Evidence map›Paper›PMID 34045839›Full record

ArticleEthnicity & disease2021

Applying a Race(ism)-Conscious Adaptation of the CFIR Framework to Understand Implementation of a School-Based Equity-Oriented Intervention.

Michele Allen, April Wilhelm, Luis Enrique Ortega, Shannon Pergament, Nicole Bates, Brooke Cunningham

Open access · greenAbstract read
In one paragraph

Article in Ethnicity & disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
15.1field-weighted citation impact, top 1% 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

43 citing papers in PubMed, 67 citations in OpenAlex.

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  15. A Narrative Inquiry of East Asian Parents and Mental Health in Canada: Critical Openings for Anti-Racism Strategies in Knowledge Translation.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2025
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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

6 authors at 3 institutions in 1 country.

Michele AllenUniversity of Minnesota Medical School Department of Family Medicine and Community Health, Program in Health Disparities Research, Minneapolis, MN.
April WilhelmUniversity of Minnesota Medical School Department of Family Medicine and Community Health, Program in Health Disparities Research, Minneapolis, MN.
Luis Enrique OrtegaSoLaHmo Partnership for Health and Wellness/ Community University Health Care Center, Minneapolis, MN.
Shannon PergamentSoLaHmo Partnership for Health and Wellness/ Community University Health Care Center, Minneapolis, MN.
Nicole BatesSt. Paul Public Schools, Woodbury, MN.
Brooke CunninghamUniversity of Minnesota Medical School Department of Family Medicine and Community Health, Program in Health Disparities Research, Minneapolis, MN.
University of Minnesota · USCommunity Health Partnership · USMinneapolis Public Schools · US

Funding

Participatory Trial of a Health Promoting School Approach to Positive Youth Development and Wellness PromotionR01MD010586 · NIMHD · UNIVERSITY OF MINNESOTA · PI ALLEN, MICHELE L, ORTEGA, LUIS · 2019 to 2020
$963k
Improving primary care providers ability to communicate about patients experiences of racism to improve cardiovascular health: a feasibilitystudyK23HL143146 · NHLBI · UNIVERSITY OF MINNESOTA · PI CUNNINGHAM, BROOKE A · 2019 to 2022
$789k
NHLBI NIH HHS K23 HL143146NIMHD NIH HHS R01 MD010586
6 · The paper itself

Abstract

Objectives: To use the Consolidated Framework for Implementation Research (CFIR) adapted to a race-conscious frame to understand ways that structural racism interacts with intervention implementation and uptake within an equity-oriented trial designed to enhance student-school connectedness. Design: Secondary analysis of qualitative implementation data from Project TRUST (Training for Resiliency in Urban Students and Teachers), a hybrid effectiveness-implementation, community-based participatory intervention. Setting: Ten schools across one urban school district. Methods: We analyzed qualitative observational field notes, youth and parent researcher reflections, and semi-structured interviews with community-academic researchers and school-based partners within CFIR constructs based on framing questions using a Public Health Critical Race Praxis approach. Results: Within most CFIR constructs and sub-constructs, we identified barriers to implementation uptake not previously recognized using standard race-neutral definitions. Themes that crossed constructs included: 1) Leaders' willingness to examine Black, Indigenous, People of Color (BIPOC) student and parent experiences of school discrimination and marginalization had a cascading influence on multiple factors related to implementation uptake; 2) The race/ethnicity of the principals was related to intervention engagement and intervention uptake, particularly at the extremes, but the relationship was complex; 3) External change agents from BIPOC communities facilitated intervention uptake in indirect but significant ways; 4) Highly networked implementation champions had the ability to enhance commitment to intervention uptake; however, perceptions of these individuals and the degree to which they were networked was highly racialized. Conclusions: Equity-oriented interventions should consider structural racism within the CFIR model to better understand intervention uptake.

Indexed as

SchoolsStudentsAdolescentHumansPublic HealthQualitative ResearchHealth DisparitiesImplementation ScienceSchool Connectedness

Identifiers

PMID34045839
PMCPMC8143857
OpenAlexW3160527265

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.