Trial reportImplementation science : IS2016
Study protocol for "Healthy Hearts Northwest": a 2 × 2 randomized factorial trial to build quality improvement capacity in primary care.
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 19 papers, 2 of them syntheses that pooled 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.
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.
Evaluating System Change to Advance Learning and Take Evidence to Scale (ESCALATES)
The Northwest Coalition for Primary Care Practice Support
Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.
- Strategies to improve smoking cessation rates in primary care.The Cochrane database of systematic reviews · 2021Pooled it
- Impact of Practice Facilitation in Primary Care on Chronic Disease Care Processes and Outcomes: a Systematic Review.Journal of general internal medicine · 2018Pooled it
- A Randomized Trial of External Practice Support to Improve Cardiovascular Risk Factors in Primary Care.Annals of family medicine · 2019Trial
- Assessing quality improvement capacity in primary care practices.BMC family practice · 2019Trial
- Implementation Strategies Used by Facilitators to Improve Control of Cardiovascular Risk Factors in Primary Care.Journal of the American Board of Family Medicine : JABFM · 2024Article
- Tailoring Implementation Strategies for Cardiovascular Disease Risk Calculator Adoption in Primary Care Clinics.Journal of the American Board of Family Medicine : JABFM · 2022Article
- Barriers to Implementing Cardiovascular Risk Calculation in Primary Care: Alignment With the Consolidated Framework for Implementation Research.American journal of preventive medicine · 2021Article
- The Capacity of Primary Care for Improving Evidence-Based Care: Early Findings From AHRQ's EvidenceNOW.Annals of family medicine · 2018Article
- Use of Quality Improvement Strategies Among Small to Medium-Size US Primary Care Practices.Annals of family medicine · 2018Article
- Virtual Educational Outreach Intervention in Primary Care Based on the Principles of Academic Detailing.The Journal of continuing education in the health professions · 2018Article
- The Ability of Practices to Report Clinical Quality Measures: More Evidence of the Size Paradox?Journal of the American Board of Family Medicine : JABFMArticle
- Does Ownership Make a Difference in Primary Care Practice?Journal of the American Board of Family Medicine : JABFMArticle
- Dedicated Workforce Required to Support Large-Scale Practice Improvement.Journal of the American Board of Family Medicine : JABFMArticle
- Recruiting Practices for Change Initiatives Is Hard: Findings From EvidenceNOW.American journal of medical quality : the official journal of the American College of Medical QualityArticle
- Improving Smoking and Blood Pressure Outcomes: The Interplay Between Operational Changes and Local Context.Annals of family medicineArticle
- Place Matters: Closing the Gap on Rural Primary Care Quality Improvement Capacity-the Healthy Hearts Northwest Study.Journal of the American Board of Family Medicine : JABFMArticle
- Improving Quality Improvement Capacity and Clinical Performance in Small Primary Care Practices.Annals of family medicineArticle
- The Effects of Major Disruptions on Practice Participation in Facilitation During a Primary Care Quality Improvement Initiative.Journal of the American Board of Family Medicine : JABFMArticle
- Effective Facilitator Strategies for Supporting Primary Care Practice Change: A Mixed Methods Study.Annals of family medicineArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 5 institutions in 1 country.
Funding
Abstract
backgroundLittle attention has been paid to quality improvement (QI) capacity within smaller primary care practices which comprise nearly half of all primary care settings. Strategies for external support to build such capacity include practice facilitation (PF), shared learning opportunities, and educational outreach. Although PF has proven effectiveness, little is known about the comparative effectiveness of combining these strategies. Here, we describe the protocol of the "Healthy Hearts Northwest" (H2N) study, a randomized trial designed to address these questions while improving risk factors for cardiovascular disease. METHODS/
designThe targeted enrollment is 250 smaller primary care practices across Washington, Oregon, and Idaho. The study is utilizing a two-by-two factorial design to assess four different combinations of practice support: PF alone, PF with educational outreach, PF with shared learning opportunities, or PF with both. A mixed methods approach is being used for evaluation and will include data from (1) baseline and follow-up practice and staff surveys; (2) baseline and quarterly clinical performance measurement from each practice on four cardiovascular risk factors: appropriate aspirin use, blood pressure control, lipid management and smoking cessation support; and (3) a quality improvement capacity assessment (QICA) survey used by external practice facilitators to guide improvement efforts. DISCUSSION: Results from this study will inform future large-scale practice improvement initiatives by providing comparisons of promising external practice support strategies and advance our understanding of how to build QI capacity in primary care.
trial registrationClinicalTrials.gov, NCT02839382.
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What OpenQuestion holds
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.