3/20/2012 University of Pennsylvania, School of Nursing’s Center for Health Equity 2013 Summer Nursing Research Institute Designing Health Promoting Interventions to Reduce Health Disparities Center for Health Equity Conference Center, Philadelphia, Pa Dates: May 13-17, 2013 Cost: $2,000 Contact us at snri@nursing.upenn.edu The Center for Healthy Equity Research, under the leadership of Dr. Loretta Sweet Jemmott, is sponsoring this 5-day training institute to provide participants with a thorough grounding in designing health promotion interventions. This training is designed for investigators at any career stage interested in enhancing their skills in designing theory driven, culturally competent, and developmentally appropriate health promotion interventions to reduce health disparities of vulnerable populations. DESCRIPTION: Faculty and guest lecturers will consist of leading experts in theory, elicitation research, intervention design, behavioral science, implementation science, research design, evaluation approaches, and building community partnerships, as well as conducting qualitative, quantitative, and mixed methods research. Participants and faculty will meet in small seminar sessions designed to advance the participant’s knowledge and skills APPLICATION AND PROCEDURES: Applications are due on March 1st, 2013. Preference will be given to applicants who demonstrate an interest in designing intervention and reducing health disparities. In addition, to be eligible participants must meet all of the following criteria: Have interest in developing new knowledge around health promotion and health disparities research, and Be willing and able to attend the entire training 5-day institute. Please submit a PDF containing the following (email to snri@nursing.upenn.edu) a) Your CV b) A letter describing yourself, your scholarship and research, and your personal learning objectives for the Institute. INSTITUTE OVERVIEW: This Institute is an intensive and focused training program on designing health promotion and disease prevention interventions to foster health equity and reduce health disparities among vulnerable, underserved populations using an interdisciplinary perspective. Participants will be introduced to theories of health behavior change and methodological issues in intervention development science. The faculty will provide hands-on, targeted guidance for the complete process of intervention design, ranging from adapting procedures in elicitation research, 1 3/20/2012 translating findings from the data into intervention content and activities, to building partnerships with key community stakeholders, and recruiting and retaining participants. As outcomes from the training, students will: 1) gain knowledge of key concepts and techniques in intervention science; 2) learn to critique and design intervention research studies; and 3) develop initial relationships with community partners. OBJECTIVES: Upon completion of this course, the student will be able to: 1. Design formative research with underserved, vulnerable and minority populations, that will provide the data needed to design health promotion interventions (e.g. focus groups, key informant interviews, community participatory research, etc.) 2. Develop measures (e.g. questionnaire items, interview or focus group guides, etc.) to elicit the necessary data to design an intervention 3. Describe behavioral theories used in designing health promotion interventions for vulnerable population, including traditional and emerging frameworks, and determine how to use the theory for the intervention. 4. Design health promotion intervention activities and link them with various theoretical constructs and core elements that facilitate behavior change. 5. Describe strategies for adapting and tailoring evidenced-based health promotion intervention for various populations nationally and internationally. 6. Identify and thoroughly evaluate culturally competent strategies and methodologies for designing and conducting health promotion interventions among various vulnerable populations. 7. Identify strategies for building community partnerships, maintaining relationships with community members and key stakeholders throughout the research process, and building community capacity as part of the intervention design 8. Describe the best strategies for recruiting and retaining participants in the various studies. 9. Evaluate the methodological approaches best for their intervention research and outcome measures. 2 3/20/2012 TEACHING METHODS: Seminar, lecture, and discussion Seminar format, written and oral presentations INSTITUTE SCHEDULE AND TOPICS: Class Monday, May 13, 2013 4-5:30 p.m. 5:30 p.m. Dinner 6-7 p.m. Orientation 7-8 p.m. Tuesday, May 14, 2013 ROOM 300 8:30-9 a.m. 9-10:20 a.m. Phase I of Intervention Development: Elicitation Research…. Learning the Codes of the Streets 10:20-10:30: Break Topic Objectives/ Learning Activity Campus Tour Registration Dinner, Introductions, and Overview Health Equity & Health Promotion in Behavioral Science Intervention Research Introduction Overview of the program Review of the syllabus Discussion of SNRI goals &objectives Discussion of participant’s background and goals for SNRI including population and health issue of interest Overview of the components/phases of effective intervention design Objective: Explore own work and plans to design an effective intervention to promote the health of the selected population. Faculty/Staff Carly Rubin Carly Rubin and Marcia Penn Dr. Loretta Jemmott and Center Faculty Carly Rubin Continental Breakfast Social Determinants and Contextual Factors and Health-Related Behaviors Family context, neighborhood context, spiritual context, SES, and culturally context in health promotion and health equity research Furnished Objective: Formulate an understanding of health equity related to social determinants of health, contextual factors, and health-related behaviors. Methodological Strategies: Elicitation Research Designing Elicitation Research Objective: Engage in designing interventions by listening to the voices of the selected population 3 Discussant: Dr. Terri Lipman Dr. Janet Deatrick Dr. Maureen George 3/20/2012 10:30-11:50 11:50-12 (noon): Break 12- 1 p.m. Tuesday Afternoon 1-2:20 p.m. 2:20-2:30: Break 2:30-3:50 3:50-4:00: Break in order to learn the code of the street. Objective: Formulate measures to test the effectiveness of the intervention Learning Activity: Identify questions for