Evidence map›Paper›PMID 27377404›Full record

Trial reportImplementation science : IS2016

Testing the use of practice facilitation in a cluster randomized stepped-wedge design trial to improve adherence to cardiovascular disease prevention guidelines: HealthyHearts NYC.

Donna R Shelley, Gbenga Ogedegbe, Sheila Anane, Winfred Y Wu, Keith Goldfeld, Heather T Gold, Sue Kaplan, Carolyn Berry

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Implementation science : IS, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
4.3field-weighted citation impact, top 5% 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.

NCT02560428 completednot on this map

Evaluating System Change to Advance Learning and Take Evidence to Scale (ESCALATES)

TypeobservationalSponsorOregon Health and Science UniversityRan2015 to 2022Enrolled7ConditionsProgram EvaluationArmsESCALATES
NCT02646488 nacompletednot on this map

Using Practice Facilitation in Primary Care Settings to Reduce Risk Factors for Cardiovascular Disease

TypeinterventionalSponsorNYU Langone HealthRan2015 to 2019Enrolled276ConditionsCardiovascular Disease, High Blood PressureArmsMillion Hearts ABCS 6 Months, Million Hearts ABCS 9 Months, Million Hearts ABCS 12 Months, Million Hearts ABCS 15 Months, Standard Care Regimen 9 Months
3 · Its place in the literature

Who cites it

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

  1. Strategies to improve smoking cessation rates in primary care.The Cochrane database of systematic reviews · 2021
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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

8 authors at 2 institutions in 1 country.

Donna R ShelleyDepartment of Population Health, New York University School of Medicine, 227 East 30th Street, 7th floor, New York, NY, 10016, USA. donna.shelley@nyumc.org.
Gbenga OgedegbeDepartment of Population Health, New York University School of Medicine, 227 East 30th Street, 7th floor, New York, NY, 10016, USA.
Sheila AnanePrimary Care Information Project, New York City Department of Health and Mental Hygiene, 42-09 28th Street, Long Island City, NY, 11101, USA.
Winfred Y WuPrimary Care Information Project, New York City Department of Health and Mental Hygiene, 42-09 28th Street, Long Island City, NY, 11101, USA.
Keith GoldfeldDepartment of Population Health, New York University School of Medicine, 227 East 30th Street, 7th floor, New York, NY, 10016, USA.
Heather T GoldDepartment of Population Health, New York University School of Medicine, 227 East 30th Street, 7th floor, New York, NY, 10016, USA.
Sue KaplanDepartment of Population Health, New York University School of Medicine, 227 East 30th Street, 7th floor, New York, NY, 10016, USA.
Carolyn BerryDepartment of Population Health, New York University School of Medicine, 227 East 30th Street, 7th floor, New York, NY, 10016, USA.
New York University · USNew York City Department of Health and Mental Hygiene · US

Funding

Using practice facilitation in primary care settings to reduce risk factors for cardiovascular diseaseR18HS023922 · AHRQ · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BERRY, CAROLYN ANNE · 2015 to 2017
$14.9M
AHRQ HHS R18 HS023922
6 · The paper itself

Abstract

backgroundHealthyHearts NYC (HHNYC) will evaluate the effectiveness of practice facilitation as a quality improvement strategy for implementing the Million Hearts' ABCS treatment guidelines for reducing cardiovascular disease (CVD) among high-risk patients who receive care in primary care practices in New York City. ABCS refers to (A) aspirin in high-risk individuals; (B) blood pressure control; (C) cholesterol management; and (S) smoking cessation. The long-term goal is to create a robust infrastructure for implementing and disseminating evidence-based practice guidelines (EBPG) in primary care practices. METHODS/

designWe are using a stepped-wedge cluster randomized controlled trial design to evaluate the implementation process and the impact of practice facilitation (PF) versus usual care on ABCS outcomes in 250 small primary care practices. Randomization is at the practice site level, all of which begin as part of the control condition. The intervention consists of one year of PF that includes a combination of one-on-one onsite visits and shared learning across practice sites. PFs will focus on helping sites implement evidence-based components of patient-centered medical home (PCMH) and the chronic care model (CCM), which include decision support, provider feedback, self-management tools and resources, and linkages to community-based services. DISCUSSION: We hypothesize that practice facilitation will result in superior clinical outcomes compared to usual care; that the effects of practice facilitation will be mediated by greater adoption of system changes in accord with PCMH and CCM; and that there will be increased adaptive reserve and change capacity.

trial registrationNCT02646488.

Indexed as

Patient ComplianceResearch DesignCardiovascular DiseasesCluster AnalysisHealth Services ResearchHumansNew York CityProgram EvaluationCardiovascular diseasePractice facilitationPrimary care

Identifiers

PMID27377404
PMCPMC4932668
OpenAlexW2467284962

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.