Nebraska Primary Care Practice-Based Research Network

Research & Engagement, 2014


Summary

This project was designed to connect health care providers to improve strategies for management of complex chronic diseases. Using a community-based participatory research approach, the providers, with the help of University of Nebraska Medical Center faculty, were brought together to finalize a project focusing on obesity, which is associated with many disease states including diabetes, coronary heart disease, obstructive sleep apnea, liver disease, chronic pain, cancer and more. This project was designed to assess the incidence of overweight and obese patients in rural and urban primary care clinics. In addition, the goal was to identify barriers to the treatment of obesity in rural primary care clinics.

Impacts

Eight primary care clinics in the Practice-based Research Network (PBRN) participated in this study. A total of 2033 patients were identified as eligible for the survey with 1723 completing the survey in its entirety.

This project helped lay the groundwork for future efforts to combat obesity in rural Nebraska. The support of the clinic physicians and staff was instrumental in a very high response rate from patients. We were able to assess attitudes toward obesity and identify barriers to weight loss, successful strategies, levels of activation and willingness to make changes. It appears that patients in Nebraska are motivated to make changes. Making these changes will be no small task. Many barriers to successful weight loss interventions exist including, but not limited to, patient perceptions, access to resources, time, cost and patient comorbidities.

Beyond the actual findings of the project, this funding was critically important in facilitating the development of a practice-based research network in rural and urban Nebraska. This network has laid the groundwork to help provide the infrastructure for future projects throughout Nebraska.

Project Team

  • Christopher J. Kratochvil, M.D., (PI), University of Nebraska Medical Center, Clinical Research
  • Michael Sitorius, MD, University of Nebraska Medical Center, Family Medicine
  • Paul Paulman, MD, University of Nebraska Medical Center, Family Medicine
  • Audrey Paulman, MD, University of Nebraska Medical Center, Family Medicine
  • Janenne Geske, PhD, University of Nebraska Medical Center, Family Medicine
  • Ted Mikuls, MD, MSPH, University of Nebraska Medical Center, Internal Medicine
  • Ed Vandenberg, MD, University of Nebraska Medical Center, Internal Medicine
  • Fausto Loberiza, MD, University of Nebraska Medical Center, Internal Medicine
  • Gary Cochran, PharmD, University of Nebraska Medical Center, College of Pharmacy
  • Jane Meza, PhD, University of Nebraska Medical Center, College of Public Health
  • Terry Huang, PhD, University of Nebraska Medical Center, College of Public Health
  • Lani Zimmerman, PhD, University of Nebraska Medical Center, College of Nursing
  • Mary Cramer, PhD, University of Nebraska Medical Center, College of Nursing
  • John Reinhardt, DDS, University of Nebraska Medical Center, College of Dentistry
  • Jennifer Larsen, MD, University of Nebraska Medical Center, Research
  • Mike Huckabee, PhD, University of Nebraska Medical Center, Allied Health
  • Patrik Johansson,PhD, University of Nebraska Medical Center, College of Public Health
  • Kim McFarland, DDS, University of Nebraska Medical Center, College of Dentistry

Partners

  • David Palm, Nebraska Department of Health and Human Services, Rural Health
  • Gerald Lucky, MD, Butler County Hospital, David City, NE
  • Brian Finley, MD, Lifecare Family Medicine, Bellevue, NE
  • Jason Hesser, MD, Crete Area Medical Center, Crete, NE
  • Kate Hesser, MD, Crete Area Medical Center, Crete, NE
  • Milo Anderson, MD, Prairie Fields Medical Center, Fremont, NE
  • Jason Bespalec, MD, Fillmore County Medical Center, Geneva, NE
  • Chris Vanderneck, MD, Henderson Health Care Services, Henderson, NE
  • Scott Ehresman, MD, Family Medicine Specialties, Holdrege, NE
  • Barbara Gutschall, MD, Avera Saint Anthony’s Hospital, O’Neil, NE
  • Kimberly Mickels, MD, Internal Medicine Associates, Grand Island, NE
  • Iassac Berg, ND, Internal Medicine Associates, Grand Island, NE
  • Robert Messbarger, MD, Kearney Clinic, Kearney, NE
  • Rich Fruehling, MD, Family Practice of Grand Island, NE
  • Zach Meyer, MD, Family Practice of Grand Island, NE

Publications

Presentations

 

Contact: Christopher Kratochvil, ckratoch@unmc.edu