Evidence map›Paper›PMID 31414011›Full record

ArticleJournal of patient-centered research and reviews2018

Impact of a Boot Camp Translation Intervention on Self-Management Support in Primary Care: A Report From the INSTTEPP Trial and Meta-LARC Consortium.

Donald E Nease, Jeanette M Daly, L Miriam Dickinson, Douglas H Fernald, David L Hahn, Barcey T Levy, LeAnn C Michaels, Matthew J Simpson, John M Westfall, Lyle J Fagnan

Open access · diamondAbstract read
In one paragraph

Article in Journal of patient-centered research and reviews, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.6field-weighted citation impact, top 15% 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.

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

12 citing papers in PubMed, 16 citations in OpenAlex.

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  8. Patient Self-Management: Tools and Barriers.Journal of patient-centered research and reviews · 2018
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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

10 authors at 3 institutions in 1 country.

Donald E NeaseDepartment of Family Medicine, University of Colorado School of Medicine, Aurora, CO.
Jeanette M DalyDepartment of Family Medicine, University of Iowa, Iowa City, IA.
L Miriam DickinsonDepartment of Family Medicine, University of Colorado School of Medicine, Aurora, CO.
Douglas H FernaldDepartment of Family Medicine, University of Colorado School of Medicine, Aurora, CO.
David L HahnDepartment of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Barcey T LevyDepartment of Family Medicine, University of Iowa, Iowa City, IA.
LeAnn C MichaelsDepartment of Family Medicine, Oregon Health & Science University, Portland, OR.
Matthew J SimpsonDepartment of Family Medicine, University of Colorado School of Medicine, Aurora, CO.
John M WestfallDepartment of Family Medicine, University of Colorado School of Medicine, Aurora, CO.
Lyle J FagnanDepartment of Family Medicine, Oregon Health & Science University, Portland, OR.
University of Colorado Denver · USOregon Health & Science University · USUniversity of Iowa · US

Funding

Implementing Networks Self-management Tools Through Engaging Patients and PracticR18HS022491 · AHRQ · OREGON HEALTH & SCIENCE UNIVERSITY · PI FAGNAN, LYLE JAMES · 2013 to 2013
$495k
AHRQ HHS P30 HS021639AHRQ HHS R18 HS022491
6 · The paper itself

Abstract

purposeSelf-management support (SMS) is a pillar of the well-established chronic care model and a key component of improving outcomes for patients with chronic illnesses. The Implementing Networks' Self-management Tools Through Engaging Patients and Practices (INSTTEPP) trial sought to determine whether a boot camp translation process could assist small to medium-sized primary care practices with care managers implement SMS tools.

methodsINSTTEPP used a stepped-wedge design across 16 practices from 4 practice-based research networks over 12 months. Each network completed a 2-month boot camp translation for creating SMS tools with 16 participants (2 patients, a clinician, and a care manager from each of 4 practices) and subsequent implementation. Outcome measures for patients were the Patient Activation Measure (PAM), self-rated health, and Patient Assessment of Chronic Illness Care (PACIC) process-of-care items at baseline, 1 and 2 months. Clinician Support for Patient Activation Measure (CS-PAM) and theory of planned behavior outcomes were assessed at 5 points over 10 months for clinicians and staff.

resultsA total of 297 patients and 89 practice staff and clinicians completed surveys during the study. Over successive 2-month sampling periods, intervention patients experienced greater improvement in PACIC process of care and self-rated health compared to control patients (P<0.0001 and P=0.0273, respectively). PAM (P=0.3515), CS-PAM (P=0.7464), and theory of planned behavior outcomes (P>0.10 for all) were not significantly different.

conclusionsSignificant effects on process of care and self-rated health are evidence that the boot camp translation intervention impacted SMS. A larger trial with a typical 6-month boot camp intervention may show significant effects on other outcomes.

Indexed as

boot camp translationchronic diseasepatient engagementprimary careself-management

Identifiers

PMID31414011
PMCPMC6676770
OpenAlexW2899229023

What OpenQuestion holds

Textmetadata
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.