Evidence map›Paper›PMID 26286257›Full record

ArticleJournal of medical Internet research2015

Successful Organizational Strategies to Sustain Use of A-CHESS: A Mobile Intervention for Individuals With Alcohol Use Disorders.

James H Ford, Esra Alagoz, Susan Dinauer, Kimberly A Johnson, Klaren Pe-Romashko, David H Gustafson

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of medical Internet research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03843957 (Effectiveness and Implementation of mPATH-CRC), which is not on this map. Cited by 42 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 4 pooled it
13.4field-weighted citation impact, top 1% of its field
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.

NCT03843957 nacompletednot on this mapstarted 2019, after this paper: background citation

Effectiveness and Implementation of mPATH-CRC: a Mobile Health System for Colorectal Cancer Screening

TypeinterventionalSponsorWake Forest University Health SciencesRan2019 to 2023Enrolled77,145ConditionsColorectal Cancer, Cancer, Rectum Cancer, Colon CancerArmsmPATH-CRC, mPATH-Checkin, "high touch" Implementation strategy, "low touch" Implementation Strategy
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 4 syntheses or guidelines pooled it, 76 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

James H FordUniversity of Wisconsin - Madison, Center for Health Systems Research and Analysis, Madison, WI, United States. jhfordii@wisc.edu.ORCID http://orcid.org/0000-0003-3045-2414
University of Wisconsin–Madison · US

Funding

Impact on opioid use of bundling medication-assisted treatment with mHealthR01DA040449 · NIDA · UNIVERSITY OF WISCONSIN-MADISON · PI GUSTAFSON, DAVID H · 2015 to 2019
$3.4M
Implementing Technology-Assisted Drug Treatment and relapse prevention in FQHCsR01DA034279 · NIDA · UNIVERSITY OF WISCONSIN-MADISON · PI GUSTAFSON, DAVID H, MARSCH, LISA A. · 2012 to 2016
$3.3M
Developing and Testing a Computer-Based Alcohol Use Disorder Recovery SystemR01AA017192 · NIAAA · UNIVERSITY OF WISCONSIN-MADISON · PI GUSTAFSON, DAVID H · 2008 to 2012
$2.9M
Sustainability of Change within a Quality Improvement CollaborativeR21DA036700 · NIDA · UNIVERSITY OF WISCONSIN-MADISON · PI FORD, JAMES H · 2014 to 2015
$434k
NIAAA NIH HHS R01 AA017192NIDA NIH HHS R01 DA034279NIDA NIH HHS R01 DA040449NIDA NIH HHS R21 DA036700
6 · The paper itself

Abstract

backgroundMobile health (mHealth) services are growing in importance in health care research with the advancement of wireless networks, tablets, and mobile phone technologies. These technologies offer a wide range of applications that cover the spectrum of health care delivery. Although preliminary experiments in mHealth demonstrate promising results, more robust real-world evidence is needed for widespread adoption and sustainment of these technologies.

objectiveOur aim was to identify the problems/challenges associated with sustained use of an mHealth addiction recovery support app and to determine strategies used by agencies that successfully sustained client use of A-CHESS.

methodsQualitative inquiry assessed staff perceptions about organizational attributes and strategies associated with sustained use of the mobile app, A-CHESS. A total of 73 interviews of clinicians and administrators were conducted. The initial interviews (n=36) occurred at the implementation of A-CHESS. Follow-up interviews (n=37) occurred approximately 12 and 24 months later. A coding scheme was developed and Multiuser NVivo was used to manage and analyze the blinded interview data.

resultsSuccessful strategies used by treatment providers to sustain A-CHESS included (1) strong leadership support, (2) use of client feedback reports to follow up on non-engaged clients, (3) identify passionate staff and incorporate A-CHESS discussions in weekly meetings, (4) develop A-CHESS guidelines related to client use, (5) establish internal work groups to engage clients, and (6) establish a financial strategy to sustain A-CHESS use. The study also identified attributes of A-CHESS that enhanced as well as inhibited its sustainability.

conclusionsMobile apps can play an important role in health care delivery. However, providers will need to develop strategies for engaging both staff and patients in ongoing use of the apps. They will also need to rework business processes to accommodate the changes in communication frequency and style, learn to use app data for decision making, and identify financing mechanisms for supporting these changes.

Indexed as

Mobile ApplicationsProgram EvaluationAdministrative PersonnelAdultAlcohol-Related DisordersDelivery of Health CareFemaleHealth PersonnelHealth Services ResearchHumansMaleMiddle AgedQualitative ResearchTelemedicineYoung AdultclientengagementfundingimplementationmHealthstaffsubstance abuse disordersustainability

Identifiers

PMID26286257
PMCPMC4642385
OpenAlexW1500637256

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.