A Survey of Research Experience and Interests among Practice Based Research Network Providers Lisa Schrader MT MBA, Rod Erickson MD, David Warner MD, Tom Grau MD, Kay Kluge MS, Paul V. Targonski MD PhD Mayo Health System Practice Based Research Network (MHS PBRN)

“If you’ve seen one PBRN, you’ve seen one PBRN” D. Hahn and others

Background A number of PBRN surveys have been employed – –Assess the capacity of sites and networks to support PBRN research The specific interests and expertise of practioners in community based practices – –Areas of interest – –Interest in participating providers – –Expertise – –Experience – –Inform potential members-growth opportunities We undertook a survey of all community based practioners in the MHS

Objectives To describe the research interests and expertise of Mayo Health System Practice- Based Research Network providers and sites. To identify areas of interest for educational outreach regarding clinical research skills development.

Figure 1: Participating Clinical Practices within the Mayo Health System PBRN

Methods I Design – Cross sectional web-based survey, mass contact via with one reminder two weeks after initial contact. Setting –Mayo Health System: 12 systems, 59 sites Participants – All clinical practitioners within the Mayo Health System (MD, DO, nurse practitioner, physician assistant) were eligible to participate.

Methods II Intervention – –An recruitment letter inviting individuals to participate and obtaining informed consent was sent to all one thousand ten eligible persons. The web-based survey contained 14 questions assessing the following areas Experience – –specific types of research (ie, clinical trial, patient-oriented, bench, etc) – –research roles (ie, principal investigator, co-investigator, collaborator, recruiter, reviewer, etc) Provider demographics Participant interests – –specific research topics (write in). Outcome measures – –Basic descriptive analyses documenting research expertise and interests among PBRN providers and secondary inferential analyses exploring interests and expertise by provider demographics.

Results A total of 1,010 providers in the Mayo Health System were identified and offered participation in the survey study, with 271 completing at least part of the survey (response rate = 27%) Research experience (Figure 2) and interest in active research roles (Figure 3) among respondents was relatively high and indicates a sufficient variety and depth of capacity for practice-based research. Specific areas of interest among respondents for research participation and skills development are presented in Tables 2 and 3.

Mayo Health System PBRN Provider Survey Survey Respondent Demographics Gender: 66% Male Age: 16% < 35 YO 22% YO 32% YO 27%55+ YO Practice Tenure: 19%< 5 years 15%5-9 years 17%15-19 years 38%20 + years Race: 92%White 5%Asian Hispanic Ethnicity: 4%Hispanic or Latino 1%Don’t Know 95%Not Hispanic/Latino Academic Rank: 79%None 11%Instructor 7%Assistant Prof 2%Associate Prof 1%Professor

Mayo Health System PBRN Provider Survey Survey Respondent Demographics SpecialtyNumber % of Total Family Medicine 5030 Internal Medicine 3320 Surgery3320 Emergency Medicine 85 Mental Health 95 Geriatrics64 Other2716

Figure 2: Previous Research Experience among Respondents Helped recruit participants to clinical research studies Collaborated or served as a co-investigator In clinical research studies Led (PI of) studies

Mayo Health System PBRN Provider Survey Previous Research Experience (n=169) Examples of “Other” Experiences: REP Direct data collection Developed project but couldn’t get it funded Master’s thesis WREN office based research participant Basic science research with NIH/AHA support Ran the PROS network for North Dakota IRB approved project not taking off because of lack of funds Airborne allergens in Middle East Previous Experience Yes (%) Helped recruit participants to clinical research studies 39.1 Collaborated or been a co- investigator in clinical research 42.6 Been the principal investigator for, or led, clinical research studies 15.4 Other13.1

Participatory and Educational Research Interest

Figure 3: Interest in Research Roles among Respondents Review Research Proposals and Provide Feedback Recruit participants for ongoing studies other than my own Develop research ideas to share or for others to implement Develop research ideas to share or for others to implement Run an occasional study in an area that interests me Run a sustainable program of research in a specific field

Research Interests by Speciatly Primary Care vs. Non-Primary Care Primary Care Non-primary care Primary Care Non-primary care Health Care Quality and Outcome 43/81 43/79 Access and the delivery of health care 29/75 28/66 Disease specific studies 27/73 35/77 excluding clinical trials and chart reviews Cost and financing of health care 20/64 24/60 Disease specific chart review 18/62 26/71 Clinical trials 15/74 37/87 (Percent very interested/very + somewhat interested)

Comments – –Response rate for the MHS PBRN survey was slightly higher than anticipated for a web-based survey of MHS providers4. Concerns regarding possible selection bias remain an issue. – –Generalization of results to other PBRNs may be limited by the demographics of the MHS provider composition, including racial and practice specialty distributions. – –Provides snapshot of those interested in practice based research within a fairly large community practice based network

Comments Comments – –Provides insight into differences in research interest between primary care and non- primary care specialties – –Write-in provided very rich information regarding research ideas and interest

Questions

Mayo Health System PBRN Survey “Research Interests and Experience among Primary Care and Community-Based Health Care Providers” (MCR IRB ) Aims: Aims: –Describe the research interests and expertise of Mayo Health System Practice Based Research Network providers and sites –Identify areas of interest for educational outreach regarding clinical research skills development Electronic survey with introductory Electronic survey with introductory MHS providers and MCR primary care: MHS providers and MCR primary care: –1010 MHS Interim Analysis (n=179) Interim Analysis (n=179) –Currently 279/1010 replies in MHS

Research Interests by Speciatly Primary Care vs. Non-Primary Care