Evidence map›Paper›PMID 31200730›Full record

ArticleImplementation science : IS2019

The clinician crowdsourcing challenge: using participatory design to seed implementation strategies.

Rebecca E Stewart, Nathaniel Williams, Y Vivian Byeon, Alison Buttenheim, Sriram Sridharan, Kelly Zentgraf, David T Jones, Katelin Hoskins, Molly Candon, Rinad S Beidas

Abstract read
In one paragraph

Article in Implementation science : IS, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Article
  6. Therapist perceptions of experiential training for exposure therapy.Behavioural and cognitive psychotherapy · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Fathers of Children With Congenital Heart Disease: Sources of Stress and Opportunities for Intervention.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2020
    Article
  18. Article
  19. Review
  20. Article
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

10 authors.

Rebecca E StewartDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA. restewar@upenn.edu.ORCID 0000-0002-6453-6715
Nathaniel WilliamsSchool of Social Work, Boise State University, Boise, USA.
Y Vivian ByeonDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Alison ButtenheimDepartment of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Sriram Sridharanideas42, New York, NY, USA.
Kelly ZentgrafDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
David T JonesDepartment of Behavioral Health and Intellectual DisAbility Services, Philadelphia, PA, USA.
Katelin HoskinsDepartment of Family and Community Health, School of Nursing, University of Pennsylvania, Philadelphia, PA, USA.
Molly CandonDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Rinad S BeidasDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.

Funding

Transforming mental health delivery through behavioral economics and implementation scienceP50MH113840 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI BEIDAS, RINAD SARY, BUTTENHEIM, ALISON MEREDITH · 2017 to 2020
$6.6M
NIH HHS P50MH113840NIMH NIH HHS P50 MH113840
6 · The paper itself

Abstract

backgroundIn healthcare settings, system and organization leaders often control the selection and design of implementation strategies even though frontline workers may have the most intimate understanding of the care delivery process, and factors that optimize and constrain evidence-based practice implementation within the local system. Innovation tournaments, a structured participatory design strategy to crowdsource ideas, are a promising approach to participatory design that may increase the effectiveness of implementation strategies by involving end users (i.e., clinicians). We utilized a system-wide innovation tournament to garner ideas from clinicians about how to enhance the use of evidence-based practices (EBPs) within a large public behavioral health system.

methodsOur innovation tournament occurred in three phases. First, we invited over 500 clinicians to share, through a web-based platform, their ideas regarding how their organizations could best support use of EBPs. Clinicians could rate and comment on ideas submitted by others. Second, submissions were judged by an expert panel (including behavioral scientists, system leaders, and payers) based on their rated enthusiasm for the idea. Third, we held a community-facing event during which the six clinicians who submitted winning ideas presented their strategies to 85 attendees representing a cross-section of clinicians and system and organizational leaders.

resultsWe had a high rate of participation (12.3%), more than double the average rate of previous tournaments conducted in other settings (5%). A total of 65 ideas were submitted by 55 participants representing 38 organizations. The most common categories of ideas pertained to training (42%), financing and compensation (26%), clinician support and preparation tools (22%), and EBP-focused supervision (17%). The expert panel and clinicians differed on their ratings of the ideas, highlighting value of seeking input from multiple stakeholder groups when developing implementation strategies.

conclusionsInnovation tournaments are a useful and feasible methodology for engaging end users, system leaders, and behavioral scientists through a structured approach to developing implementation strategies. The process and resultant strategies engendered significant enthusiasm and engagement from participants at all levels of a healthcare system. Research is needed to compare the effectiveness of strategies developed through innovation tournaments to strategies developed through design approaches.

Indexed as

CrowdsourcingOrganizational InnovationBehavioral MedicineEvidence-Based PracticeHumansResearch DesignCommunity mental healthEvidence-based practicesImplementation strategiesParticipatory design

Identifiers

PMID31200730
PMCPMC6570922

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.