Evidence map›Paper›PMID 34100153›Full record

ArticleJournal of clinical psychology in medical settings2022

Conducting a Pragmatic Trial in Integrated Primary Care: Key Decision Points and Considerations.

Kathryn E Kanzler, Donald D McGeary, Cindy McGeary, Abby E Blankenship, Stacey Young-McCaughan, Alan L Peterson, J Christine Buhrer, Briana A Cobos, Anne C Dobmeyer, Christopher L Hunter and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical psychology in medical settings, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.5field-weighted citation impact, top 16% 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

9 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Observational
  4. Article
  5. Article
  6. Pragmatic clinical trial design in emergency medicine: Study considerations and design types.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2022
    Article
  7. Trial and error: challenges conducting pragmatic trials in general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022
    Article
  8. Article
  9. 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

13 authors at 4 institutions in 1 country.

Kathryn E KanzlerResearch to Advance Community Health (ReACH) Center, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Dr, Mail Code 7768, San Antonio, TX, 78229, USA. Kanzler@uthscsa.edu.ORCID 0000-0001-7253-7067
Donald D McGearyPsychiatry & Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Cindy McGearyPsychiatry & Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Abby E BlankenshipPsychiatry & Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Stacey Young-McCaughanPsychiatry & Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Alan L PetersonPsychiatry & Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
J Christine BuhrerHarker Heights Medical Home, Harker Heights, TX, USA.
Briana A CobosPsychiatry & Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Anne C DobmeyerPsychological Health Center of Excellence J-9/Defense Health Agency, Falls Church, VA, USA.
Christopher L HunterJ3 Medical Affairs-Clinical Support Division/Defense Health Agency, Falls Church, VA, USA.
Aditya BhagwatJ3 Medical Affairs-Clinical Support Division/Defense Health Agency, Falls Church, VA, USA.
John A Blue Star59 Medical Operations Squadron, Wilford Hall Ambulatory Medical Center, JBSA-Lackland, San Antonio, TX, USA.
Jeffrey L GoodieDepartment of Medical & Clinical Psychology, Uniformed Services University, Bethesda, MD, USA.
The University of Texas Health Science Center at San Antonio · USDefense Health Agency · USUniformed Services University of the Health Sciences · USWilford Hall Ambulatory Surgical Center · US

Funding

Pain Management Collaboratory Coordinating Center (PMC3)U24AT009769 · NCCIH · YALE UNIVERSITY · PI WILLIAM C BECKER, Alicia Heapy · 2017 to 2026
$16.4M
Acceptance Based Coping (ABC) Skills Delivered by Promotores for Hispanic/Latino Patients with T2DMK23DK123398 · NIDDK · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI KANZLER, KATHRYN E. · 2019 to 2022
$663k
NCCIH NIH HHS U24 AT009769NIDDK NIH HHS K23 DK123398US Army Medical Research Acquisition Activity W81XWH-18-2-0008
6 · The paper itself

Abstract

Pragmatic trials testing the effectiveness of interventions under "real world" conditions help bridge the research-to-practice gap. Such trial designs are optimal for studying the impact of implementation efforts, such as the effectiveness of integrated behavioral health clinicians in primary care settings. Formal pragmatic trials conducted in integrated primary care settings are uncommon, making it difficult for researchers to anticipate the potential pitfalls associated with balancing scientific rigor with the demands of routine clinical practice. This paper is based on our experience conducting the first phase of a large, multisite, pragmatic clinical trial evaluating the implementation and effectiveness of behavioral health consultants treating patients with chronic pain using a manualized intervention, brief cognitive behavioral therapy for chronic pain (BCBT-CP). The paper highlights key choice points using the PRagmatic-Explanatory Continuum Indicator Summary (PRECIS-2) tool. We discuss the dilemmas of pragmatic research that we faced and offer recommendations for aspiring integrated primary care pragmatic trialists.

Indexed as

Chronic PainCognitive Behavioral TherapyHumansPrimary Health CareChronic painDissemination and implementation sciencePragmatic trialsPrimary carePrimary care behavioral health

Identifiers

PMID34100153
PMCPMC8184053
OpenAlexW3172829449

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.