Evidence map›Paper›PMID 25354409›Full record

ArticleAnnals of family medicine

The 5 R's: an emerging bold standard for conducting relevant research in a changing world.

C J Peek, Russell E Glasgow, Kurt C Stange, Lisa M Klesges, E Peyton Purcell, Rodger S Kessler

Abstract read
In one paragraph

Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing 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.

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

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

  1. Pooled it
  2. Pooled it
  3. Using After Action Review to Identify Rapid Response Implementation Strategies for Emerging Drugs Among Youth.Prevention science : the official journal of the Society for Prevention Research · 2025
    Trial
  4. Trial
  5. Trial
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  7. Article
  8. Article
  9. Development of the Physical Activity Research Opportunities (PARO) framework.The international journal of behavioral nutrition and physical activity · 2025
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Bridging research-policy gaps: An integrated approach.Environmental epidemiology (Philadelphia, Pa.) · 2024
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Cutting through the noise during crisis by enhancing the relevance of research to policymakers.Evidence & policy : a journal of research, debate and practice · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

C J PeekDepartment of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, Minnesota cjpeek@umn.edu.
Russell E GlasgowDepartment of Family Medicine and Colorado Health Outcomes Program, University of Colorado, Denver, Colorado.
Kurt C StangeDepartment of Family Medicine & Community Health, Department of Epidemiology & Biostatistics, and Department of Sociology, Case Comprehensive Cancer Center, Cleveland Clinical & Translational Science Collaborative, Case Western Reserve University, Cleveland, Ohio.
Lisa M KlesgesSchool of Public Health, University of Memphis, Memphis, Tennessee.
E Peyton PurcellClinical Research Directorate/CMRP, SAIC-Frederick, Inc, Frederick National Laboratory for Cancer Research, Frederick, Maryland.
Rodger S KesslerDepartment of Family Medicine and the Center for Clinical and Translational Science, University of Vermont College of Medicine, Burlington, Vermont.

Funding

CCR NIH HHS HHSN261200800001CNCI NIH HHS HHSN261200800001E
6 · The paper itself

Abstract

Research often fails to find its way into practice or policy in a timely way, if at all. Given the current pressure and pace of health care change, many authors have recommended different approaches to make health care research more relevant and rapid. An emerging standard for research, the "5 R's" is a synthesis of recommendations for care delivery research that (1) is relevant to stakeholders; (2) is rapid and recursive in application; (3) redefines rigor; (4) reports on resources required; and (5) is replicable. Relevance flows from substantive ongoing participation by stakeholders. Rapidity and recursiveness occur through accelerated design and peer reviews followed by short learning/implementation cycles through which questions and answers evolve over time. Rigor is the disciplined conduct of shared learning within the specific changing situations in diverse settings. Resource reporting includes costs of interventions. Replicability involves designing for the factors that may affect subsequent implementation of an intervention or program in different contexts. These R's of the research process are mutually reinforcing and can be supported by training that fosters collaborative and reciprocal relationships among researchers, implementers, and other stakeholders. In sum, a standard is emerging for research that is both rigorous and relevant. Consistent and bold application will increase the value, timeliness, and applicability of the research enterprise.

Indexed as

Health Care ReformDelivery of Health CareFamily PracticeFemaleHealth Services ResearchHumansInterdisciplinary CommunicationMaleResearch DesignSurveys and QuestionnairesTotal Quality Managementevaluation researchhealthcare researchpartnership researchrapid researchresearch design

Identifiers

PMID25354409
PMCPMC4157982

What OpenQuestion holds

Textmetadata
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.