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Research ArticleOriginal Research

Growing PEACHnet: Building a Practice-Based Research Network in Western Colorado

Andrea Nederveld, Kelsey Fife Duarte and Elena T. Broaddus-Shea
The Journal of the American Board of Family Medicine January 2022, 35 (1) 115-123; DOI: https://doi.org/10.3122/jabfm.2022.01.210268
Andrea Nederveld
the University of Colorado School of Medicine Department of Family Medicine (AN, KFD, ETBS).
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Kelsey Fife Duarte
the University of Colorado School of Medicine Department of Family Medicine (AN, KFD, ETBS).
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Elena T. Broaddus-Shea
the University of Colorado School of Medicine Department of Family Medicine (AN, KFD, ETBS).
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Article Figures & Data

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    Figure 1.

    Engagement timeline and process.

  • Figure 2.
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    Figure 2.

    Communities where first round (stars) and second round (squares) meetings were held.

  • Figure 3.
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    Figure 3.

    Examples of photographs submitted by second round meeting participants: A) a community garden supported by a primary care clinic; B) Empty buildings in a dwindling downtown area; C) Dilapidated housing; D) Open space described as beautiful but isolated; E) Bountiful garden produce; F) Image showing difficult parking situation in a community with no public transportation; G) A food pantry in a primary care practice; H) Screenshot demonstrating issues with health care access.

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    Figure 4.

    Percentages of respondents selecting each of the top 5 most frequently selected topics, overall and by respondent type. Abbreviation: CBO, community-based organization.

Tables

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    Table 1.

    Demographic Characteristics of Meeting and Survey Participants

    First Round of Meetings (N = 65) n (%)Second Round of Meetings (N = 86) n (%)Survey (N = 199) n (%)
    Race*
        White55 (85)71 (83)182 (91)
        Latinx2 (3)4 (5)16 (8)
        Native American/American Indian4 (6)5 (6)2 (1)
        Asian3 (5)1 (1)1 (0.5)
        Other1 (2)2 (2)2 (1)
        Prefer Not To Say0 (0)0 (0)3 (1.5)
    Sex and Gender
        Female56 (86)67 (78)166 (83)
        Male9 (14)18 (21)31 (16)
        Non-binary/Third Gender0 (0)1 (1)1 (0.5)
        Prefer Not To Say0 (0)0 (0)1 (0.5)
    Age, years
        20 to 2911 (17)22 (26)18 (9)
        30 to 3912 (18)20 (23)45 (23)
        40 to 4917 (26)14 (16)74 (38)
        50 to 598 (12)14 (16)32 (16)
        60+5 (8)13 (15)28 (14)
        No response12 (18)3 (4)2 (1)
    Stakeholder Group*
        Medical Practice Staff9 (14)13 (15)23 (12)
        Administrators12 (18)9 (14)52 (26)
        Clinicians21 (32)16 (19)59 (30)
        Public Health/CBO Staff12 (18)11 (13)50 (26)
        Community Members†11 (17)37 (43)41 (21)
        Prefer not to say0 (0)0 (0)5 (2.5)
    • Abbreviation: CBO, community-based organization.

    • ↵* Sums to >100% as multiple could be selected.

    • ↵† Community members who did not identify as part of any of the professional groups listed (most other stakeholders considered themselves community members as well).

    • View popup
    Table 2.

    Topic Selection Frequency Across All Survey Respondents (N = 199)

    RankTopicRespondents Selecting Topic
    n (%)
    1Lack of access to mental and behavioral health services and high suicide incidence128 (64)
    2Need for drug and alcohol abuse interventions and treatment options, as well as youth prevention96 (48)
    3Lack of access to health care due to high cost of health services and insurance79 (40)
    4Lack of quality affordable housing63 (32)
    5Need for affordable and high-quality childcare58 (29)
    6Socioeconomic inequalities52 (26)
    7Chronic disease education, prevention, and self-management50 (25)
    8Adverse childhood experiences, traumatic life events, and PTSD47 (24)
    9Vaping, especially in kids45 (23)
    10Health and wellness for senior populations, including connections to community and aging in place40 (20)
    11Homelessness38 (19)
    12Loneliness and social isolation36 (18)
    13Promoting and providing needed support and resources for an active lifestyle (ie, recreational centers, transportation to outdoor opportunities)33 (17)
    14Health challenges faced by immigrant and Latino populations (including access to service in native language in culture)33 (17)
    15Lack of transportation33 (17)
    16Lack of access to and education about healthy and nutritious food28 (14)
    17Need for consumer education about insurance and healthcare costs28 (14)
    18Lack of clear information about healthcare costs27 (14)
    19Need for increased local access to emergency and specialty care33 (12)
    20Better access to community resources (such as social services organizations or food banks)22 (11)
    21Environmental health issues, including exposure to toxins9 (5)
    22Need for increased local options for childbirth8 (4)
    23Altitude-related hypoxia (low oxygen in blood)4 (2)
    • Each Respondent Could Select up to Five Topics.

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The Journal of the American Board of Family     Medicine: 35 (1)
The Journal of the American Board of Family Medicine
Vol. 35, Issue 1
January/February 2022
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Growing PEACHnet: Building a Practice-Based Research Network in Western Colorado
Andrea Nederveld, Kelsey Fife Duarte, Elena T. Broaddus-Shea
The Journal of the American Board of Family Medicine Jan 2022, 35 (1) 115-123; DOI: 10.3122/jabfm.2022.01.210268

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Growing PEACHnet: Building a Practice-Based Research Network in Western Colorado
Andrea Nederveld, Kelsey Fife Duarte, Elena T. Broaddus-Shea
The Journal of the American Board of Family Medicine Jan 2022, 35 (1) 115-123; DOI: 10.3122/jabfm.2022.01.210268
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Keywords

  • Colorado
  • Community-Based Participatory Research
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