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Research ArticleOriginal Research

Process for Setting Research Priorities: A Case Study from the State Networks of Colorado Ambulatory Practices and Partners (SNOCAP) Consortium

Mary Fisher, Sarah E. Brewer, Douglas H. Fernald, Jodi Summers Holtrop, Andrea Nederveld, Sean T. O'Leary, Matthew Simpson, John M. Westfall, Linda Zittleman and Donald E. Nease
The Journal of the American Board of Family Medicine September 2019, 32 (5) 655-662; DOI: https://doi.org/10.3122/jabfm.2019.05.190037
Mary Fisher
From University of Colorado, Department of Family Medicine, Aurora, CO (MF, SB, DHF, JSH, AN, MS, JMW, LZ, DEN); Adult and Child Consortium for Health Outcomes Research and Delivery Science, Aurora, CO (SB, STO, DEN); University of Colorado, Department of Pediatrics, Aurora, CO (STO).
MPH
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Sarah E. Brewer
From University of Colorado, Department of Family Medicine, Aurora, CO (MF, SB, DHF, JSH, AN, MS, JMW, LZ, DEN); Adult and Child Consortium for Health Outcomes Research and Delivery Science, Aurora, CO (SB, STO, DEN); University of Colorado, Department of Pediatrics, Aurora, CO (STO).
MPA
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Douglas H. Fernald
From University of Colorado, Department of Family Medicine, Aurora, CO (MF, SB, DHF, JSH, AN, MS, JMW, LZ, DEN); Adult and Child Consortium for Health Outcomes Research and Delivery Science, Aurora, CO (SB, STO, DEN); University of Colorado, Department of Pediatrics, Aurora, CO (STO).
MA
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Jodi Summers Holtrop
From University of Colorado, Department of Family Medicine, Aurora, CO (MF, SB, DHF, JSH, AN, MS, JMW, LZ, DEN); Adult and Child Consortium for Health Outcomes Research and Delivery Science, Aurora, CO (SB, STO, DEN); University of Colorado, Department of Pediatrics, Aurora, CO (STO).
PhD
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Andrea Nederveld
From University of Colorado, Department of Family Medicine, Aurora, CO (MF, SB, DHF, JSH, AN, MS, JMW, LZ, DEN); Adult and Child Consortium for Health Outcomes Research and Delivery Science, Aurora, CO (SB, STO, DEN); University of Colorado, Department of Pediatrics, Aurora, CO (STO).
MD, MPH
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Sean T. O'Leary
From University of Colorado, Department of Family Medicine, Aurora, CO (MF, SB, DHF, JSH, AN, MS, JMW, LZ, DEN); Adult and Child Consortium for Health Outcomes Research and Delivery Science, Aurora, CO (SB, STO, DEN); University of Colorado, Department of Pediatrics, Aurora, CO (STO).
MD, MPH
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Matthew Simpson
From University of Colorado, Department of Family Medicine, Aurora, CO (MF, SB, DHF, JSH, AN, MS, JMW, LZ, DEN); Adult and Child Consortium for Health Outcomes Research and Delivery Science, Aurora, CO (SB, STO, DEN); University of Colorado, Department of Pediatrics, Aurora, CO (STO).
MD, MPH
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John M. Westfall
From University of Colorado, Department of Family Medicine, Aurora, CO (MF, SB, DHF, JSH, AN, MS, JMW, LZ, DEN); Adult and Child Consortium for Health Outcomes Research and Delivery Science, Aurora, CO (SB, STO, DEN); University of Colorado, Department of Pediatrics, Aurora, CO (STO).
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Linda Zittleman
From University of Colorado, Department of Family Medicine, Aurora, CO (MF, SB, DHF, JSH, AN, MS, JMW, LZ, DEN); Adult and Child Consortium for Health Outcomes Research and Delivery Science, Aurora, CO (SB, STO, DEN); University of Colorado, Department of Pediatrics, Aurora, CO (STO).
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Donald E. Nease Jr.
From University of Colorado, Department of Family Medicine, Aurora, CO (MF, SB, DHF, JSH, AN, MS, JMW, LZ, DEN); Adult and Child Consortium for Health Outcomes Research and Delivery Science, Aurora, CO (SB, STO, DEN); University of Colorado, Department of Pediatrics, Aurora, CO (STO).
MD
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    Table 1.

    Methods for Priority Topic Generation and Facilitated Discussion at SNOCAP Priority Setting Sessions 2014 to 2018

    YearPhase 1: Source of Priority Topics for DiscussionPhase 2: Method of Facilitated DiscussionDescription
    2014• Open-ended survey as a part of registration to elicit topics.Small/Large Group Facilitated Discussion• Small groups focused on three topic areas with report outs to large group.
    • SNOCAP leaders identified the top three most common responses.
    2015• Open-ended survey as a part of registration to elicit topics.Nominal Group Technique: stand/sit to vote. Additional Large-Group Facilitated Discussion• Facilitators had participants vote to reduce number of topics.
    • Small group of SNOCAP leaders analyzed and brought forward commonly identified topics.• Large-group discussion developed action steps.
    • A Word Cloud was created to provide a visual look at survey data.
    2016• Open-ended geo-coded survey as a part of registration or on day 1 of conference to elicit topics.Nominal Group Technique: ranking with sticky dots. Additionally, arcGIS* Visual Mapping Discussion plus Large-Group Facilitated Discussion• Day 1: Look at all topics, go through GIS mapping, notes of why each top concern was an issue to discuss.
    • List of topics was created and organized prior to first conference session.• Day 2: Narrowed topics using sticky dot method
    2017Participants responded to open-ended survey pre-conference or on day 1 of conference. Topics collated and condensed to 7 based on frequency.World Café16• 10 small groups formed to rotate around topic tables to discuss, refine and develop action steps for each.
    2018Open-ended surveys prior to ECER and responses on poster on Friday.Liberating Structure: What, So What, Now What17• Sticky dots used to narrow topics.
    18• What, So What, Now What facilitated discussion in small groups.
    • ↵* Environmental Systems Research Institute (ESRI) (2016). ArcGIS release 10.4 Redlands, CA.

