ArticleCancer2015
Practice adaptive reserve and colorectal cancer screening best practices at community health center clinics in 7 states.
Article in Cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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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.
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Who cites it
10 citing papers in PubMed.
- Physician Intervention and Chinese Americans' Colorectal Cancer Screening.American journal of health behavior · 2018Trial
- Implementation successes and challenges in participating in a pragmatic study to improve colon cancer screening: perspectives of health center leaders.Translational behavioral medicine · 2017Trial
- A mixed methods evaluation of mechanisms for facilitation in pediatric primary care.Implementation science communications · 2026Article
- Article
- "Hypertension is such a difficult disease to manage": federally qualified health center staff- and leadership-perceived readiness to implement a technology-facilitated team-based hypertension model.Implementation science communications · 2024Article
- Study protocol for a type III hybrid effectiveness-implementation trial of strategies to implement firearm safety promotion as a universal suicide prevention strategy in pediatric primary care.Implementation science : IS · 2021Article
- Organizational Leadership and Adaptive Reserve in Blood Pressure Control: The Heart Health NOW Study.Annals of family medicine · 2018Article
- Developing measures to assess constructs from the Inner Setting domain of the Consolidated Framework for Implementation Research.Implementation science : IS · 2018Article
- Toward the Elimination of Colorectal Cancer Disparities Among African Americans.Journal of racial and ethnic health disparities · 2016Article
- A Survey of Provider Attitudes, Beliefs, and Perceived Barriers Regarding a Centralized Direct-Mail Colorectal Cancer Screening Approach at Community Health Centers.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
backgroundEnhancing the capability of community health centers to implement best practices (BPs) may mitigate health disparities. This study investigated the association of practice adaptive reserve (PAR) with the implementation of patient-centered medical home (PCMH) colorectal cancer (CRC) screening BPs at community health center clinics in 7 states.
methodsA convenience sample of clinic staff participated in a self-administered, online survey. Eight PCMH CRC screening BPs were scored as a composite ranging from 0 to 32. The PAR composite score was scaled from 0 to 1 and then categorized into 3 levels. Multilevel analyses examined the relation between PAR and self-reported implementation of PCMH BPs.
resultsThere were 296 respondents, and 59% reported 6 or more PCMH BPs at their clinics. The mean PAR score was 0.66 (standard deviation, 0.18), and the PCMH BP mean scores were significantly higher for respondents who reported higher clinic PAR categories. In comparison with the lowest PAR level, adjusted PCMH BP means were 25.0% higher at the middle PAR level (difference, 3.2; standard error, 1.3; t = 2.44; P = .015) and 63.2% higher at the highest PAR level (difference, 8.0; standard error, 1.9; t = 4.86; P < .0001).
conclusionsA higher adaptive reserve, as measured by the PAR score, was positively associated with self-reported implementation of PCMH CRC screening BPs by clinic staff. Future research is needed to determine the PAR levels most conducive to implementing CRC screening and to develop interventions that enhance PAR in primary care settings.
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