Evidence map›Paper›PMID 25424421›Full record

ArticlePublic health nursing (Boston, Mass.)

Translation of obesity practice guidelines: measurement and evaluation.

Kristin J Erickson, Karen A Monsen, Ingrid S Attleson, David M Radosevich, Gary Oftedahl, Claire Neely, Diane R Thorson

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Public health nursing (Boston, Mass.). 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. What works and why in the identification and referral of adults with comorbid obesity in primary care: A realist review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2020
    Review
  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.

Kristin J EricksonHealth Initiatives and Evaluation, Otter Tail County Public Health and PartnerSHIP 4 Health, Fergus Falls, Minnesota.
Karen A MonsenSchool of Nursing Affiliate Faculty, Institute for Health Informatics, University of Minnesota School of Nursing, Minneapolis, Minnesota.
Ingrid S AttlesonSchool of Public Health, University of Minnesota, Minneapolis, Minnesota.
David M RadosevichClinical Outcomes Research Center, University of Minnesota, Minneapolis, Minnesota.
Gary OftedahlInstitute for Clinical Systems Improvement, Bloomington, Minnesota.
Claire NeelyInstitute for Clinical Systems Improvement, Bloomington, Minnesota.
Diane R ThorsonPublic Health Department, Otter Tail County, Fergus Falls, Minnesota.

Funding

University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR000114 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2012 to 2015
$35.0M
University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR002494 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R, WEISDORF, DANIEL J · 2018 to 2022
$34.9M
UNIVERSITY OF MINNESOTA CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTE (UMN CTSI)UL1RR033183 · NCRR · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2011 to 2011
$8.9M
NCATS NIH HHS 8UL1TR000114-02NCATS NIH HHS UL1 TR000114NCATS NIH HHS UL1 TR002494NCRR NIH HHS 1UL1RR033183-01NCRR NIH HHS UL1 RR033183
6 · The paper itself

Abstract

OBJECTIVE(S): A public health nurse (PHN) in the Midwestern United States (U.S.) led a collaborative system-level intervention to translate the Institute of Clinical Systems Improvement (ICSI) Adult Obesity Guideline into interprofessional practice. This study (1) evaluated the extent of guideline translation across organizations and (2) assessed the Omaha System as a method for translating system-level interventions and measuring outcomes. DESIGN AND SAMPLE: This retrospective, mixed methods study was conducted with a purposeful sample of one administrator (n = 10) and two to three clinicians (n = 29) from each organization (n = 10). MEASURES: Omaha System Problem Rating Scale for Outcomes Knowledge, Behavior, and Status (KBS). KBS ratings gathered from semi-structured interviews and Omaha System documentation were analyzed using standard descriptive and inferential statistics and triangulated findings with participant quotes.

resultsKBS ratings and participant quotes revealed intervention effectiveness in creating sustained system-level changes. Self-reported and observed KBS ratings demonstrated improvement across organizations. There was moderate to substantial agreement regarding benchmark attainment within organizations. On average, self-reported improvement exceeded observer improvement.

conclusionsSystem-level PHN practice facilitator interventions successfully translated clinical obesity guidelines into interprofessional use in health care organizations. The Omaha System Problem Rating Scale for Outcomes reliably measured system-level outcomes.

Indexed as

AdultBenchmarkingCooperative BehaviorHumansMidwestern United StatesObesityOutcome Assessment, Health CarePractice Guidelines as TopicPublic Health NursingRetrospective StudiesVocabulary, Controlledadulthealth care reformhealth promotionobesityOmaha systempractice guidelines as topicprimary health careprogram evaluationpublic health practicepublic-private sector partnershipsstandardized terminology

Identifiers

PMID25424421
PMCPMC6679977

What OpenQuestion holds

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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.