Evidence map›Paper›PMID 22956703›Full record

ArticleJournal of the American Board of Family Medicine : JABFM

The role of the champion in primary care change efforts: from the State Networks of Colorado Ambulatory Practices and Partners (SNOCAP).

Eric K Shaw, Jenna Howard, David R West, Benjamin F Crabtree, Donald E Nease, Brandon Tutt, Paul A Nutting

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the American Board of Family Medicine : JABFM. 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 95 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
95citing 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.

NCT03843957 nacompletednot on this map

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

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

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  9. Distance-Learning, ADHD Quality Improvement in Primary Care: A Cluster-Randomized Trial.Journal of developmental and behavioral pediatrics : JDBP · 2017
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35 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

7 authors.

Eric K ShawDepartment of Community Medicine, Mercer University School of Medicine, Savannah Campus, Savannah, GA 31404, USA. shaw_ek@mercer.edu
Jenna Howard
David R West
Benjamin F Crabtree
Donald E Nease
Brandon Tutt
Paul A Nutting

Funding

Using Teams for Reflective Adaptation for DiabetesR18DK067083 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI WEST, DAVID R. · 2005 to 2009
$3.1M
Practice Redesign to Improve Depression Care - PRIDE CareR01MH069806 · NIMH · UNIVERSITY OF COLORADO DENVER · PI WEST, DAVID R. · 2007 to 2010
$1.2M
NIDDK NIH HHS DK067083NIDDK NIH HHS R18 DK067083NIMH NIH HHS MH069806NIMH NIH HHS R01 MH069806
6 · The paper itself

Abstract

backgroundChange champions are important for moving new innovations through the phases of initiation, development, and implementation. Although research attributes positive health care changes to the help of champions, little work provides details about the champion role.

methodsUsing a combination of immersion/crystallization and matrix techniques, we analyzed qualitative data, which included field notes of team meetings, interviews, and transcripts of facilitator meetings, from a sample of 8 practices.

resultsOur analysis yielded insights into the value of having 2 discrete types of change champions: (1) those associated with a specific project (project champions) and (2) those leading change for entire organizations (organizational change champions). Relative to other practices under study, those that had both types of champions who complemented each other were best able to implement and sustain diabetes care processes. We provide insights into the emergence and development of these champion types, as well as key qualities necessary for effective championing.

conclusionsPractice transformation requires a sustained improvement effort that is guided by a larger vision and commitment and assures that individual changes fit together into a meaningful whole. Change champions--both project and organizational change champions--are critical players in supporting both innovation-specific and transformative change efforts.

Indexed as

Ambulatory Care FacilitiesLeadershipPrimary Health CareColoradoDiabetes MellitusOrganizational InnovationQualitative ResearchQuality Improvement

Identifiers

PMID22956703
PMCPMC3535479

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.