Evidence map›Paper›PMID 33852140›Full record

ArticleJournal of general internal medicine2021

Integration of Improvement and Implementation Science in Practice-Based Research Networks: a Longitudinal, Comparative Case Study.

Melinda M Davis, Rose Gunn, Erin Kenzie, Caitlin Dickinson, Cullen Conway, Alex Chau, LeAnn Michaels, Steven Brantley, Devon K Check, Nancy Elder

Open access · bronzeAbstract read
In one paragraph

Article in Journal of general internal medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
6.1field-weighted citation impact, top 4% 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

25 citing papers in PubMed, 32 citations in OpenAlex.

  1. Trial
  2. Intervention to Improve Psychosocial Care for People with Type 2 Diabetes.Journal of the American Board of Family Medicine : JABFM · 2025
    Trial
  3. Article
  4. Article
  5. Barriers and Facilitators to Screening for Anxiety and Intimate Partner Violence.Journal of the American Board of Family Medicine : JABFM · 2026
    Article
  6. Article
  7. Article
  8. An introduction to implementation science in rehabilitation medicine.PM & R : the journal of injury, function, and rehabilitation · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. 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
  14. Advancing oral health through practice-based research.Journal of the American Dental Association (1939) · 2023
    Article
  15. Data Challenges in Identifying Patients Due for Colorectal Cancer Screening in Rural Clinics.Journal of the American Board of Family Medicine : JABFM · 2023
    Article
  16. Article
  17. Improving colorectal cancer screening in rural primary care: Preliminary effectiveness and implementation of a collaborative mailed fecal immunochemical test pilot.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2023
    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

10 authors at 2 institutions in 1 country.

Melinda M DavisOregon Rural Practice-based Research Network, Oregon Health & Science University, Portland, OR, 97239, USA. davismel@ohsu.edu.ORCID http://orcid.org/0000-0002-3293-5113
Rose GunnOregon Rural Practice-based Research Network, Oregon Health & Science University, Portland, OR, 97239, USA.
Erin KenzieOregon Rural Practice-based Research Network, Oregon Health & Science University, Portland, OR, 97239, USA.
Caitlin DickinsonOregon Rural Practice-based Research Network, Oregon Health & Science University, Portland, OR, 97239, USA.
Cullen ConwayOregon Rural Practice-based Research Network, Oregon Health & Science University, Portland, OR, 97239, USA.
Alex ChauOregon Rural Practice-based Research Network, Oregon Health & Science University, Portland, OR, 97239, USA.
LeAnn MichaelsOregon Rural Practice-based Research Network, Oregon Health & Science University, Portland, OR, 97239, USA.
Steven BrantleyOregon Rural Practice-based Research Network, Oregon Health & Science University, Portland, OR, 97239, USA.
Devon K CheckDepartment of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA.
Nancy ElderOregon Rural Practice-based Research Network, Oregon Health & Science University, Portland, OR, 97239, USA.
Oregon Health & Science University · USDuke University · US

Funding

ANTECEDENT (pArtNerships To Enhance alCohol scrEening, treatment, anD intErveNTion)R18HS027080 · AHRQ · OREGON HEALTH & SCIENCE UNIVERSITY · PI DAVIS, MELINDA MARIE, MUENCH, JOHN · 2019 to 2021
$2.2M
Using Context to Improve Implementation of Evidenced-based Interventions for Colorectal Cancer Screening in Rural Primary Care (Precise CRC)K07CA211971 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI DAVIS, MELINDA MARIE · 2017 to 2020
$683k
AHRQ HHS R18 HS027080NCI NIH HHS K07 CA211971
6 · The paper itself

Abstract

backgroundImplementation science (IS) and quality improvement (QI) inhabit distinct areas of scholarly literature, but are often blended in practice. Because practice-based research networks (PBRNs) draw from both traditions, their experience could inform opportunities for strategic IS-QI alignment.

objectiveTo systematically examine IS, QI, and IS/QI projects conducted within a PBRN over time to identify similarities, differences, and synergies.

designLongitudinal, comparative case study of projects conducted in the Oregon Rural Practice-based Research Network (ORPRN) from January 2007 to January 2019. APPROACH: We reviewed documents and conducted staff interviews. We classified projects as IS, QI, IS/QI, or other using established criteria. We abstracted project details (e.g., objective, setting, theoretical framework) and used qualitative synthesis to compare projects by classification and to identify the contributions of IS and QI within the same project. KEY

resultsAlmost 30% (26/99) of ORPRN's projects included IS or QI elements; 54% (14/26) were classified as IS/QI. All 26 projects used an evidence-based intervention and shared many similarities in relation to objective and setting. Over half of the IS and IS/QI projects used randomized designs and theoretical frameworks, while no QI projects did. Projects displayed an upward trend in complexity over time. Project used a similar number of practice change strategies; however, projects classified as IS predominantly employed education/training while all IS/QI and most QI projects used practice facilitation. Projects including IS/QI elements demonstrated the following contributions: QI provides the mechanism by which the principles of IS are operationalized in order to support local practice change and IS in turn provides theories to inform implementation and evaluation to produce generalizable knowledge.

conclusionsOur review of projects conducted over a 12-year period in one PBRN demonstrates key synergies for IS and QI. Strategic alignment of IS/QI within projects may help improve care quality and bridge the research-practice gap.

Indexed as

Implementation ScienceQuality ImprovementHumansOregonQuality of Health Careimplementation sciencepractice-based researchpragmatic researchprimary carequality improvementrural health services

Identifiers

PMID33852140
PMCPMC8175491
OpenAlexW3154145957

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.