Evidence map›Paper›PMID 22074614›Full record

Trial reportBMC family practice2011

Evaluation of the implementation of an integrated primary care network for prevention and management of cardiometabolic risk in Montréal.

Sylvie Provost, Raynald Pineault, Pierre Tousignant, Marjolaine Hamel, Roxane Borgès Da Silva

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in BMC family practice, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01326130 (Implementation of an Integrated Primary Care Network for Prevention and Management of Cardiometabolic Risks), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 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.

NCT01326130 naunknown statusnot on this map

Implementation of an Integrated Primary Care Network for Prevention and Management of Cardiometabolic Risks (RCM)

TypeinterventionalSponsorPublic Health Department, MontrealRan2011 to 2014Enrolled3,000ConditionsDiabetes, HypertensionArmsChronic care management 1-6
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Effects on patients of variations in the implementation of a cardiometabolic risk intervention program in Montréal.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2018
    Article
  3. Article
  4. Article
  5. Article
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

5 authors.

Sylvie ProvostDirection de santé publique de l'Agence de la santé et des services sociaux de Montréal, Canada. sprovost@santepub-mtl.qc.ca
Raynald Pineault
Pierre Tousignant
Marjolaine Hamel
Roxane Borgès Da Silva

Funding

Canadian Institutes of Health Research
6 · The paper itself

Abstract

backgroundThe goal of this project is to evaluate the implementation of an integrated and interdisciplinary program for prevention and management of cardiometabolic risk (PCMR). The intervention is based on the Chronic Care Model. The study will evaluate the implementation of the PCMR in 6 of the 12 health and social services centres (CSSS) in Montréal, and the effects of the PCMR on patients and the practice of their primary care physicians up to 40 months following implementation, as well as the sustainability of the program. Objectives are: 1-to evaluate the effects of the PCMR and their persistence on patients registered in the program and the practice of their primary care physicians, by implementation site and degree of exposure to the program; 2-to assess the degree of implementation of PCMR in each CSSS territory and identify related contextual factors; 3-to establish the relationships between the effects observed, the degree of PCMR implementation and the related contextual factors; 4-to assess the impact of the PCMR on strengthening local services networks. METHODS/

designThe evaluation will use a mixed design that includes two complementary research strategies. The first strategy is similar to a quasi-experimental "before-after" design, based on a quantitative approach; it will look at the program's effects and their variations among the six territories. The effects analysis will use data from a clinical database and from questionnaires completed by participating patients and physicians. Over 3000 patients will be recruited. The second strategy corresponds to a multiple case study approach, where each of the six CSSS constitutes a case. With this strategy, qualitative methods will set out the context of implementation using data from semi-structured interviews with program managers. The quantitative data will be analyzed using linear or multilevel models complemented with an interpretive approach to qualitative data analysis. DISCUSSION: Our study will identify contextual factors associated with the effectiveness, successful implementation and sustainability of such a program. The contextual information will enable us to extrapolate our results to other contexts with similar conditions.

trial registrationClinicalTrials.gov: NCT01326130.

Indexed as

Health Plan ImplementationPrimary Health CareProcess Assessment, Health CareCardiovascular DiseasesChronic DiseaseCommunity NetworksDelivery of Health Care, IntegratedDiabetes MellitusDisease ManagementHumansHypertensionOrganizational ObjectivesPatient Acceptance of Health CarePrimary PreventionProgram EvaluationQualitative Research

Identifiers

PMID22074614
PMCPMC3282661

What OpenQuestion holds

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Registered trials

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.