Evidence map›Paper›PMID 24489589›Full record

ArticleEvidence-based complementary and alternative medicine : eCAM2013

Mixed-Methods Research in a Complex Multisite VA Health Services Study: Variations in the Implementation and Characteristics of Chiropractic Services in VA.

Raheleh Khorsan, Angela B Cohen, Anthony J Lisi, Monica M Smith, Deborah Delevan, Courtney Armstrong, Brian S Mittman

Abstract read
PubMed Full text at PMC Publisher
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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Chiropractic Integration into Private Sector Medical Facilities: A Multisite Qualitative Case Study.Journal of alternative and complementary medicine (New York, N.Y.) · 2018
    Article
  3. 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

7 authors.

Raheleh KhorsanVA Center for Implementation Practice and Research Support, VA Greater Los Angeles Healthcare System, 16111 Plummer Street, Sepulveda, Los Angeles, CA 91343, USA ; Military Medical Research Program, Samueli Institute, Corona del Mar, CA, USA.
Angela B CohenVA Center for Implementation Practice and Research Support, VA Greater Los Angeles Healthcare System, 16111 Plummer Street, Sepulveda, Los Angeles, CA 91343, USA.
Anthony J LisiChiropractic Program, Patient Care Services, Veterans Health Administration, Washington, DC, USA ; Chiropractic Service, VA Connecticut Healthcare System, West Haven, CT, USA.
Monica M SmithVA Center for Implementation Practice and Research Support, VA Greater Los Angeles Healthcare System, 16111 Plummer Street, Sepulveda, Los Angeles, CA 91343, USA.
Deborah DelevanVA Center for Implementation Practice and Research Support, VA Greater Los Angeles Healthcare System, 16111 Plummer Street, Sepulveda, Los Angeles, CA 91343, USA.
Courtney ArmstrongRAND Corporation, Boston, MA, USA.
Brian S MittmanVA Center for Implementation Practice and Research Support, VA Greater Los Angeles Healthcare System, 16111 Plummer Street, Sepulveda, Los Angeles, CA 91343, USA.

Funding

CAM Use, Costs, Outcomes in Recurrent Back Pain EpisodesK01AT002391 · NCCIH · PALMER COLLEGE OF CHIROPRACTIC · PI SMITH, MONICA M · 2004 to 2008
$646k
NCCIH NIH HHS K01 AT002391
6 · The paper itself

Abstract

Maximizing the quality and benefits of newly established chiropractic services represents an important policy and practice goal for the US Department of Veterans Affairs' healthcare system. Understanding the implementation process and characteristics of new chiropractic clinics and the determinants and consequences of these processes and characteristics is a critical first step in guiding quality improvement. This paper reports insights and lessons learned regarding the successful application of mixed methods research approaches-insights derived from a study of chiropractic clinic implementation and characteristics, Variations in the Implementation and Characteristics of Chiropractic Services in VA (VICCS). Challenges and solutions are presented in areas ranging from selection and recruitment of sites and participants to the collection and analysis of varied data sources. The VICCS study illustrates the importance of several factors in successful mixed-methods approaches, including (1) the importance of a formal, fully developed logic model to identify and link data sources, variables, and outcomes of interest to the study's analysis plan and its data collection instruments and codebook and (2) ensuring that data collection methods, including mixed-methods, match study aims. Overall, successful application of a mixed-methods approach requires careful planning, frequent trade-offs, and complex coding and analysis.

Identifiers

PMID24489589
PMCPMC3893840

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.