Evidence map›Paper›PMID 33952263›Full record

Trial reportBMC health services research2021

Replicating an effective VA program to train and support family caregivers: a hybrid type III effectiveness-implementation design.

N A Boucher, L L Zullig, M Shepherd-Banigan, K P Decosimo, J Dadolf, A Choate, E P Mahanna, N R Sperber, V Wang, K A Allen and 2 more

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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.

NCT02653768 nacompletednot on this map

STepped Exercise Program for Knee Osteoarthritis (STEP-KOA)

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2016 to 2019Enrolled345ConditionsOsteoarthritis, KneeArmsStepped Exercise Program, Arthritis Education
NCT03474380 nacompletednot on this map

Optimizing Function and Independence Through iHI-FIVES (QUE 16-170)

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2018 to 2021Enrolled1,406ConditionsFunctional Impairment, Cognitive ImpairmentArmsiHI-FIVES
3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Healthy Parent Carers: Acceptability and practicability of online delivery and learning through implementation by delivery partner organisations.Health expectations : an international journal of public participation in health care and health policy · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. 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

12 authors.

N A BoucherCenter of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care System, 508 Fulton Street (Mailcode 152), Durham, NC, 27705, USA. nathan.boucher@duke.edu.ORCID http://orcid.org/0000-0002-5732-1927
L L ZulligCenter of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care System, 508 Fulton Street (Mailcode 152), Durham, NC, 27705, USA.
M Shepherd-BaniganCenter of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care System, 508 Fulton Street (Mailcode 152), Durham, NC, 27705, USA.
K P DecosimoCenter of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care System, 508 Fulton Street (Mailcode 152), Durham, NC, 27705, USA.
J DadolfCenter of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care System, 508 Fulton Street (Mailcode 152), Durham, NC, 27705, USA.
A ChoateCenter of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care System, 508 Fulton Street (Mailcode 152), Durham, NC, 27705, USA.
E P MahannaCenter of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care System, 508 Fulton Street (Mailcode 152), Durham, NC, 27705, USA.
N R SperberCenter of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care System, 508 Fulton Street (Mailcode 152), Durham, NC, 27705, USA.
V WangCenter of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care System, 508 Fulton Street (Mailcode 152), Durham, NC, 27705, USA.
K A AllenCenter of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care System, 508 Fulton Street (Mailcode 152), Durham, NC, 27705, USA.
S N HastingsCenter of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care System, 508 Fulton Street (Mailcode 152), Durham, NC, 27705, USA.
C H Van HoutvenCenter of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care System, 508 Fulton Street (Mailcode 152), Durham, NC, 27705, USA.

Funding

HSRD VA CIN 13-410HSRD VA IK2 HX002407HSRD VA QUE 16-170
6 · The paper itself

Abstract

backgroundCaring for a growing aging population using existing long-term care resources while simultaneously supporting and educating family caregivers, is a public health challenge. We describe the application of the Replicating Effective Programs (REP) framework, developed by the Centers for Disease Control Prevention and used in public health program implementation, to scale up an evidence-based family caregiver training intervention in the Veterans Affairs (VA) healthcare system.

methodsFrom 2018 to 2020, clinicians at eight VA medical centers received REP-guided implementation including facilitation, technical assistance, and implementation tools to deliver the training program. The project team used the REP framework to develop activities across four distinct phases - (1) pre-conditions, (2) pre-implementation, (3) implementation, and (4) maintenance and evolution - and systematically tracked implementation facilitators, barriers, and adaptations.

resultsWithin the REP framework, results describe how each medical center adapted implementation approaches to fit local needs. We highlight examples of how sites balanced adaptations and intervention fidelity.

conclusionsThe REP framework shows promise for national expansion of the caregiver training intervention, including to non-VA systems of care, because it allows sites to adapt while maintaining intervention fidelity.

trial registrationNCT03474380 . Date registered: March 22, 2018.

Indexed as

CaregiversVeteransCounselingHealth PromotionHumansUnited StatesUnited States Department of Veterans AffairsAgingCaregivingHealth services researchImplementation researchLong term care

Identifiers

PMID33952263
PMCPMC8099701

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.