Excellence

  • 17 participants
  • Medical expert:

Psychologist

  • Campaign development

process lasted from Apr to Nov 2016

  • Campaign implemented

from Nov 14 to Dec 31, 2016

  • 1. Norman, N., Bennett, C., Cowart, S., Felzien, M., Flores, M., Flores, R., ... & Sanchez, S. (2013). Boot

camp translation: a method for building a community of solution. The Journal of the American Board

  • f Family Medicine, 26(3), 254-263.
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Objectives

Raise awareness on depression and services available

Improve community awareness on the availability of culturally competent mental/behavioral health providers

Increase utilization of services Reduce stigma

Create a health communication campaign to increase use of depression services by West Louisville residents AIM TARGET AUDIENCE: Adult African-Americans living in West Louisville suffering from depression

1 2 3 4

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Key Messages

Depression is real

1 2 3 4

There are options to help you get better You are not alone You do not have to suffer

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Campaign Components

Posters in libraries, community centers, FQHCs, barbershops, and beauty shops Face-to-face

  • utreach (grocery
  • utreach, church
  • utreach)

Radio ads/appearances City bus ads Newspaper (Louisville Defender) ads Social media posts

ACTION: People who are at risk call 2-1-1 to be referred to a mental health provider

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POSTER 1

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POSTERS 2 & 3

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POSTER 4

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Evaluation

PROCESS EVALUATION MEASURES

  • Number of Ambassadors trained & deployed
  • Number of poster designs created
  • Number of posters distributed
  • Number of locations around community where posters and promotional giveaways

distributed

  • Number of public ads
  • Number of public buses in which ads posted
  • Number of slots on the radio
  • Length of advertisements being featured in local newspaper
  • Number of behavioral health providers recruited for campaign implementation
  • Number of drawstring bags distributed at various community locations
  • Number of notebooks distributed at various community locations
  • Number of reusable grocery bags distributed at various community locations
  • 9
  • 4
  • 180
  • 59
  • 200
  • 50
  • 140
  • 1 week
  • 7
  • 100
  • 100
  • 200

OUTCOME EVALUATION DATA

  • Currently being analyzed
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Evaluation

Personal Reflections from BCT Participants

Characterizing Overall Experience

  • “It was an honor to be on a taskforce that we started with nothing and at the end we had
  • something. I was caught in awe--we started with an idea that we turned into something”
  • Community Member
  • Overall I had a positive experience – I learned so much about depression and how it affects African

Americans differently. I think the process used to make decisions and involve the community are the best way to educate the community about health literacy issues.” -Health Professional

Suggestions for Improvement

  • Adequate training for communication on stigmatized issues
  • Staying on task during meetings
  • Lack of time
  • Sending outlook calendar notices far in advance
  • Ensuring diversity in group with respect to age and gender
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Lessons Learned

BCT is a promising new methodology that can facilitate long-term community- academic partnerships WL residents care about their health Excellent buy-in from health and public health professionals Strengthening partnerships with local organizations, providers, and agencies Breaking down depression stigma is challenging Process is being replicated for childhood asthma and HIV 1 2 3 6 4 5

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Acknowledgments

This research was made possible by the Jewish Heritage Fund for Excellence through the Commonwealth Institute of Kentucky. Special thanks to all members of the Boot Camp Translation Committee for their ongoing contributions to this project.

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Questions

Contact Information Email: nida.ali@louisville.edu Phone: 502.852.1119