Journal of Community Health

, Volume 38, Issue 2, pp 392–396 | Cite as

Coordinating Research and Practice: Challenges Testing Messages to Increase Medical Reserve Corps Participation in Local Health Department Activities

Original Paper

Abstract

Local health departments (LHDs) increasingly depend on volunteers, often Medical Reserve Corps (MRC) volunteers, to assist with a variety of functions. While LHDs have extensive lists of volunteers, only about 10 % are actively involved in LHD activities. Psychological literature has shown that well-designed messages can motivate behavior among individuals. Key to this theory is the concept of “framing,” defined as the influence the characterization of an issue can have on its understanding. Research has been conducted on how to frame and disseminate both political and public health messages to alter individual behavior. We aimed to design and test appropriate evidence-based messages to increase volunteer participation rates in LHD flu clinics. After inviting over 900 MRC units to participate during the 2011–2012 influenza season, five were able to collect and report data to the research team. Using a randomized trial design, we tested messages among the five participating MRC units consisting of a total of 2,020 volunteers. Chi Square analysis showed no difference in attendance between those who received either of the test messages versus the control message (p = .305). Our small sample size of MRC units likely biased our sample and reduced the external validity of our study. Our experience in conducting research with MRC coordinators and volunteers highlights the challenges of conducting research with practitioners who lack the time, infrastructure and resources necessary to work with researchers. There is a strong need for more supportive infrastructure for conducting research with practitioners.

