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

Andrea Nederveld; Kelsey Fife Duarte; Elena T. Broaddus-Shea

doi:10.3122/jabfm.2022.01.210268

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Figure 1.
Engagement timeline and process.
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Figure 2.
Communities where first round (stars) and second round (squares) meetings were held.
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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.

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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^*
White	55 (85)	71 (83)	182 (91)
Latinx	2 (3)	4 (5)	16 (8)
Native American/American Indian	4 (6)	5 (6)	2 (1)
Asian	3 (5)	1 (1)	1 (0.5)
Other	1 (2)	2 (2)	2 (1)
Prefer Not To Say	0 (0)	0 (0)	3 (1.5)
Sex and Gender
Female	56 (86)	67 (78)	166 (83)
Male	9 (14)	18 (21)	31 (16)
Non-binary/Third Gender	0 (0)	1 (1)	1 (0.5)
Prefer Not To Say	0 (0)	0 (0)	1 (0.5)
Age, years
20 to 29	11 (17)	22 (26)	18 (9)
30 to 39	12 (18)	20 (23)	45 (23)
40 to 49	17 (26)	14 (16)	74 (38)
50 to 59	8 (12)	14 (16)	32 (16)
60+	5 (8)	13 (15)	28 (14)
No response	12 (18)	3 (4)	2 (1)
Stakeholder Group^*
Medical Practice Staff	9 (14)	13 (15)	23 (12)
Administrators	12 (18)	9 (14)	52 (26)
Clinicians	21 (32)	16 (19)	59 (30)
Public Health/CBO Staff	12 (18)	11 (13)	50 (26)
Community Members^†	11 (17)	37 (43)	41 (21)
Prefer not to say	0 (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).

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Table 2.

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

Rank	Topic	Respondents Selecting Topic
Rank	Topic	n (%)
1	Lack of access to mental and behavioral health services and high suicide incidence	128 (64)
2	Need for drug and alcohol abuse interventions and treatment options, as well as youth prevention	96 (48)
3	Lack of access to health care due to high cost of health services and insurance	79 (40)
4	Lack of quality affordable housing	63 (32)
5	Need for affordable and high-quality childcare	58 (29)
6	Socioeconomic inequalities	52 (26)
7	Chronic disease education, prevention, and self-management	50 (25)
8	Adverse childhood experiences, traumatic life events, and PTSD	47 (24)
9	Vaping, especially in kids	45 (23)
10	Health and wellness for senior populations, including connections to community and aging in place	40 (20)
11	Homelessness	38 (19)
12	Loneliness and social isolation	36 (18)
13	Promoting and providing needed support and resources for an active lifestyle (ie, recreational centers, transportation to outdoor opportunities)	33 (17)
14	Health challenges faced by immigrant and Latino populations (including access to service in native language in culture)	33 (17)
15	Lack of transportation	33 (17)
16	Lack of access to and education about healthy and nutritious food	28 (14)
17	Need for consumer education about insurance and healthcare costs	28 (14)
18	Lack of clear information about healthcare costs	27 (14)
19	Need for increased local access to emergency and specialty care	33 (12)
20	Better access to community resources (such as social services organizations or food banks)	22 (11)
21	Environmental health issues, including exposure to toxins	9 (5)
22	Need for increased local options for childbirth	8 (4)
23	Altitude-related hypoxia (low oxygen in blood)	4 (2)