Evidence map›Paper›PMID 30634955›Full record

ArticleBMC health services research2019

Implementing a case management intervention for frequent users of the emergency department (I-CaM): an effectiveness-implementation hybrid trial study protocol.

Véronique S Grazioli, Joanna C Moullin, Miriam Kasztura, Marina Canepa-Allen, Olivier Hugli, Judy Griffin, Francis Vu, Catherine Hudon, Yves Jackson, Hans Wolff and 3 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03641274 (Implementing a Case Management Intervention for Frequent Users of the Emergency Department), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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.

NCT03641274 unknown statusnot on this map

Implementing a Case Management Intervention for Frequent Users of the Emergency Department: An Effectiveness-Implementation Hybrid Trial Study Protocol

TypeobservationalSponsorUniversity of Lausanne HospitalsRan2018 to 2020Enrolled120ConditionsFrequent Users of Emergency Department (FUEDs)ArmsCase-management intervention for frequent users of the emergency department
3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

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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

13 authors.

Véronique S GrazioliDepartment of Ambulatory Care and Community Medicine, Vulnerable Populations Center, Lausanne University Hospital, Rue du Bugnon 44, 1011, Lausanne, Switzerland. Veronique.Grazioli@chuv.ch.ORCID http://orcid.org/0000-0003-1956-7712
Joanna C MoullinFaculty of Health Sciences, Curtin University, Perth, Australia.
Miriam KaszturaDepartment of Ambulatory Care and Community Medicine, Vulnerable Populations Center, Lausanne University Hospital, Rue du Bugnon 44, 1011, Lausanne, Switzerland.
Marina Canepa-AllenDepartment of Ambulatory Care and Community Medicine, Vulnerable Populations Center, Lausanne University Hospital, Rue du Bugnon 44, 1011, Lausanne, Switzerland.
Olivier HugliEmergency Department, Lausanne University Hospital, Lausanne, Switzerland.
Judy GriffinDepartment of Medicine, Well Cornell College Of Medicine, New York, USA.
Francis VuDepartment of Ambulatory Care and Community Medicine, Vulnerable Populations Center, Lausanne University Hospital, Rue du Bugnon 44, 1011, Lausanne, Switzerland.
Catherine HudonDepartment of Family and Emergency Medicine, University of Sherbrooke, Sherbrooke, Canada.
Yves JacksonDivision of primary care medicine, Geneva University Hospitals, Geneva, Switzerland.
Hans WolffDivision of Prison Health, Geneva University Hospitals and Faculty of Medicine, Geneva, Switzerland.
Bernard BurnandInstitute of Social and Preventive Medicine, Lausanne University Hospital, Lausanne, Switzerland.
Jean-Bernard DaeppenAlcohol Treatment Centre, Lausanne University Hospital, Lausanne, Switzerland.
Patrick BodenmannDepartment of Ambulatory Care and Community Medicine, Vulnerable Populations Center, Lausanne University Hospital, Rue du Bugnon 44, 1011, Lausanne, Switzerland.

Funding

Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung 407440_167341
6 · The paper itself

Abstract

backgroundED overcrowding represents a significant public health problem in developed countries. Frequent users of the emergency departments (FUEDs; reporting 5 or more ED visits in the past year) are often affected by medical, psychological, social, and substance use problems and account for a disproportionately high number of ED visits. Past research indicates that case management (CM) interventions are a promising way to reduce ED overcrowding and improve FUEDs' quality of life. There is, however, very limited knowledge about how to disseminate and implement this intervention on a large scale to diverse clinical settings, including community hospitals and non-academic centers. This paper describes the protocol of a research project aiming to implement a CM intervention tailored to FUEDs in the public hospitals with ED in the French-speaking region of Switzerland and evaluate both the implementation process and effectiveness of the CM intervention.

methodsThis research project uses a hybrid study design assessing both implementation and clinical outcomes. The implementation part of the study uses mixed methods a) to describe quantitatively and qualitatively factors that influence the implementation process, and b) to examine implementation effectiveness. The clinical part of the study uses a within-subject design (pre-post intervention) to evaluate participants' trajectories on clinical variables (e.g., quality of life, ED use) after receiving the CM intervention. We designed the study based on two implementation science frameworks. The Generic Implementation Framework guided the overall research protocol design, whereas the RE-AIM (reach, efficacy, adoption, implementation and maintenance) framework guided the implementation and effectiveness evaluations. DISCUSSION: This research project will contribute to implementation science by providing key insights into the processes of implementing CM into broader practice. This research project is also likely to have both clinical and public health implications.

trial registrationNCT03641274 , Registered 20 August 2018.

Indexed as

AdolescentAdultAgedCase ManagementDeveloped CountriesEmergency Service, HospitalFacilities and Services UtilizationHumansImplementation ScienceMiddle AgedMulticenter Studies as TopicPatient Acceptance of Health CareQuality of LifeResearch DesignSwitzerlandYoung AdultCase managementFrequent users of the emergency departmentImplementation scienceVulnerability

Identifiers

PMID30634955
PMCPMC6330435

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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.