Faculty Perspectives: Janet Prvu Bettger

Janet Prvu Bettger.

Janet Prvu Bettger, Associate Professor of Orthopaedic Surgery

Bass Connections Project Team: Global Alliance on Disability and Health Innovation (GANDHI)

Janet Prvu Bettger is interested in what comes after a life-altering injury or illness, when a patient leaves the hospital and must learn to live with a disability. She launched the Global Alliance on Disability and Health Innovation (GANDHI for short) to support innovative approaches that will help vulnerable people around the globe to gain functional independence and reintegrate into their communities after a devastating setback. This interdisciplinary project grew out of a 2015 Intellectual Community Planning Grant, when Bettger and her colleagues realized they “didn’t have the expertise in medicine and nursing alone to ask all of the right questions,” she said. They engaged additional faculty with different perspectives and brought students on board through a multiyear Bass Connections project in 2016.

Below are excerpts from her remarks for the Duke Interdisciplinary Studies website.

A series of grants

We designed GANDHI in year 1 to compare strategies and policies in different countries that support patients’ transitioning home from the hospital and promote recovery from injury and illness. Faculty advisors who met in an April 2016 meeting supported by the Intellectual Community Planning Grant identified the need to study adult and pediatric systems of care separately. This led to a graduate student proposal (D-SIGN) to lead research focused on pediatric care.

Faculty advisors also identified related research at Duke. This led to a proposal that was funded by the Josiah Charles Trent Memorial Foundation to support a global showcase of health systems strengthening research.

GANDHI leadership quickly learned that there was very little work in low-income countries. The PIs for GANDHI year 1 [Catherine Staton and Bettger] applied to NIH for a grant to build capacity for transitional care in Tanzania to support recovery after traumatic injury. We were funded with a two-year R21.

We designed GANDHI in year 2 to focus on stroke systems of care in the Asia-Pacific region. Our students’ interest in the potential of digital health technology led to a proposal to the Provost’s office for funding to create a China-based mHealth@Duke conference. 

The event quickly grew to be bigger than expected with a three-campus collaboration (Duke in the U.S., China and Singapore). Duke Kunshan University secured funding from the City of Kunshan and a nonprofit partner AccessHealth to launch an academic, industry and public partnership for digital health.

Expanding networks

We planned year 1 to give the students exposure to care in different countries. Every week in the fall semester we had a different country partner join our group meeting by video conference to describe hospital-to-home care transitions in their country. We had nine active non-U.S. collaborators who subsequently supported a group manuscript, key informant interviews and several opportunities for students.

Student opportunities from the GANDHI network included a Bass Connections follow-on project for that summer (Uganda), an independent study in the subsequent year (China), a global health master’s thesis and summer fieldwork (Argentina) and project planning for year 2. 

I personally have continued to collaborate with many of these global partners. I am now on the steering committee for clinical trials in China, Argentina, Brazil (and Peru), have funded research with partners in China, Singapore and Tanzania and co-led symposia at international conferences with collaborators in the Netherlands, Argentina and China.

We planned year 2 to expose students to stroke care in the U.S. and China. Partnerships for year 2 supported the symposium, clinical observations, three research studies and several opportunities for students. Other student outcomes from the year 2 GANDHI network included two DukeEngage awards, two travel scholarships for conference presentations (Sanford policy and undergraduate research) and summer research funding

Meetings at Duke Kunshan led to subsequent Bass Connections proposals (GANDHI 3.0 and mHealth in Nepal) with new partnerships.

A transformational experience

I have found leading Bass Connections to be professionally transformational for me as an educator. 

First, working with students across schools and programs brought new meaning to interdisciplinary research. Second, I learned the importance of establishing “baseline” with all content and skills, and leveraging unique talents, experiences and knowledge. 

Finally, I am forever committed to engaging undergraduate students in clinical and population health research and having these and other early career trainees understand their value in team-based science.

See other faculty perspectives and learn how you can get involved in Bass Connections.