Evidence map›Paper›PMID 22623590›Full record

ArticleJournal of the National Cancer Institute. Monographs2012

Introduction: Understanding and influencing multilevel factors across the cancer care continuum.

Stephen H Taplin, Rebecca Anhang Price, Heather M Edwards, Mary K Foster, Erica S Breslau, Veronica Chollette, Irene Prabhu Das, Steven B Clauser, Mary L Fennell, Jane Zapka

Registry-linked trialOpen access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the National Cancer Institute. Monographs, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03843957 (Effectiveness and Implementation of mPATH-CRC), which is not on this map. Cited by 230 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
230citing papers in PubMed, 9 pooled it
61.1field-weighted citation impact, top 1% of its field
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.

NCT03843957 nacompletednot on this mapstarted 2019, after this paper: background citation

Effectiveness and Implementation of mPATH-CRC: a Mobile Health System for Colorectal Cancer Screening

TypeinterventionalSponsorWake Forest University Health SciencesRan2019 to 2023Enrolled77,145ConditionsColorectal Cancer, Cancer, Rectum Cancer, Colon CancerArmsmPATH-CRC, mPATH-Checkin, "high touch" Implementation strategy, "low touch" Implementation Strategy
3 · Its place in the literature

Who cites it

230 citing papers in PubMed, 9 syntheses or guidelines pooled it, 340 citations in OpenAlex.

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  4. Health Literacy Interventions in Cancer: a Systematic Review.Journal of cancer education : the official journal of the American Association for Cancer Education · 2021
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  18. Physicians, clinics, and neighborhoods: multiple levels of influence on colorectal cancer screening.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2014
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  20. Cervical Cancer Screening and Prevention among Latinas in the United States among a Network of Community Health Centers.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
    Article

170 more citing papers are in PubMed but not listed here.

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

10 authors at 5 institutions in 1 country.

Stephen H TaplinBehavioral Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, 6130 Executive Blvd, Rockville, MD 20852-7344, USA. taplins@mail.nih.gov
Rebecca Anhang Price
Heather M Edwards
Mary K Foster
Erica S Breslau
Veronica Chollette
Irene Prabhu Das
Steven B Clauser
Mary L Fennell
Jane Zapka
Science Applications International Corporation (United States) · USMorgan State University · USBrown University · USNational Cancer Institute · USRAND Corporation · US

Funding

PHS HHS HHSN261200800001E
6 · The paper itself

Abstract

Health care in the United States is notoriously expensive while often failing to deliver the care recommended in published guidelines. There is, therefore, a need to consider our approach to health-care delivery. Cancer care is a good example for consideration because it spans the continuum of health-care issues from primary prevention through long-term survival and end-of-life care. In this monograph, we emphasize that health-care delivery occurs in a multilevel system that includes organizations, teams, and individuals. To achieve health-care delivery consistent with the Institute of Medicine's six quality aims (safety, effectiveness, timeliness, efficiency, patient-centeredness, and equity), we must influence multiple levels of that multilevel system. The notion that multiple levels of contextual influence affect behaviors through interdependent interactions is a well-established ecological view. This view has been used to analyze health-care delivery and health disparities. However, experience considering multilevel interventions in health care is much less robust. This monograph includes 13 chapters relevant to expanding the foundation of research for multilevel interventions in health-care delivery. Subjects include clinical cases of multilevel thinking in health-care delivery, the state of knowledge regarding multilevel interventions, study design and measurement considerations, methods for combining interventions, time as a consideration in the evaluation of effects, measurement of effects, simulations, application of multilevel thinking to health-care systems and disparities, and implementation of the Affordable Care Act of 2010. Our goal is to outline an agenda to proceed with multilevel intervention research, not because it guarantees improvement in our current approach to health care, but because ignoring the complexity of the multilevel environment in which care occurs has not achieved the desired improvements in care quality outlined by the Institute of Medicine at the turn of the millennium.

Indexed as

Combined Modality TherapyContinuity of Patient CareDisease ManagementNeoplasmsPatient Care TeamPatient-Centered CarePatient ParticipationQuality of Health CareDecision MakingEarly Detection of CancerEvidence-Based MedicineHealth Services AccessibilityHumansInterdisciplinary CommunicationPalliative CarePatient Protection and Affordable Care Act

Identifiers

PMID22623590
PMCPMC3482968
OpenAlexW2135924160

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.