Keywords

Medical reserve corps Research and practice Volunteers Public health emergency 

References

  1. 1.
    Barnett, D. J., Balicer, R. D., Blodgett, D. W., Everly, G. S., Omer, S. B., Parker, C. L., et al. (2005). Applying risk perception theory to public health workforce preparedness training. Journal of Public Health Management and Practice, 11(6), S33–S37.Google Scholar
  2. 2.
    Baron, S., Sinclair, R., Payne-Sturges, D., Phelps, J., Zenick, H., Collman, G. W., et al. (2009). Partnerships for environmental and occupational justice: Contributions to research, capacity and public health. American Journal of Public Health, 99(Suppl 3), S517–S525. doi:10.2105/AJPH.2009.174557.PubMedCrossRefGoogle Scholar
  3. 3.
    Brudney, J. L. (2000). The effective use of volunteers: Best practices for the public sector. Law and Contemporary Problems Autumn (1999), 219–255.Google Scholar
  4. 4.
    Clary, E. G., Snyder, M., & Stukas, A. A. (1996). Volunteers’ motivations: Findings from a national survey. Nonprofit and Voluntary Sector Quarterly, 25(4), 485–505. doi:10.1177/0899764096254006.CrossRefGoogle Scholar
  5. 5.
    Cnaan, R. A., & Goldberg-Glen, R. S. (1991). Measuring motivation to volunteer in human services. Journal of Applied Behavioral Science, 27(3), 269–284. doi:10.1177/0021886391273003.CrossRefGoogle Scholar
  6. 6.
    Cone, D. C., & Cummings, B. A. (2006). Hospital disaster staffing: If you call, will they come? American Journal of Disaster Medicine, 1(1), 28–36.PubMedGoogle Scholar
  7. 7.
    Franco, C., Toner, E., & Waldhorn, R. (2006). Systematic collapse: Medical care in the aftermath of hurricane katrina. Biosecurity and Bioterrorism, 4(2), 135–146.PubMedCrossRefGoogle Scholar
  8. 8.
    Fraze, J. L., Uhrig, J. D., Davis, K. C., Taylor, M. K., Lee, N. R., Spoeth, S., et al. (2009). Applying core principles to the design and evaluation of the ‘take charge. take the test’ campaign: What worked and lessons learned. Public Health, 123 Suppl 1, e23–e30.PubMedCrossRefGoogle Scholar
  9. 9.
    Gallagher, K. M., & Updegraff, J. A. (2012). Health message framing effects on attitudes, intentions, and behavior: A meta-analytic review. Annals of Behavioral Med, 43(1), 101–116.CrossRefGoogle Scholar
  10. 10.
    Hoard, M. L., & Tosatto, R. J. (2005). Medical reserve corps: Strengthening public health and improving preparedness. Disaster Management & Response: An Official Publication of the Emergency Nurses Association, 3(2), 48–52.Google Scholar
  11. 11.
    Kessler, R., & Glasgow, R. E. (2011). A proposal to speed translation of healthcare research into practice: Dramatic change is needed. American Journal of Preventive Medicine, 40(6), 637–644.PubMedCrossRefGoogle Scholar
  12. 12.
    Kim, Y. C., & Kang, J. (2009). Communication, neighborhood belonging and household hurricane preparedness. Disasters, 34(2), 470–488.PubMedCrossRefGoogle Scholar
  13. 13.
    Larkin, M. A., & Marks, J. S. (2012). Public health services and systems research: An agenda where research and practice matter to each other and to our nation’s health. American Journal of Preventive Medicine, 42(5S1), S79–S81.PubMedCrossRefGoogle Scholar
  14. 14.
    Medical Reserve Corps (2009). Medical reserve corps units and H1N1 influenza related activities. Retrieved December 11, 2009 from http://www.medicalreservecorps.gov/file/SwineFlu/MRC_Units_H1N1_Flu_Activities.pdf.
  15. 15.
    National Association of County and City Health Officials. (2009). Case studies of the MRC program collaboration with local health departments. Retrieved December 10, 2010 from http://www.naccho.org/topics/emergency/MRC/resources/upload/Burness-report_final031809.pdf.
  16. 16.
    Prouteau, L., & Wolff, F. C. (2008). On the relational motive for volunteer work. Journal of Economic Psychology, 29, 314–335.CrossRefGoogle Scholar
  17. 17.
    Rothman, A. J., & Salovey, P. (1997). Shaping perceptions to motivate healthy behavior: The role of message framing. Psychological Bulletin, 121(1), 3–19.PubMedCrossRefGoogle Scholar
  18. 18.
    Savoia, E., Higdon, M., Short, S., Tallon, L., & Stoto, M. A. (2009a). A toolkit to assess medical reserve corps (MRC) units’ performance. Unpublished manuscript.Google Scholar
  19. 19.
    Savoia, E., Higdon, M. A., Massin-Short, S., Tallon, L. & Stoto, M. A. (2009b). Evaluation toolkit for the deployment of MRC units during flu clinics and other public health activities. Retrieved July 30, 2009, from http://www.hsph.harvard.edu/hcphp/mrc-toolkit.
  20. 20.
    Schaffzin, S. (2009). Impact of the medical reserve corps on hurricane response efforts. Disaster Medicine and Public Health Preparedness, 3(2), 126–127.PubMedCrossRefGoogle Scholar
  21. 21.
    Small, D. A., Lowenstein, G., & Slovic, P. (2006). Sympathy and callousness: The impact of deliberative thought on donations to identifiable and statistical victims. Organizational Behavior and Human Decision Processes, 102, 143–153.CrossRefGoogle Scholar
  22. 22.
    Smith, S. (2009). Cases of swine flu higher among city blacks, hispanics. The Boston Globe, August 18, 2009 http://www.boston.com/news/health/articles/2009/08/18/cases_of_swine_flu_higher_among_bostons_blacks_hispanics/.
  23. 23.
    Spector, A. Y. (2012). CBPR with service providers: Arguing a case for engaging practitioners in all phases of research. Health Promotion and Practice, 13(2), 252–258.CrossRefGoogle Scholar
  24. 24.
    Strickler, J. K., Hawksworth, A. W., Myers, C., Irvine, M., Ryan, M. A. K., & Russell, K. L. (2007). Influenza vaccine effectiveness among US military basic trainees, 2005–2006 season. Emerging Infectious Diseases, 13(4), 617–619.PubMedCrossRefGoogle Scholar
  25. 25.
    United States Department of Health and Human Services. (2009). National health security strategy of the United States of America. Accessed December 5, 2011 from http://www.phe.gov/preparedness/planning/authority/nhss/Pages/default.aspx.
  26. 26.
    van Trijp, H. C. (2009). Consumer understanding and nutritional communication: Key issues in the context of the new EU legislation. European Journal of Nutrition, 48(Suppl 1), S41–S48.PubMedCrossRefGoogle Scholar
  27. 27.
    Vinter, S., Levi, J., & Segal, L. M. (2009). Ready or not? protecting the public’s health from diseases, disasters, and bioterrorism 2009. Retrieved December 17, 2010 from http://healthyamericans.org/reports/bioterror09/.

Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  • Tamar Klaiman
    • 1
  • Melissa Higdon
    • 2
  • Ezequiel Galarce
    • 3
  1. 1.Department of Health Policy and Public HealthUniversity of the Sciences in PhiladelphiaPhiladelphiaUSA
  2. 2.Massachusetts Medical SocietyWalthamUSA
  3. 3.UCSF/UCBerkeleyUSA

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