Promoting Health through Novel Community-Based Participatory - PowerPoint PPT Presentation

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

Presenter Disclosures Nida Ali The following personal financial relationships with commercial interests relevant to this presentation existed during the past 12 months: No relationships to disclose LOUISVILLE.EDU | 2

Agenda Overview of Boot Camp Translation  Background on depression within local  context Study objectives  Campaign Development Process  Evaluation  Lessons learned  LOUISVILLE.EDU | 3

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 LOUISVILLE.EDU | 4 of the American Board of Family Medicine , 26 (3), 254-263.

What is Boot Camp Translation? 1 2 Developed by Dr. Jack PROBLEM: Everyday people Westfall, Linda Zittleman, and often cannot understand others in rural Colorado 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 LOUISVILLE.EDU | 5 of solution. The Journal of the American Board of Family Medicine , 26 (3), 254-263.

What are we trying to accomplish through Boot Camp Translation? MESSAGE: What do we want people in the community to 1 know? DELIVERY: How do we effectively share that information in 2 a locally relevant manner? 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 LOUISVILLE.EDU | 6 of solution. The Journal of the American Board of Family Medicine , 26 (3), 254-263.

Boot Camp Translation Steps We partner to: EVIDENCE RELEVEANCE TARGET What information What community Meet and learn needs to be passed members most need about a condition. along to the the message? community? ACTION CREATE What are the messages, materials, What do we want and dissemination people to do? strategies for getting the message into the community? 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 of Family Medicine , 26 (3), 254-263. LOUISVILLE.EDU | 7

Collaborative Process Everyone who participates has expertise! Community, Long term personal, and relationship to research co-create expertise NOT No observers, all representatives of participate your organization or community 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 of Family Medicine , 26 (3), 254-263. LOUISVILLE.EDU | 8

Final Products Freebies, talks, posters, newspaper articles, flyers, radio ads - whatever will work and is within the budget LOUISVILLE.EDU | 9 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.

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. LOUISVILLE.EDU | 10

Why Depression Literacy in West Louisville? 1 2 3 Life expectancy for Poverty rate of the WL residents is seven Social and health area is 39%, nearly years less than 2.5 times Louisville disparities Louisville Metro Metro (16%) residents overall 4 5 Depression literacy is an important determinant of Stigmatized condition in help seeking, as it affects African American one ’ s ability to recognize, communities manage, and prevent the condition 1. U.S. Census Bureau, 2011-2015 American Community Survey 2. Kentucky State Data Center. LOUISVILLE.EDU | 11 3. 2011-2015 Kentucky Vital Statistics

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 LOUISVILLE.EDU | 12 camp translation: a method for building a community of solution. The Journal of the American Board of Family Medicine , 26 (3), 254-263.

Objectives Create a health communication campaign to increase use of AIM depression services by West Louisville residents 1 Raise awareness on depression and services available Improve community awareness on the availability of culturally 2 competent mental/behavioral health providers 3 Increase utilization of services 4 Reduce stigma TARGET AUDIENCE: Adult African-Americans living in West Louisville suffering from depression LOUISVILLE.EDU | 13

Key Messages 1 2 You do not have to Depression is real suffer 3 4 There are options to You are not alone help you get better LOUISVILLE.EDU | 14

Campaign Components Face-to-face Posters in libraries, community centers, outreach (grocery Radio FQHCs, barbershops, outreach, church ads/appearances and beauty shops outreach) Newspaper City bus ads (Louisville Defender) Social media posts ads ACTION: People who are at risk call 2-1-1 to be referred to a mental health provider LOUISVILLE.EDU | 15

POSTER 1 LOUISVILLE.EDU | 16

POSTERS 2 & 3 LOUISVILLE.EDU | 17

POSTER 4 LOUISVILLE.EDU | 18

Evaluation PROCESS EVALUATION MEASURES  Number of Ambassadors trained & deployed  9  Number of poster designs created  4  Number of posters distributed  180  Number of locations around community where posters and promotional giveaways  59 distributed  200  Number of public ads  50  Number of public buses in which ads posted  140  Number of slots on the radio  1 week  Length of advertisements being featured in local newspaper  7  Number of behavioral health providers recruited for campaign implementation  100  Number of drawstring bags distributed at various community locations  100  Number of notebooks distributed at various community locations  200  Number of reusable grocery bags distributed at various community locations OUTCOME EVALUATION DATA Currently being analyzed  LOUISVILLE.EDU | 19

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  LOUISVILLE.EDU | 20

Lessons Learned 1 2 3 BCT is a promising new methodology that can facilitate Breaking down WL residents care long-term depression stigma is about their health community- challenging academic partnerships 5 4 6 Strengthening Process is being partnerships with Excellent buy-in from replicated for local organizations, health and public childhood asthma providers, and health professionals and HIV agencies LOUISVILLE.EDU | 21

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. LOUISVILLE.EDU | 22

Questions Contact Information Email: nida.ali@louisville.edu Phone: 502.852.1119 LOUISVILLE.EDU | 23