Evidence map›Paper›PMID 33125166›Full record

Trial reportHealth services research2020

Comparative effectiveness of external vs blended facilitation on collaborative care model implementation in slow-implementer community practices.

Shawna N Smith, Celeste M Liebrecht, Mark S Bauer, Amy M Kilbourne

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

24 citing papers in PubMed.

  1. Trial
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  5. Article
  6. Testing theChildhood obesity (Print) · 2026
    Article
  7. Article
  8. Article
  9. Article
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  11. Enablers and Barriers to an Experience-Based Co-Design Process to Develop Service Improvements in Enhanced Community Care in Ireland: A Qualitative Study.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  12. Article
  13. Article
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  15. Review
  16. Stakeholder and Equity Data-Driven Implementation: a Mixed Methods Pilot Feasibility Study.Prevention science : the official journal of the Society for Prevention Research · 2024
    Article
  17. Article
  18. Article
  19. Article
  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

4 authors.

Shawna N SmithDepartment of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0003-3526-3129
Celeste M LiebrechtDepartment of Psychiatry, University of Michigan Medical School, Ann Arbor, Michigan, USA.
Mark S BauerCenter for Healthcare Organization & Implementation Research, VA Boston Healthcare System, Boston, Massachusetts, USA.
Amy M KilbourneDepartment of Learning Health Sciences, University of Michigan Medical School, Ann Arbor, Michigan, USA.

Funding

Research BaseP30DK092926 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARY ELLEN MICHELE HEISLER, ADESUWA B OLOMU · 2011 to 2026
$10.0M
Improving Mental Health Outcomes: Buidling an Adaptive Implementation StrategyR01MH099898 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KILBOURNE, AMY M · 2014 to 2017
$1.9M
NIDDK NIH HHS P30 DK092926NIMH NIH HHS R01 MH099898
6 · The paper itself

Abstract

objectiveTo evaluate the comparative effectiveness of external facilitation (EF) vs external + internal facilitation (EF/IF), on uptake of a collaborative chronic care model (CCM) in community practices that were slower to implement under low-level implementation support. STUDY

settingPrimary data were collected from 43 community practices in Michigan and Colorado at baseline and for 12 months following randomization. STUDY

designSites that failed to meet a pre-established implementation benchmark after six months of low-level implementation support were randomized to add either EF or EF/IF support for up to 12 months. Key outcomes were change in number of patients receiving the CCM and number of patients receiving a clinically significant dose of the CCM. Moderators' analyses further examined whether comparative effectiveness was dependent on prerandomization adoption, number of providers trained or practice size. Facilitation log data were used for exploratory follow-up analyses. DATA COLLECTION: Sites reported monthly on number of patients that had received the CCM. Facilitation logs were completed by study EF and site IFs and shared with the study team. PRINCIPAL

findingsN = 21 sites were randomized to EF and 22 to EF/IF. Overall, EF/IF practices saw more uptake than EF sites after 12 months (Δ

conclusionsAlthough stepping up to the more intensive EF/IF did outperform EF overall, its benefit was limited to sites that failed to deliver any CCM under the low-level strategy. Once one or more providers were delivering the CCM, additional on-site personnel did not appear to add value to the implementation effort.

Indexed as

Models, OrganizationalChronic DiseaseCommunity Health ServicesComparative Effectiveness ResearchCooperative BehaviorEvidence-Based PracticeHealth Information SystemsHumansPatient Care ManagementPatient Care PlanningPrimary Health CareSelf-ManagementUnited Statescollaborative care modelsdepressionfacilitationhealth behavior changeimplementation

Identifiers

PMID33125166
PMCPMC7704469

What OpenQuestion holds

Textmetadata
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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.