    • SNOCAP, state networks of colorado ambulatory practices and partners consortium; ECER, engaging communities in education and research conference; GIS, geographic information system.

    • View popup
    Table 2.

    SNOCAP Priority Setting Session: Sample Agenda Template (2 hours, 45 minutes total)

    TimeActivity
    30 minutesHistory of past years' priority topics (if applicable).
    10 minutesShare information about how priority topic list was created.
    • This will be determined at the PBRN level for how topics will be collected.
    20 minutesNarrow list of priority topics.
    • Gather all topics of priority in one list (topics gathered via survey, GIS mapping, in-person polling, etc., based on PBRN preference).
    • All priority topics written on flip charts around room.
    • Give each participant 2 colored dots, instruct them to place their stickers on their top 2 topics of priority.
    • This will help facilitators visually determine top priority areas: count up number of stickers per topic.
    • Facilitators to share top priority topics, introduce to the larger group.
    10 minutesIntroduce facilitation method of choice.
    5 minutes[If you chose to split the larger group so groups are more random] Split into assigned groups, introduce each other.
    45 to 60 minutesWork through facilitated discussion of choice.
    15 minutesRecap of discussions.
    15 minutesNext steps, how PBRN will follow-up, and farewell.
    • SNOCAP, state networks of colorado ambulatory practices and partners consortium; PBRN, practice-based research networks; GIS, geographic information system.

    • View popup
    Table 3.

    Priority Topics and Resulting Projects at SNOCAP Priority Setting Sessions 2014 to 2018

    YearPriority DiscussedTopic-Based ProjectsFunder (If Applicable)
    2014Chronic Pain and OpioidsImplementing Technology and Medication Assisted Treatment Team Training in Rural Colorado (IT MATTTRs)*Agency for Healthcare Research and Quality - Peer Assist
    BACKROADS,† effective strategies for Medication Assisted Treatment for Opioid Use Disorder in rural practicesActively seeking funding
    2015Mental Health and the Judicial SystemEnabling Caring Communities†Actively seeking funding
    Implementing Medication Assisted Treatment for Opioid Use Disorder in county jails*†Actively seeking funding
    2016Diabetes, Obesity, and Mental HealthDiabetes, Obesity, and Mental Health Services Access Card Study (DOGMA)*No funding required
    Boot Camp Translation Check Your Sugar Check Your Mood, Diabetes and Depression†Actively seeking funding
    2017Adult Behavioral Health AccessN/AN/A
    Adolescent Behavioral Health AccessUPSTREAM! Together, preventing Mental, Emotional, and Behavioral issues in youthColorado Health Foundation
    Pediatric Mental Health Navigator Study†Actively seeking funding
    Chronic PainAppreciative Inquiry/Boot Camp Translation (AI/BCT)Patient Centered Outcomes Research Institute
    Staff BurnoutBurnout Card Study (2018)*No funding required
    Physical Activity/Built EnvironmentN/AN/A
    DementiaThe Engaging Communities of Hispanics for Aging Research (ECHAR) NetworkProposal pending
    Health EquityImproving Health by Engaging Refugees in Denver (I-HEaRD)†Patient Centered Outcomes Research Institute
    2018Cost of Living/PovertyN/AN/A
    Social Isolation/LonelinessLoneliness in Rural Colorado*Colorado Clinical and Translational Sciences Institute
    Loneliness in Primary Care Providers*†Actively seeking funding
    Primary Care Team BurnoutPrimary Care Clinic Burnout Card Study*No funding required
    • ↵* Project was a direct result of priority setting session.

    • ↵† Actively seeking funding.

    • SNOCAP, state networks of colorado ambulatory practices and partners consortium; N/A, not applicable.

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The Journal of the American Board of Family     Medicine: 32 (5)
The Journal of the American Board of Family Medicine
Vol. 32, Issue 5
September-October 2019
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Process for Setting Research Priorities: A Case Study from the State Networks of Colorado Ambulatory Practices and Partners (SNOCAP) Consortium
Mary Fisher, Sarah E. Brewer, Douglas H. Fernald, Jodi Summers Holtrop, Andrea Nederveld, Sean T. O'Leary, Matthew Simpson, John M. Westfall, Linda Zittleman, Donald E. Nease
The Journal of the American Board of Family Medicine Sep 2019, 32 (5) 655-662; DOI: 10.3122/jabfm.2019.05.190037

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Process for Setting Research Priorities: A Case Study from the State Networks of Colorado Ambulatory Practices and Partners (SNOCAP) Consortium
Mary Fisher, Sarah E. Brewer, Douglas H. Fernald, Jodi Summers Holtrop, Andrea Nederveld, Sean T. O'Leary, Matthew Simpson, John M. Westfall, Linda Zittleman, Donald E. Nease
The Journal of the American Board of Family Medicine Sep 2019, 32 (5) 655-662; DOI: 10.3122/jabfm.2019.05.190037
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