Evidence map›Paper›PMID 24371464›Full record

ArticleEvidence-based complementary and alternative medicine : eCAM2013

When a whole practice model is the intervention: developing fidelity evaluation components using program theory-driven science for an integrative medicine primary care clinic.

Sally E Dodds, Patricia M Herman, Lee Sechrest, Ivo Abraham, Melanie D Logue, Amy L Grizzle, Rick A Rehfeld, Terry J Urbine, Randy Horwitz, Robert L Crocker and 1 more

Abstract read
In one paragraph

Article in Evidence-based complementary and alternative medicine : eCAM, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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.

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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Observational
  8. 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

11 authors.

Sally E DoddsArizona Center for Integrative Medicine, College of Medicine, University of Arizona, P.O. Box 245153, Tucson, AZ 85724-5153, USA.
Patricia M HermanHealth Unit, The RAND Corporation, Santa Monica, CA 90407-2138, USA.
Lee SechrestCenter for Health Outcomes & PharmacoEconomic Research (HOPE), College of Pharmacy, University of Arizona, P.O. Box 245153, Tucson, AZ 85724-5153, USA.
Ivo AbrahamCenter for Health Outcomes & PharmacoEconomic Research (HOPE), College of Pharmacy, University of Arizona, P.O. Box 245153, Tucson, AZ 85724-5153, USA.
Melanie D LogueCenter for Health Outcomes & PharmacoEconomic Research (HOPE), College of Pharmacy, University of Arizona, P.O. Box 245153, Tucson, AZ 85724-5153, USA ; College of Nursing, University of Arizona, P.O. Box 245153, Tucson, AZ 85724-5153, USA.
Amy L GrizzleCenter for Health Outcomes & PharmacoEconomic Research (HOPE), College of Pharmacy, University of Arizona, P.O. Box 245153, Tucson, AZ 85724-5153, USA.
Rick A RehfeldCenter for Health Outcomes & PharmacoEconomic Research (HOPE), College of Pharmacy, University of Arizona, P.O. Box 245153, Tucson, AZ 85724-5153, USA.
Terry J UrbineCenter for Health Outcomes & PharmacoEconomic Research (HOPE), College of Pharmacy, University of Arizona, P.O. Box 245153, Tucson, AZ 85724-5153, USA.
Randy HorwitzArizona Center for Integrative Medicine, College of Medicine, University of Arizona, P.O. Box 245153, Tucson, AZ 85724-5153, USA.
Robert L CrockerArizona Center for Integrative Medicine, College of Medicine, University of Arizona, P.O. Box 245153, Tucson, AZ 85724-5153, USA.
Victoria H MaizesArizona Center for Integrative Medicine, College of Medicine, University of Arizona, P.O. Box 245153, Tucson, AZ 85724-5153, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Integrative medicine (IM) is a clinical paradigm of whole person healthcare that combines appropriate conventional and complementary medicine (CM) treatments. Studies of integrative healthcare systems and theory-driven evaluations of IM practice models need to be undertaken. Two health services research methods can strengthen the validity of IM healthcare studies, practice theory, and fidelity evaluation. The University of Arizona Integrative Health Center (UAIHC) is a membership-supported integrative primary care clinic in Phoenix, AZ. A comparative effectiveness evaluation is being conducted to assess its clinical and cost outcomes. A process evaluation of the clinic's practice theory components assesses model fidelity for four purposes: (1) as a measure of intervention integrity to determine whether the practice model was delivered as intended; (2) to describe an integrative primary care clinic model as it is being developed and refined; (3) as potential covariates in the outcomes analyses, to assist in interpretation of findings, and for external validity and replication; and (4) to provide feedback for needed corrections and improvements of clinic operations over time. This paper provides a rationale for the use of practice theory and fidelity evaluation in studies of integrative practices and describes the approach and protocol used in fidelity evaluation of the UAIHC.

Identifiers

PMID24371464
PMCPMC3863495

What OpenQuestion holds

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LicenceCC BY
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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.