Evidence map›Paper›PMID 34561255›Full record

ArticleBMJ open2021

Evaluating the implementation of interdisciplinary patient-centred care intervention for people with multimorbidity in primary care: a qualitative study.

Patrice Ngangue, Judith Belle Brown, Catherine Forgues, Mohamed Ali Ag Ahmed, Tu Ngoc Nguyen, Maxime Sasseville, Christine Loignon, Frances Gallagher, Moira Stewart, Martin Fortin

Registry-linked trialAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02789800 (Patient-Centred Innovations for Persons With Multimorbidity - Quebec), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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.

NCT02789800 nacompletednot on this map

Patient-Centred Innovations for Persons With Multimorbidity - Quebec

TypeinterventionalSponsorUniversité de SherbrookeRan2016 to 2022Enrolled284ConditionsHypertension, Depression, Anxiety, Musculoskeletal PainArmsDIMAC02
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Review
  6. Review
  7. Review
  8. 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.

Patrice NgangueDepartment of Family Medicine and Emergency Medicine, Université de Sherbrooke, Sherbrooke, Quebec, Canada Patrice.Ngangue@Usherbrooke.ca martin.fortin@usherbrooke.ca.ORCID 0000-0002-5204-7420
Judith Belle BrownDepartment of Family Medicine, Western University, London, Ontario, Canada.
Catherine ForguesDepartment of Family Medicine and Emergency Medicine, Université de Sherbrooke, Sherbrooke, Quebec, Canada.
Mohamed Ali Ag AhmedDepartment of Family Medicine and Emergency Medicine, Université de Sherbrooke, Sherbrooke, Quebec, Canada.
Tu Ngoc NguyenWestmead Apllied Research Centre, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0002-8836-8920
Maxime SassevilleDepartment of Health Sciences, Université du Québec à Chicoutimi, Chicoutimi, Quebec, Canada.ORCID 0000-0003-1694-1414
Christine LoignonDepartment of Family Medicine and Emergency Medicine, Université de Sherbrooke, Sherbrooke, Quebec, Canada.ORCID 0000-0002-9828-3090
Frances GallagherSchool of Nursing, University of Sherbrooke, Sherbrooke, Quebec, Canada.
Moira StewartDepartment of Family Medicine, Western University, London, Ontario, Canada.
Martin FortinDepartment of Family Medicine and Emergency Medicine, Université de Sherbrooke, Sherbrooke, Quebec, Canada Patrice.Ngangue@Usherbrooke.ca martin.fortin@usherbrooke.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveA patient-centred care interdisciplinary pragmatic intervention to support self-management for patients with multimorbidity was implemented in one region of Quebec, Canada. This embedded study aimed to evaluate the process of implementation.

designA descriptive qualitative study was conducted in 2016-2017 using semistructured individual interviews. The Consolidated Framework for Implementation Research (CFIR) was used to guide the data coding, analysis and reporting of the findings.

settingThe study took place in seven Family Medicine Groups in one region (Saguenay-Lac-Saint-Jean) of Quebec, Canada.

participantsTen managers (including two family physicians) and 19 healthcare professionals (HCPs), nurses, kinesiologists, nutritionists and a respiratory therapist, were interviewed.

resultsMany key elements within the five CFIR domains were identified as impacting the implementation of the intervention : (1) intervention characteristics-evidence strength and quality, design quality and packaging, relative advantage and complexity; (2) outer setting-patients' needs and resources, external policies and incentives; (3) inner setting-structural characteristics, networks and communication, culture, compatibility, readiness for implementation and leadership engagement; (4) characteristics of the managers and HCPs-knowledge and belief about the intervention; (5) process-planning, opinion leaders, formally appointed internal implementation leaders, reflecting and evaluating.

conclusionThis study revealed the organisational and contextual aspects of the implementation based on different and complementary perspectives. With the growing demand for interdisciplinary teams in primary care, we believe that our insights will be helpful for practices, researchers, and policymakers interested in the implementation of disease prevention and management programmes for people with multiple chronic conditions in primary care. TRIAL REGISTRATION NUMBER: NCT02789800.

Indexed as

MultimorbidityPrimary Health CareDelivery of Health CareHumansPatient-Centered CareQualitative Researchgeneral medicine (see internal medicine)organisation of health servicesprimary carequalitative research

Identifiers

PMID34561255
PMCPMC8475135

What OpenQuestion holds

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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.