Evidence map›Paper›PMID 31414012›Full record

ArticleJournal of patient-centered research and reviews2018

Implementing Community-Created Self-Management Support Tools in Primary Care Practices: Multimethod Analysis From the INSTTEPP Study.

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

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 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 20% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Engaging with Rural Communities for Colorectal Cancer Screening Outreach Using Modified Boot Camp Translation.Progress in community health partnerships : research, education, and action · 2024
    Article
  3. Patient Self-Management: Tools and Barriers.Journal of patient-centered research and reviews · 2018
    Article
  4. Article
  5. Article
  6. 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

9 authors at 3 institutions in 1 country.

Douglas H FernaldDepartment of Family Medicine, University of Colorado School of Medicine, Aurora, CO.
Matthew J SimpsonDepartment of Family Medicine, University of Colorado School of Medicine, Aurora, CO.
Donald E NeaseDepartment 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.
Amanda E HoffmannDepartment of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health, Madison, WI.
LeAnn C MichaelsDepartment of Family Medicine, Oregon Health & Science University, Portland, OR.
Lyle J FagnanDepartment of Family Medicine, Oregon Health & Science University, Portland, OR.
Jeanette M DalyDepartment of Family Medicine, University of Iowa, Iowa City, IA.
Barcey T LevyDepartment of Family Medicine, University of Iowa, Iowa City, IA.
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 R18 HS022491
6 · The paper itself

Abstract

purposeWith one-half of Americans projected to be living with at least one chronic condition before 2020, enhancing patient self-management support (SMS) may improve health-related behaviors and clinical outcomes. Routine SMS implementation in primary care settings is difficult. Little is known about the practice conditions required for successful implementation of SMS tools.

methodsFour primary care practice-based research networks (PBRNs) recruited 16 practices to participate in a boot camp translation process to adapt patient-centered SMS tools. Boot camp translation sessions were held over a 2-month period with 2 patients, a clinician, and a care manager from each practice. Qualitative case comparison and qualitative comparative analysis were used to examine practice conditions needed to implement SMS tools. The Consolidated Framework for Implementation Research guided data collection and analysis.

resultsFour different practice conditions affected the implementation of new SMS tools: functional practice organization; system that enables innovation and change; presence of a visible, activated champion; and synergy and alignment of SMS changes with other work. Qualitative comparative analysis suggested that it was necessary to have an enabling system, a visible champion, and synergy for a practice to at least minimally implement the SMS tools. Sufficiency testing, however, failed to show robust consistency to satisfactorily explain conditions required to implement new SMS tools.

conclusionsTo implement tailored self-management support tools relatively rapidly, the minimum necessary conditions include a system that enables innovation and change, presence of a visible champion, and alignment of SMS changes with other work; yet, these alone are insufficient to ensure successful implementation.

Indexed as

chronic conditionspatient participationpractice-based research networkprimary carequalitative analysisself-management support

Identifiers

PMID31414012
PMCPMC6676764
OpenAlexW2899428899

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.