Research Transformation: The Impact of Patient Engagement in an RCT - - PowerPoint PPT Presentation

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Research Transformation: The Impact of Patient Engagement in an RCT - - PowerPoint PPT Presentation

Research Transformation: The Impact of Patient Engagement in an RCT in Rural New Mexico Annette S. Crisanti, Ph.D., and Gina James, CPSW Department of Psychiatry and Behavioral Sciences, University of New Mexico Funded - Patient-Centered


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Research Transformation: The Impact of Patient Engagement in an RCT in Rural New Mexico

Annette S. Crisanti, Ph.D., and Gina James, CPSW Department of Psychiatry and Behavioral Sciences, University of New Mexico

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  • Funded - Patient-Centered Outcomes Research

Institute (PCORI) Award (CE-12-11-4484).

  • The statements presented in this presentation

are solely the responsibility of the author(s) and do not necessarily represent the views of the Patient-Centered Outcomes Research Institute (PCORI), its Board of Governors or Methodology Committee

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Presentation Goals

  • Background Information -PCORI Funded Study
  • Patients and stakeholders as partners –

“walking the talk” (examples)

  • How we achieved our partnership
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Project Period: August 2013 July 2016 Target Pop:

  • Adults 18+
  • PTSD &/or

Sub Abuse Participants Randomized

Peer-Led Groups Clinician- Led Groups

Followed to Determine and Compare Outcomes

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Identifying Topics Prioritizing Topics

Designing Research* Managing Research

Undertaking Research Analyzing Results Interpreting Results Writing Up Reports Disseminating Results Evaluating the Process

Patient Involvement Research Process

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The Most Important First Step…

Establishing Trust & Respect

Consumers Peers Individuals with A Lived Experience Chemically Challenged Patients

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Influence on Research Design

Eligible and Randomized N = 420 CL Group Attended First Group Baseline Interview Pl Group Attended First Group Baseline Interview

Data Collection

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Influence on Engagement & Retention

  • Open group format compared to closed
  • Time of groups
  • Development of recruitment flyers using target

population specific language

  • Expansion to second site to achieve proposed

sample size

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Undertaking & Managing the Research

  • Patients were in multiple paid, influential

positions, including:

  • Project Director
  • Group facilitators
  • Group support coordinator
  • Researchers (data collection)
  • Steering committee members
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Interpreting Results

Addiction Severity Index-Lite (ASI)

  • How many days in the past 30 have you

experienced Alcohol problems? ___

  • How troubled or bothered have you been in

the past 30 days by Alcohol problems? ___

  • How important to you now is treatment for

Alcohol problems? ___

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  • Encourage a safe environment for all individuals

to be able to speak freely and openly, recognizing the benefit of healthy conflict over group-think.

  • Continuously improve the quality of the

implementation of the study with respect to feelings of mutual respect, and empowerment among ALL those involved.

RESEARCHER – PATIENT PARTNERSHIP

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Dissemination of Findings

  • Community Data Dissemination Meeting – Participants

Identified by Patient and other Stakeholder Partners

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PCORI PROJECT SUCCESS

The PI’s willingness and ability to make all parties feel as they were equal partners throughout the project, by involving and respecting all; no matter their title, education, experience and or knowledge of research.

  • Mandatory Monthly Meetings
  • Concern and Availability
  • Steering Committee Member
  • Participant Engagement
  • 100% Commitment
  • Trickledown Effect
  • Stake in the Project
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“Revolutions begin when people who are defined as problems achieve the power to redefine the problem” John McKnight