their elicitation research. Learning Activity: Compose sample questions they would like to include in their survey instrument and the rationale for their use. Furnished Objective: Compare and Dr. Bridgette Brawner contrast theories that may guide them in research and designing their intervention How to use elicitation research to inform questionnaire and intervention development Elicitation research/focus groups (learning the “code of the street”) Lunch Theories of Health Behavior and Health Behavior Change: Applying Theories to Culturally Diverse and Unique Populations Social cognitive theory The theory of reasoned action and the theory of planned behavior The health belief model Diffusion of innovations The information-motivation behavioral skills model Stages of change Ecological models The theory of gender and power Issues of theory application in diverse populations Building Community Partnerships to Design Effective Interventions Barriers to research and strategies for reducing these barriers Assessment of culturally competent 4 Learning Activity: Prepare their questions and theory for Phase 1 and submit them for discussion. Objective: Explain the importance of building community partners to do their research effectively. Dr. Lisa Lewis and community partner 3/20/2012 4-5:00 p.m. Wednesday, May 15, 2013 ROOM 300 Wednesday Morning 8:30-9 a.m. 9-10:20 Phase II of Research Design (Planning for Phase VI of Intervention Design: Evaluation…Randomized Control Trials) 10:20-10:30: Break 10:30-11:50 11:50-12 noon: Break and congruent research methodologies related to health disparities Community-based participatory research Breakout groups Objective: Critique Self and Dr. Chris Coleman and Dr. Lisa Peer Learning Activities (see Lewis above): questions for their elicitation research and questions and theory for Phase1. Carly Rubin Continental Breakfast Furnished Research designs and their effectiveness for evaluating interventions Methodology: What are you measuring and how? Multiple levels of analysis and intervention in prevention science Sample size Location Data Analysis Plan Staffing needs Using theory to inform measurement strategies Developing valid and reliable measures in diverse populations 5 Objective: How to design and Dr. Alison Buttenheim implement your study in a Dr. Anne Teitelman community setting Dr. Loretta Jemmott Objective: Summarize the importance of evaluation and the use of well-designed studies. Learning activity: Describe how the effectiveness of your intervention can be measured 3/20/2012 12-1p.m. Wednesday Afternoon 1-2:20 pm Phase III of Intervention Design: Designing activities and strategies for the intervention 2:20-2:30: Break 2:30-3:50 3:50-4:00: Break Phase IV of Intervention Design Phase V of Intervention Design 4-5 pm Lunch Furnished Intervention design Using theory to inform intervention strategies Developing activities and intervention approaches for diverse populations including health literacy Objective: Develop activities and intervention approaches. Learning Activity: Discuss how could you use interventions already deemed effective and adapt them; if yes, how? If no, why not? What are some new activities or approaches? Pilot testing your intervention Who is the pilot sample? Sample size? Location? What are you piloting? What do you need to do to obtain your sample? Do you have community partners? Staffing needs? Revise and Re-pilot testing your intervention Why is this important? Who is the pilot sample? Sample size? Location? What are you piloting? What do you need to do to obtain your sample? Staffing needs? Breakout groups 6 Dr. Chris Coleman Dr. Loretta Jemmott Learning Activity: Plan how to pilot test their intervention, that is, with whom and how to do it. Learning Activity: Plan who to revise and re-pilot test their intervention. Objective: Critique Self and Peer Learning Activities (see Dr. Chris Coleman Dr. Lisa Lewis 3/20/2012 above): questions they would like to include in their survey instrument; what is the rationale for their use? What activities and approaches have been used in other evidence-based curricula and how can they be adapted? Are new activities and approaches needed? How will the intervention be pilot tested revised, and re-pilot tested? Thursday, May 16, 2013 ROOM 300 Thursday Morning 8:30-9 a.m. 9-10:20 Carly Rubin Continental Breakfast Furnished Writing for publication Grant writing Objective: Create a written strategy for publishing and submitting grants. Objective: Construct detailed outline of next publication or grant. Lunch Translational Research, Implementation Science, and Capacity Building Research Adapting and modifying evidencebased health promotion interventions CDCs programs in replication and translation (REP and DEBI) Implementation Science Identifying intervention strategies with the community Furnished Objective: Define implementation science and implications for their program of research. Learning Activity: Give examples of what has been done and how it can be adapted for their work. 10:20-10:30: Break 10:30:11:50 11:50-12 noon: Break 12-1p.m. 1-1:50 p.m. 1:50-2:00: Break 7 Dr. Alison Buttenheim Dr, Janet Deatrick Dr. Loretta Jemmott 3/20/2012 Thursday Afternoon 2-5 p.m. 3:00-3:50: Break 5:00-6:30 Friday, May 17, 2013 ROOM 213 AND 229 8:30- 9a.m. 9:00-10:50 Individual work Working dinner Objective: Revise presentations for Friday Dr. Loretta Jemmott and Dr. Janet Deatrick Carly Rubin Furnished Objective: Apply principles related to health promoting interventions to own program of research. Continental Breakfast Participant presentations of health promotion intervention 10:50-11:00: Break 11:00-1:00 Friday Afternoon Lunch and Dismissal 1:00-2:00 REQUIREMENTS/COURSE ASSIGNMENTS Dr. Anne Teitelman Dr. Janet Deatrick Dr. Roz Watts All Faculty and Staff Fellow Presentation of Proposed Project- presented on the last day of the Institute Each fellow will have 30-minute time slot to present and discuss their proposed health promotion intervention on the last day. First, each Fellow will have 10-12 minutes to describe their proposed health promotion study and their intervention. Each Fellow is required to use PowerPoint during this portion of the presentation. Second, each Fellow will then have 10-12 minutes to demonstrate one activity from their health promotion intervention, that is, one example from the actual intervention (e.g. a role play or other activity). Third, the remaining time will be for discussion and feedback. 8