Lessons from Initiating the First Veterans Health Administration (VA) Women's Health Practice-based Research Network (WH-PBRN) Study

Journal Name: 
J.Am.Board Fam.Med.
Authors: 
Pomernacki,A.
Carney,D.V.
Kimerling,R.
Nazarian,D.
Blakeney,J.
Martin,B.D.
Strehlow,H.
Yosef,J.
Goldstein,K.M.
Sadler,A.G.
Bean-Mayberry,B.A.
Bastian,L.A.
Bucossi,M.M.
McLean,C.
Sonnicksen,S.
Klap,R.
Yano,E.M.
Frayne,S.M.
Abstract: 
BACKGROUND: The Veterans Health Administration (VA) Women's Health Practice-Based Research Network (WH-PBRN) was created to foster innovations for the health care of women veterans. The inaugural study by the WH-PBRN was designed to identify women veterans' own priorities and preferences for mental health services and to inform refinements to WH-PBRN operational procedures. Addressing the latter, this article reports lessons learned from the inaugural study. METHODS: WH-PBRN site coordinators at the 4 participating sites convened weekly with the study coordinator and the WH-PBRN program manager to address logistical issues and identify lessons learned. Findings were categorized into a matrix of challenges and facilitators related to key study elements. RESULTS: Challenges to the conduct of PBRN-based research included tracking of regulatory documents; cross-site variability in some regulatory processes; and troubleshooting logistics of clinic-based recruitment. Facilitators included a central institutional review board, strong relationships between WH-PBRN research teams and women's health clinic teams, and the perception that women want to help other women veterans. CONCLUSION: Our experience with the inaugural WH-PBRN study demonstrated the feasibility of establishing productive relationships between local clinicians and researchers, and of recruiting a special population (women veterans) in diverse sites within an integrated health care system. This identified strengths of a PBRN approach
9
2015
Volume: 
28
Pages: 
649-657
Keywords: 
ACCESS, California, Connecticut, delivery, Development, education, Facilitators, Health, health care, Health Policy, Health Services, Health Services Research, hospital, Hospitals, Informatics, Internal Medicine, Iowa, Los Angeles, medical, Medicine, Mental Health, Mental Health Services, Methods, Pain, Perception, population, practice-based research, primary care, Psychiatry, Public Health, Research, review, system, Universities, Veterans, Veterans Health, women, Women's Health