Evidence map›Paper›PMID 19717799›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA

Translating clinical informatics interventions into routine clinical care: how can the RE-AIM framework help?

Suzanne Bakken, Cornelia M Ruland

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  12. The Symphony of Consumer Partnering and Clinical Governance: An Organizational Review Using the RE-AIM Framework.Health expectations : an international journal of public participation in health care and health policy · 2024
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  20. Celebrating Suzanne Bakken, 2023 Morris F. Collen Award winner and pioneer in health equity.Journal of the American Medical Informatics Association : JAMIA · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Suzanne BakkenSchool of Nursing, Department of Biomedical Informatics, Columbia University, 630 W. 168 Street, Mail Box 6, New York, NY 10032, USA. suzanne.bakken@dbmi.columbia.edu
Cornelia M Ruland

Funding

Self-Management, Biobehavioral and Informatics CoreP30NR010677 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BYRNE, MARY WOODS · 2007 to 2011
$2.7M
Mobile Decision Support for Advanced Practice NursingR01NR008903 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BAKKEN, SUZANNE · 2005 to 2007
$954k
NINR NIH HHS P30 NR010677NINR NIH HHS P30NR010677NINR NIH HHS R01 NR008903NINR NIH HHS R01NR008903
6 · The paper itself

Abstract

objectiveClinical informatics intervention research suffers from a lack of attention to external validity in study design, implementation, evaluation, and reporting. This hampers the ability of others to assess the fit of a clinical informatics intervention with demonstrated efficacy in one setting for implementation in their setting. The objective of this model formulation paper is to demonstrate the applicability of the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework with proposed extensions to clinical informatics intervention research and describe the framework's role in facilitating the translation of evidence into practice and generation of evidence from practice. Both aspects are essential to reap the clinical and public health benefits of clinical informatics research.

designWe expanded RE-AIM through the addition of assessment questions relevant to clinical informatics intervention research including those related to predisposing, enabling, and reinforcing factors and validated it with two case studies.

resultsThe first case study supported the applicability of RE-AIM to inform real world implementation of a clinical informatics intervention with demonstrated efficacy in randomized controlled trials (RCTs)--the Choice (Creating better Health Outcomes by Improving Communication about Patients' Experiences) intervention. The second, an RCT of a personal digital assistant-based decision support system for guideline-based care, illustrated how RE-AIM can be used to inform the design of an efficacy RCT that captures essential contextual details typically lacking in RCT design and reporting.

conclusionThe case studies validate, through example, the applicability of RE-AIM to inform the design, implementation, evaluation, and reporting of clinical informatics intervention studies.

Indexed as

Health Plan ImplementationMedical InformaticsResearch DesignComputers, HandheldDecision Support Systems, ClinicalHumansModels, TheoreticalOrganizational Case StudiesRandomized Controlled Trials as TopicReproducibility of ResultsTranslational Research, BiomedicalUnited States

Identifiers

PMID19717799
PMCPMC3002125

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.