Evidence map›Paper›PMID 27503968›Full record

ReviewHealth affairs (Project Hope)2016

Multilevel Interventions To Address Health Disparities Show Promise In Improving Population Health.

Electra Paskett, Beti Thompson, Alice S Ammerman, Alexander N Ortega, Jill Marsteller, DeJuran Richardson

2 registry-linked trialsAbstract readReview
In one paragraph

Review in Health affairs (Project Hope), 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 128 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
128citing papers in PubMed, 4 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.

NCT04761016 nacompletednot on this mapstarted 2021, after this paper: background citation

The Role of Community Health Workers to Reduce Health Disparities Using a Multi-Level Integrated Population Health Intervention

TypeinterventionalSponsorBaylor Research InstituteRan2021 to 2025Enrolled202ConditionsDiabetes, Hypertension, Chronic Kidney Diseases, ObesityArmsUsual Care, I-POP + CHW navigation
NCT06182475 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Increasing Equity in Live Donor Kidney Transplantation Through Effective Patient-Provider Communication

TypeinterventionalSponsorTemple UniversityRan2026 to 2027Enrolled70ConditionsKidney Disease, Chronic, End Stage Renal Disease, Kidney ReplacementArmsEPPComm Provider Training
3 · Its place in the literature

Who cites it

128 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  16. Social Needs Screening Tools for Clinical Populations in Australia and New Zealand: A Scoping Review and Critical Analysis.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  17. Multi-level Risk and Protective Factors for Vaping Onset and Escalation Among Youth: a Focus on LGBTQ + Disparities.Prevention science : the official journal of the Society for Prevention Research · 2026
    Review
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68 more citing papers are in PubMed but not listed here.

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.

Electra PaskettElectra Paskett (electra.paskett@osumc.edu) is a professor of internal medicine at the Ohio State University College of Medicine, in Columbus.
Beti ThompsonBeti Thompson is a professor in the Cancer Prevention Program at the Fred Hutchinson Cancer Research Center, in Seattle, Washington.
Alice S AmmermanAlice S. Ammerman is a professor of nutrition in the Gillings School of Global Public Health and director of the Center for Health Promotion and Disease Prevention, both at the University of North Carolina at Chapel Hill.
Alexander N OrtegaAlexander N. Ortega is a professor in and chair of the Department of Health Management and Policy, Dornsife School of Public Health, at Drexel University, in Philadelphia, Pennsylvania.
Jill MarstellerJill Marsteller is an associate professor at the Johns Hopkins Bloomberg School of Public Health, in Baltimore, Maryland.
DeJuran RichardsonDeJuran Richardson is a professor of mathematics at Lake Forest College, in Lake Forest, Illinois, and an adjunct professor of biostatistics at Rush University Medical Center, in Chicago, Illinois.

Funding

Vascular function, cardiovascular disease biomarkers and the Latino paradoxP50HL105188 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI KAPLAN, ROBERT M · 2010 to 2014
$9.9M
NHLBI NIH HHS P50 HL105188
6 · The paper itself

Abstract

Multilevel interventions are those that affect at least two levels of influence-for example, the patient and the health care provider. They can be experimental designs or natural experiments caused by changes in policy, such as the implementation of the Affordable Care Act or local policies. Measuring the effects of multilevel interventions is challenging, because they allow for interaction among levels, and the impact of each intervention must be assessed and translated into practice. We discuss how two projects from the National Institutes of Health's Centers for Population Health and Health Disparities used multilevel interventions to reduce health disparities. The interventions, which focused on the uptake of the human papillomavirus vaccine and community-level dietary change, had mixed results. The design and implementation of multilevel interventions are facilitated by input from the community, and more advanced methods and measures are needed to evaluate the impact of the various levels and components of such interventions.

Indexed as

Health Status DisparitiesPopulation HealthDelivery of Health Care, IntegratedFemaleHealthcare DisparitiesHealth EducationHumansMaleMinority GroupsPatient Protection and Affordable Care ActPovertyQuality Assurance, Health CareRandomized Controlled Trials as TopicResearch DesignRisk FactorsUnited StatesCommunity interventionsDietDisparitiesHPV vaccineMultilevel interventions

Identifiers

PMID27503968
PMCPMC5553289

What OpenQuestion holds

Textmetadata
LicenceTDM
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.